Mefloquine

This page contains recent news articles, when available, and an overview of Mefloquine but does not offer medical advice. You should contact your physician with regard to any health issues or concerns.


Overview:

Mefloquine
(when available)

Pharmacology and use:
Mefloquine is an antimalarial agent which acts as a blood schizonticide. Mefloquine is active against the erythrocytic stages of Plasmodium species. However, the drug has no effect against the exoerythrocytic (hepatic) stages of the parasite. Mefloquine is effective against malaria parasites resistant to chloroquine. For the treatment of mild to moderate acute malaria caused by Mefloquineuine-susceptible Plasmodium falciparum strains

Mechanism Of Action:
Mefloquine interferes with transportation of haemoglobin products and other substances from the host cell to the parasite’s food vacuole. Mefloquine specifically has been found to produce swelling of the P. falciparum food vacuoles. It may therefore act by forming toxic complexes with free heme that damage membranes and interact with other plasmodial components.

News Articles on Mefloquine

OSU prof works on tuberculosis treatment  -  Oct 20, 2008
That’s because the study focuses on a compound in mefloquine, an existing drug commonly used to combat malaria. Funding was hard to come by because Corvallis Gazette Times,

Biomedical researcher receives Gates Foundation grant for ...  -  Sep 25, 2008
...“By supporting promising work such as the mefloquine investigation at OSU, we hope to add new weapons against drug-resistant strains and improve our ability EVLiving

Out of Africa: Traveller Malaria in Paediatric Patients Presenting ...  -  Oct 16, 2008
...given in combination with clindamycin; (2) Atovaquone-proguanil (Malarone); (3) Mefloquine (can be considered if the above options are not available). Irish Medical Journal,

Ranbaxy achieves landmark in anti-malarial research, receives DCGI ...  -  Oct 16, 2008
...(quinine, mefloquine), antifolates (sulfadoxine-pyrimethamine), artemisinins (artesunate), antibiotics (clindamycin, tetracycline), and other drugs such as Equity Bulls,

Trashed any hotel rooms lately? Blender interviews Rolf Potts ...  -  Oct 3, 2008
Why do ecstasy when you're already on Imodium and mefloquine? Why abuse the service staff when you have so many cockroaches to contend with? Gadling,

Health care in South Africa  -  Oct 2, 2008
Most travellers take Mefloquine. Furthermore, aside from taking anti-malaria tablets, measures can be taken to avoid mosquito bites. Modern Ghana,

Malaria : La tisane d'artemisia n'est pas une monothérapie  -  Oct 10, 2008
...tisane alors que pour les produits chimiques tels que chloroquine, amodiaquine, mefloquine la résistance était notoire et devenait même catastrophique. Ici Cemac,

Charges against ex-corporal dropped in Somali torture death  -  16 Sep 2008
His family has argued that Clayton Matchee was adversely affected by mefloquine, a medication he was taking to prevent malaria. Canada.com,

Efficacy, safety and tolerability of artesunate-mefloquine in the ...  -  Sep 9, 2008
The combination of artesunate and mefloquine has been reported to be effective against multi-drug resistant Plasmodium falciparum malaria, which has been 7thSpace Interactive (press release),

Lariam Dreams  -  Sep 10, 2008
...by Josh Lew Sep 10th 2008 @ 10:30AM If you've traveled to a tropical country, you've probably heard of Mefloquine. It is the most popular prophylactic Gadling,

Chloroquine: Novel Uses & Manifestations  -  Aug 26, 2008
Drug interactions and pharmacogenetic reactions are the basis for chloroquine and mefloquine-induced psychosis. Med Hypotheses 2006; 67 : 1090-94. 104. RedOrbit,

Sadece seyahatinizi değil sağlığınızı da planlayın  -  Sep 14, 2008
Bunlar arasında Chloroquine phosphat (Kinin), Mefloquine (Lariam), Atovaquone / proguanil (Mallorone) ve Doksisiklin (Tetradoks) gibi ilaçlar yer alıyor. Hürriyet,

Cahiers d'études et de recherches francophones / Santé  -  Sep 3, 2008
In vitro monitoring of Plasmodium falciparum susceptibility to artésunate, mefloquine, quinine et chloroquine in Cambodia : 2001-2002. Cahiers Santé,

Se protéger du paludisme même lors de courts voyages  -  Aug 5, 2008
Selon la saison, les zones rurales visitées et la durée du séjour, il conviendra de prendre préventivement de la Malarone, de la mefloquine, Le Figaro,

Drug Resistance Is Deadly  -  Jun 10, 2008
Those border regions were the first to note significant resistance to the last best drug, mefloquine: Between 1984 and 1989 the efficacy of the best American Enterprise Institute,

GPs warned over depression legal risk  -  Jun 20, 2008
...paid to a patient with a history of depression who was left with severe brain damage following an overdose after being prescribed mefloquine by his GP. Pulse,

The Top Five for 4-18-2008  -  Apr 17, 2008
The treatment combines existing malaria drugs artesunate and mefloquine into a single, fixed-dose tablet and reduces the cost of treatment. Kansas City Star,

MDU advises on pitfalls of treating depression  -  Jun 12, 2008
...patient with a history of depression who was left severely brain damaged following an overdose after being prescribed the antimalarial drug mefloquine; Nursing in Practice,

Rwanda: Pharmacies Under Investigation Over Fake Malaria Drugs  -  May 29, 2008
Others sampled in the study include sulfadoxine-pyromethamine usually known as Fansidar, Artemether-Lumefantrine also known as Coartem and Mefloquine. AllAfrica.com,

New Recommendations Issued for Treatment of Malaria in the United ...  -  May 27, 2008
In these cases, atovaquone-proguanil is recommended, with mefloquine or quinine plus tetracycline or doxycycline as suitable alternatives. Abkhazia,

Malaria likely to affect tourism  -  May 27, 2008
...type IV prevention method which includes mosquito bite prevention and chemoprophylaxis medicine with atovaquone/proguanil, doxycycline, or mefloquine. Times of India,

Antimalarial Drug Quality in the Most Severely Malarious Parts of ...  -  May 7, 2008
Study agents posed as customers were asked to purchase a sample lot of antimalarial tablet formulations available, namely: SP, amodiaquine, mefloquine, American Enterprise Institute,

Families: 'Do our children need to take malaria tablets?'  -  May 16, 2008
Lariam (mefloquine) has suffered from alarmist reports highlighting that a minority of adults experience side-effects ranging from mood alteration to Independent,

Fighting malarial drug resistance  -  May 15, 2008
...with mefloquine, another anti-malarial, in a convenient single-pill that does not need refrigeration and has shown good results in field trials. Economist,

East Africa: Region Awash With Fake Malaria Medicine  -  May 14, 2008
The study looked at doses of medicines including sulfadoxine-pyrimethamine, amodiaquine, mefloquine, artesunate, artemether, dihydroartemisinin and AllAfrica.com,

The Top Five for 4-18-2008  -  Apr 17, 2008
The treatment combines existing malaria drugs artesunate and mefloquine into a single, fixed-dose tablet and reduces the cost of treatment. Kansas City Star,

The twilight zone of spooky art  -  May 13, 2008
I suffered paranoia and general weirdness for some time after being prescribed Mefloquine, the controversial malaria medication that has been associated guardian.co.uk,

Cost of increasing access to artemisinin combination therapy: the ...  -  May 20, 2008
...of some of these interventions in Cambodia, the first country to change national antimalarial drug policy to an ACT of artesunate and mefloquine. 7thSpace Interactive (press release),

Fake Malaria Drugs on sale  -  May 16, 2008
The drugs sampled were sulfadoxine-pyromethamine (commonly known as fansidar), amodiaqine (commonly known as camaquin), mefloquine, artesunate, artemether, New Vision,

Home > News > Innovative partnership delivers a new treatment...  -  May 6, 2008
DNDi (Drugs for Neglected Diseases initiative) and Farmanguinhos/Fiocruz have developed a new, affordable, easy to use, artesunate-mefloquine (ASMQ) Research4Development News (press release),

New Malaria Drug Launched in Latin America, Southeast Asia  -  23 Apr 2008
The medicine combines two existing malaria drugs, artesunate and mefloquine. This combination has been widely used in recent years in Latin America and Voice of America

Artesunate for the Treatment of Severe Falciparum Malaria  -  23 Apr 2008
5 In the vignette, the patient's weekly regimen was presumably mefloquine, but he apparently did not continue to receive the drug for 4 weeks after travel, New England Journal of Medicine (subscription),

New Malaria Drug Launched in Latin America, Southeast Asia  -  Apr 17, 2008
The new drug, a combination of Artesunate and Mefloquine is one of four combination treatments recommended by the World Health Organization as first-line Voice of America

The Top Five for 4-18-2008  -  Apr 17, 2008
The treatment combines existing malaria drugs artesunate and mefloquine into a single, fixed-dose tablet and reduces the cost of treatment. Kansas City Star,

Innovative Partnership To Create Another Patent-Free Malaria Drug  -  Apr 17, 2008
The new drug, launched on 17 April in Rio de Janeiro, is named ASMQ after its two components: artesunate (AS) and mefloquine (MQ). Intellectual Property Watch,

Staying Healthy in Abkhazia: Manual for Russian Tourists  -  Apr 13, 2008
A standard course of mefloquine (brand name Lariam) or atovaquone/proguanil (brand name Malarone) will cover you. In farther "off-the-track" border regions Abkhazia,

Clinical uncomplicated Plasmodium falciparum malaria with high ...  -  Apr 11, 2008
By day three, the patient recovered and was discharged on day seven having completed a seven-day treatment with artesunate and mefloquine. 7thSpace Interactive (press release),

Agencies to step up food aid to Haiti  -  Apr 17, 2008
...for Neglected Diseases Initiative, combines existing malaria drugs artesunate and mefloquine into a fixed-dose tablet and reduces the cost of treatment. Boston Globe,

Appropriate medical screening for antimalarials vital to US ...  -  Feb 19, 2008
Whilst mefloquine has traditionally been considered an effective prevention for long-term malaria chemoprophylaxis, research reported in the open access Science Centric,

Travellers to DR not being warned of malaria risk  -  Feb 15, 2008
...use "protective measures" against mosquito bites and use appropriate anti-malarial medication, such as chloroquine, mefloquine or doxycycline. CTV.ca,

Humanitarian Crisis in Abkhazia  -  06 Feb 2008
A standard course of mefloquine (brand name Lariam) or atovaquone/proguanil (brand name Malarone) will cover you. In farther "off-the-track" border regions RMGH Health News,

Need to Know - Travel Medicine  -  Feb 5, 2008
Mefloquine may be used in the second and third trimesters, and may also be used in the first trimester if the risk of falciparum malaria is high. 4. Pulse,

Rheumatoid arthritis needs full evaluation ASK DR. H MITCHELL HECHT  -  Dec 17, 2007
While there are notable exceptions to this practice (eg, mefloquine, nitroglycerin, insulin, vaccines, blood products), shelf life extension can be safely Wilkes Barre Times-Leader,

Malaria Drugs at State Clinics From Next Year  -  Dec 11, 2007
The malaria prophylaxis provided by public clinics would be the same as that offered by the private sector, he said, and would include mefloquine (sold AllAfrica.com,

2007: The year in review  -  Dec 13, 2007
The DNDi should allow us access to another medicine in the next few months, this time combining Artesunate and Mefloquine - a combination required for the Medecins Sans Frontieres,

Spoiler alert  -  Nov 28, 2007
...to Advise on Tropical Medicine and Travel recommends Malarone (the most expensive but with the fewest side effects), doxycycline or mefloquine. Globe and Mail,

Newest malaria medicine may be losing potency in Asia  -  Oct 19, 2007
Artemisinin combined with the drug mefloquine has been the first-line treatment for most falciparum infections since 1995 in Thailand and 2000 in Cambodia, China Post,

Ms. Hilton in Africa  -  Oct 19, 2007
...shop for diamonds and go on a wine-tasting tour. There she experienced a terrible reaction with her mefloquine and alcohol and promtly fell over and died. The Spoof (satire),

Malaria Chemoprophylaxis for Coalition Troops in Afghanistan—Reply  -  Sep 18, 2007
In Reply: Dr Tepper and colleagues point out that Canadian troops serving in Afghanistan are now offered alternatives to mefloquine for their malaria Journal of American Medical Association (subscription),

Malaria Chemoprophylaxis for Coalition Troops in Afghanistan  -  Sep 18, 2007
Although mefloquine may be the drug most often selected, Canadian Forces members have the option of using either mefloquine weekly or doxycycline daily, Journal of American Medical Association (subscription),

Ipca forays into Australia and New Zealand  -  Oct 4, 2007
...which is recommended by WHO to be used in combination with other anti-malarials, such as amodia-quine, mefloquine or sulfado-xine + pyrimethamine. Express Pharma,

Researchers launch global malaria tracking network  -  Sep 5, 2007
Malaria researchers have developed a global network to track drug-resistant forms of the mosquito-borne disease. The World Antimalarial Research Network ABC Online,

High in the sky for mums to be  -  Aug 30, 2007
...at times during pregnancy (eg, mefloquine, doxycycline, malarone) - this places the mother and the unborn child at a higher and unacceptable risk. Athlone Advertiser,

Staying Healthy in Abkhazia: Manual for Russian Tourists  -  Jul 21, 2007
Abkhazia,A standard course of mefloquine (brand name Lariam) or atovaquone/proguanil (brand name Malarone) will cover you. In farther "off-the-track" border regions

Elephant Secrets, or, a Fever-Powered Trip from Virginia to Namibia  -  Jul 9, 2007
Bookslut,...morning of the wet season a couple years before, after spending a tumultuous night suffering through a series of nightmares brought on by mefloquine.

The Passing Scene  -  Jun 29, 2007
Vanguard,One of such combination drug, in this particular case with Mefloquine, raised so much furor. in Ghana, when the side-effects brought untold hardship to the

Rather the resolve disputes hospital for breath.  -  Jun 17, 2007
Journal lycéen,These in third lowest medroxyprogesterone of patient mefloquine few con decade. Some research three or mellaril to hospital mercaptopurine conducted by

GHS in firm control of new malaria drug  -  Jun 7, 2007
Accra Daily Mail,The four ACTs recommended by the WHO for Africa are: artesunate-fansidar, artesunate-amodiaquine, artesunate-mefloquine and artemether-lumefantrine,

Specimens without health con review and heritage  -  Jun 4, 2007
JAENaldia.com,The inheritance to economic macrodantin barrier clothing attorneys combine mefloquine unfairness. The process or invasive had evidence already taken

Controversies and Misconceptions in Malaria Chemoprophylaxis for ...  -  May 22, 2007
Journal of American Medical Association (subscription),We reviewed studies on tolerability of mefloquine with particular focus on its neuropsychiatric adverse effects and influence on performance.

Article outlines current recommendations for treating malaria in ...  -  May 22, 2007
SpiritIndia,Indonesia or Papua New Guinea, in which case atovaquone-proguanil is best, with mefloquine or quinine plus tetracycline or doxycycline as alternatives.

Frequent Traveler Q & A: Protecting your health while on the road  -  May 24, 2007
International Herald Tribune,There is risk from chloroquine-resistant malaria, for which the choice of drugs is between Malarone, doxycyline, or mefloquine. Some drugs can have serious

Man blames drug for events leading to murder  -  Apr 30, 2007
Legalbrief (subscription),Van Zyl claimed that he had taken Mefloquine. The medication made him feel disoriented and confused. Van Zyl also told the court he had slit his wrists.

Artemether-lumefantrine most effective combination therapy for ...  -  May 22, 2007
Aidsmap,The ACTs include artesunate + mefloquine (AS/MQ), artesunate + SP (AS/SP), artemether-lumefantrine (ART/LUM), and amodiaquine+artesunate (AQ/AS).

CDC Urges Prompt Treatment for Travel-Acquired Malaria  -  May 22, 2007
MedPage Today,In cases of infection with P vivax malaria acquired in Indonesia or Papua New Guinea, the treatment of choice is atovaquone-proguanil, with mefloquine or

Improving Surveillance for Antimalarial Drug Resistance  -  May 22, 2007
Journal of American Medical Association (subscription),...atovaquone, and proguanil almost immediately because of preexisting reduced susceptibility), while others retained effectiveness longer (eg, mefloquine,

Malaria in Multiple Family Members—Chicago, Illinois, 2006  -  May 22, 2007
Journal of American Medical Association (subscription),They consulted their primary physician, who treated them presumptively with mefloquine, without taking a blood smear. D Glikman, MD, JF Marcinak, MD,

Ziprasidone Syrup (Ziprasidone capsule) Information  -  May 18, 2007
American Chronicle,Amiodarone, dofetilide, dolasetron, droperidol, levomethadyl, mefloquine, moxifloxacin, pentamidine, pimozide, quinidine, sotalol, sparfloxacin, tacrolimus,

Weitz: anti-malaria drug 'not a killer'  -  26 Apr 2007
Independent Online,A pharmacologists has told the Cape High Court that committing murder has never been reported as a side effect of taking the anti-malarial drug, Mefloquine.

Just one bite  -  Apr 2, 2007
Taipei Times,...prophylactics such as Lariam (mefloquine) and Malarone (atovaquone/proguanil) are between 90 percent and 100 percent effective when used with

Can Curry Help Cure Malaria?  -  Dec 28, 2006
Red Herring,It is, however, used in combination with synthetic compounds like amodiaquine, mefloquine, piperaquine, and lumefantrine because if used alone,

Brand Names/Synonyms:
Mefloquine is also known by the following brand names and/or synonymsCHEMBANK1387; Lariam; Mefloquine; Mefloquine Hcl; Mefloquinone

Drug Category:
Mefloquine is categorized under the following by the FDA: Antimalarials; ATC:P01BC02

Dosage Forms:
TABLET

Absorption:
Well absorbed from gastrointestinal tract. Bioavailability is about 85%

Interactions:
Interactions for Mefloquine: Drug-drug interactions with Mefloquine have not been explored in detail. There is one report of cardiopulmonary arrest, with full recovery, in a patient who was taking a beta blocker (propranolol). The effects of Mefloquineuine on the compromised cardiovascular system have not been evaluated. The benefits of Mefloquine therapy should be weighed against the possibility of adverse effects in patients with cardiac disease. Because of the danger of a potentially fatal prolongation of the QTc interval, halofantrine must not be given simultaneously with or subsequent to Mefloquine. Concomitant administration of Mefloquine and other related compounds (eg, quinine, quinidine and chloroquine) may produce electrocardiographic abnormalities and increase the risk of convulsions. If these drugs are to be used in the initial treatment of severe malaria, Mefloquine administration should be delayed at least 12 hours after the last dose. There is evidence that the use of halofantrine after Mefloquineuine causes a significant lengthening of the QTc interval. Clinically significant QTc prolongation has not been found with Mefloquineuine alone. This appears to be the only clinically relevant interaction of this kind with Mefloquine, although theoretically, coadministration of other drugs known to alter cardiac conduction (eg, anti-arrhythmic or beta-adrenergic blocking agents, calcium channel blockers, antihistamines or H1-blocking agents, tricyclic antidepressants and phenothiazines) might also contribute to a prolongation of the QTc interval. There are no data that conclusively establish whether the concomitant administration of Mefloquineuine and the above listed agents has an effect on cardiac function. In patients taking an anticonvulsant (eg, valproic acid, carbamazepine, phenobarbital or phenytoin), the concomitant use of Mefloquine may reduce seizure control by lowering the plasma levels of the anticonvulsant. Therefore, patients concurrently taking antiseizure medication and Mefloquine should have the blood level of their antiseizure medication monitored and the dosage adjusted appropriately. When Mefloquine is taken concurrently with oral live typhoid vaccines, attenuation of immunization cannot be excluded. Vaccinations with attenuated live bacteria should therefore be completed at least 3 days before the first dose of Mefloquine. No other drug interactions are known. Nevertheless, the effects of Mefloquine on travelers receiving comedication, particularly diabetics or patients using anticoagulants, should be checked before departure. In clinical trials, the concomitant administration of sulfadoxine and pyrimethamine did not alter the adverse reaction profile.



Chemical IUPAC Name:
[2,8-bis(trifluoromethyl)quinolin-4-yl]-(2-piperidyl)methanol

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