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Medications for malaria - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
Doctor :   Hi
User :   In maleria what would be minimum platelet count?
Doctor :   You mean in malaria?
User :   yes
Doctor :   Platecount can get reduced in malarial infection.
User :   one of my friend is having
User :   what should be average count and in malaria what is the count when infection happens?
Doctor :   The normal platecount is 150to 400 thousand cells per dl
Doctor :   This count can go low in a viral, dengue or malarial infection.
User :   it is 90
User :   can you please suggest me some advice?
Doctor :   A count of less than 25 to 50 thousand cells is considered to be of serious concern.
User :   medicine, precaution and diet..
Doctor :   A count above this can be treated without any specific medications.
Doctor :   They just need monitoring the counts every day or twice a day.
Doctor :   If the counts are below 25 thousand cells then there is a need for platelet transfusion.
User :   any medicine u suggest or any kind of home remedies or diet?
Doctor :   Malarial infections are treated using antimalarial drugs.
User :   okie, so what do you suggest as medicine?
Doctor :   But as these are prescription medications, i cannot suggest those online as it is not legal.
Doctor :   You will have to consult your doctor to obtain them.
User :   I am XXX
User :   you can tell me..
Doctor :   Ok.
User :   don't worry
User :   you are XXX, right
Doctor :   Which type of malarial infection does your friend have?
Doctor :   Yes, XXXXXXXX here.
User :   what are types?
Doctor :   The drug depends on the type of malarial parasite, his age.
User :   age 31
Doctor :   In India, there are two types of malarial infection.
Doctor :   1. Plasmodium vivax infection and
User :   not sure abt infection type
Doctor :   2. Plasmodium falciparum infection.
Doctor :   This would be mentioned in the reports.
User :   just got the test report which say platecount is 90k
Doctor :   Is the malarial infection confirmed by peripheral smear examination?
Doctor :   As I told you there are other causes for low platelet counts with fever,
Doctor :   such as dengue infections or other viral infections.
User :   actually she had few more times malaria before and all the time platelet count had been reduced
User :   so after seeing the report of 90 platecount, she assumed that this malaria.. very very week to go to doctor
Doctor :   If the infection has not been diagnosed, I would suggest you to ask her to get the peripheral smear for malaria tested before starting on the antimalarial treatment.
User :   what to do?
Doctor :   In the mean time, let her take only paracetamol tablets for fever.
Doctor :   Good hydration and nutrition is essential.
User :   ook..
Doctor :   3. watch out for any rashes, nasal bleedings or any other abnormal bleeding.
Doctor :   4. She would also have to monitor the platelet counts either every day or once in two days.
User :   ook..
Doctor :   If the platelet counts are rising then, no concern.
Doctor :   if they are falling and if it falls below 50 then it is advisable to get admitted to the hospital.
User :   any home remedies available before she becomes in a condition to meet a doctor?
User :   i mean tomorrow she can go to hospital
User :   but for today night
Doctor :   Yaar, if she is not dehydrated or exhausted,
Doctor :   if the platetcount is picking up in the next reports
User :   ook
Doctor :   and if the periperal smear is negative for malaria, then she should be fine without meeting a doctor too.
User :   great..
Doctor :   But this advice is only for you.
Doctor :   She can always get her examined by the doctor if she is not feeling good.
User :   ya sure, don't worry.. of TnC.. it's my company as well .. hehehe
User :   thanks a lot doctor AAAAAAA
Doctor :   Importantly, she needs to drink plenty of water and keep her nutrition well.
User :   sure, will do that
Doctor :   And finally if she is on any antiplatelet drugs such as aspirin or warfarrin.
Doctor :   She can avoid those drugs.
User :   ook
Doctor :   You can call me if there is any problem tonight.
User :   ya, can i have ur phone no, in case i need
User :   ?
Doctor :   0000
User :   thanks
User :   byee
Doctor :   Bye..
Doctor :   Shall I close?
User :   ya
User :   bye byee
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