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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Malaria

I have been taking full courses of maleria since 4 years but in every 3 months p.vivex Is ditected in antibody and my platelates goes down v badly..I have taken QST 600, also injections now I am taking lumerax -80, nimsade-p, monticope, pantop-DSR, MACPOD 200..itz been 2 days but I am feeling v weak.please suggest me I wanna get rid of dis parasite.
Fri, 21 Nov 2014
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General & Family Physician,  's  Response
Hello
Due to prolong period and injudicious the malaria ( plasmodium vivax ) has developed resistance .
So lumerax and QST will not work at all . Lumerax is acting against only falciparum form .
When such resistant case visit my clinic I prescribe as following treatment .
1ST day Chloroquine 600 mg followed by 300 mg after 6 hour.
300 mg on day 2 & 3 .
Prophylaxis 300 mg once weekly starting first week before exposure , continuing throughout on a weekly basis & for at least 4 week after exposure .
Concomitantly TABLET "PRIMAQUINE 15 mg daily for 14 days .
But in your case you can increase the dosage of primaquine 30 mg daily for 14 days .
This is a complicated treatment and should be taken under strict medical supervision , so consult a physician and get his opinion.
As plenty of intravenous fluid required during this period.
Hope this will help you.
Also get in ultrasound of spleen for enlargement.
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Suggest Treatment For Malaria

Hello Due to prolong period and injudicious the malaria ( plasmodium vivax ) has developed resistance . So lumerax and QST will not work at all . Lumerax is acting against only falciparum form . When such resistant case visit my clinic I prescribe as following treatment . 1ST day Chloroquine 600 mg followed by 300 mg after 6 hour. 300 mg on day 2 & 3 . Prophylaxis 300 mg once weekly starting first week before exposure , continuing throughout on a weekly basis & for at least 4 week after exposure . Concomitantly TABLET PRIMAQUINE 15 mg daily for 14 days . But in your case you can increase the dosage of primaquine 30 mg daily for 14 days . This is a complicated treatment and should be taken under strict medical supervision , so consult a physician and get his opinion. As plenty of intravenous fluid required during this period. Hope this will help you. Also get in ultrasound of spleen for enlargement.