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Suggest treatment for malaria

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Posted on Mon, 8 Jun 2015
Question: Hello, My Wife has Malaria. She is Ghana XXXXXXX and needs to be seen by a specialist. In the mean time she has been given injections of chloroquine and anti malaria by a Pharmacist who works for her hotel. Does it seem urgent to you that she gets the $500 to get to the hospital and sees this specialist?
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Answered by Dr. Sheetal Verma (1 hour later)
Brief Answer:
Observe the patient.

Detailed Answer:
Hi
Thanks for your query at HCM.

The treatment of malaria depends upon the species of malaria parasites.P vivax, P ovale malaria - Chloroquine plus primaquine are advised. But for falciparum malaria - Quinine-based therapy is with quinine (or quinidine) sulfate plus doxycycline or clindamycin or pyrimethamine-sulfadoxine is preferred. Sometimes if falciparum is susceptible to chloroquine can be given. Chloroquine-1,000 mg po immediately, followed by 500 mg po at 6, 24, and 48 hours. If your patient shows response you can continue treatment. If any deterioration then you can visit the doctor. Rest advised and tepid sponging, acetaminophen to relieve fever.

Take care
Hope I answered your query.
If no clarifications then you can close the discussion and rate the answer and write a review.
Dr. Sheetal Verma
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sheetal Verma

Infectious Diseases Specialist

Practicing since :2001

Answered : 635 Questions

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Suggest treatment for malaria

Brief Answer: Observe the patient. Detailed Answer: Hi Thanks for your query at HCM. The treatment of malaria depends upon the species of malaria parasites.P vivax, P ovale malaria - Chloroquine plus primaquine are advised. But for falciparum malaria - Quinine-based therapy is with quinine (or quinidine) sulfate plus doxycycline or clindamycin or pyrimethamine-sulfadoxine is preferred. Sometimes if falciparum is susceptible to chloroquine can be given. Chloroquine-1,000 mg po immediately, followed by 500 mg po at 6, 24, and 48 hours. If your patient shows response you can continue treatment. If any deterioration then you can visit the doctor. Rest advised and tepid sponging, acetaminophen to relieve fever. Take care Hope I answered your query. If no clarifications then you can close the discussion and rate the answer and write a review. Dr. Sheetal Verma