Green Pages Where There Is No Doctor 2011 367
Chloroquine Sulfate (familiar brand name:
Nivaquine)
Name:__________________ price:________ for_ ______
Often comes in: 200 mg. tablets (which have
150 mg. of chloroquine)
Dosage of chloroquine sulfate by mouth—200 mg.
tablets
For treatment of non-resistant malaria:
For the first dose give:
adults: 4 tablets (800 mg.)
children 10 to 15 years: 3 tablets (600 mg.)
children 6 to 9 years: 2 tablets (400 mg.)
children 3 to 5 years: 1 tablet (200 mg.)
children 1 to 2 years: ½ tablet (100 mg.)
babies under 1 year: ¼ tablet (50 mg.)
Then give the following dose 6 hours after the
first dose, 1 day after the first dose: and 2 days
after the first dose:
adults: 2 tablets (400 mg.)
children 10 to 15 years: 1 ½ tablets (300 mg.)
children 6 to 9 years: 1 tablet (200 mg.)
children 3 to 5 years: ½ tablet (100 mg.)
children 1 to 2 years: ¼ tablet (50 mg.)
babies under 1 year: 1⁄8 tablet (25 mg.)
For prevention of malaria (where it is not resistant
to chloroquine):
Give once a week beginning 1 week before and
continuing for 4 weeks after leaving a malaria area.
adults: 2 tablets (400 mg.)
children 10 to 15 years: 1 ½ tablet (300 mg.)
children 6 to 9 years: 1 tablet (200 mg.)
children 3 to 5 years: ½ tablet (100 mg.)
children 1 to 2 years: ¼ tablet (50 mg.)
babies under 1 year: 1⁄8 tablet (25 mg.)
Primaquine
Name: _________________ price: _______ for_ ______
Often comes in: tablets of 26.3 mg. of primaquine
phosphate, which contains 15 mg. of primaquine
base.
Primaquine is usually used after treatment
with chloroquine or another malaria medicine to
keep some kinds of malaria from coming back.
Primaquine does not work by itself for acute
attacks.
Primaquine is not safe for women who are
pregnant or breastfeeding.
Side effects: In certain persons, especially
some people with dark skin, this medicine causes
anemia. Seek local advice.
Dosage of primaquine:
Give once a day for 14 days.
In each dose give:
adults: 1 tablet (15 mg. base)
children 8 to 12 years: ½ tablet (7 mg. base)
children 3 to 7 years: ¼ tablet (4 mg. base)
Proguanil (Paludrine)
Name:__________________ price: _ _____ for_______
Often comes in: tablets of 100 mg.
Proguanil is taken with chloroquine for
prevention of malaria in areas with low chloroquine
resistance. Proguanil is not used to treat acute
attacks of malaria.
Proguanil is not safe for pregnant women.
Dosage of proguanil for prevention:
Give medicine each day, starting the day
entering a malaria area until 28 days after leaving
the area.
adults and children over 12 years: 2 tablets
(200 mg.)
children 9 to 12 years: 1 ½ tablets (150 mg.)
children 5 to 8 years: 1 tablet (100 mg.)
children 1 to 4 years: ½ tablet (50 mg.)
babies under 1 year: ¼ tablet (25 mg.)
FOR AMEBAS AND GIARDIA
In diarrhea or dysentery caused by amebas
there are usually frequent stools with much mucus
and sometimes blood. Often there are gut cramps,
but little or no fever. Amebic dysentery is best
treated with metronidazole, if possible followed by
diloxanide furoate. In cases of amebic abscess,
it is important to take both metronidazole and
diloxanide furoate.
In order to kill all the amebas in the gut, very
long (2 to 3 weeks) and expensive treatment is
necessary. It often makes more sense to stop giving
medicines when the person has no more symptoms
and then let the body defend itself against the few
amebas that are left. This is especially true in areas
where the chance of getting a new infection is high.
In diarrhea caused by giardia the stools are
often yellow and frothy, but without blood or mucus.
Metronidazole is often used, but quinacrine is
cheaper.