Lumefantrine Co-Artemether (Riamet) has been investigated for the treatment of Malaria, Malaria, Falciparum, Malaria in Pregnancy, Uncomplicated Malaria, and Uncomplicated Knowlesi Malaria. Lumefantrine Co-Artemether is a tablet formulation of artemether and lumefantrine, a well-tolerated, fast-acting and effective blood schizontocidal drug that serves primarily in the treatment of uncomplicated falciparum malaria that is resistant to other antimalarials. Artemether, an artemisinin derivative, has several proposed mechanisms of action, including interference with plasmodial transport proteins, interference with mitochondrial electron transport, and the production of free radicals to reduce blood antioxidants and glutathione. While artemether results in rapid defervescence, parasite clearance, and clinical improvement, it also has a relatively high recrudescence rate when used as monotherapy. The exact mechanism of action of lumefantrine is not well defined, but it is thought to inhibit -hematin formation, an important detoxification pathway for the parasite. Unlike artemether, lumefantrine has a slower onset of action, resulting in clearance of residual parasites and a decrease in recrudescence rate. The combination is an effective and well-tolerated malaria treatment, providing high cure rates even in areas of multi-drug resistance.
Clinical Research Unit of Nanoro (CRUN), Institut de Recherche en Sciences de la Santé, Direction Régionale de l'Ouest (IRSS-DRO), Nanoro, Burkina Faso
KEMRI Centre for Global Health Research (CGHR), Kisumu, Kenya
Malaria Research and Training Center, University of Sciences, Techniques, and Technologies of Bamako (USTTB),, Bamako, Mali
Dr. Ambrosoli Memorial Hospital, Kalongo, Agago district, Uganda
Patongo Health Facility IV, Patongo, Agago district, Uganda
USC Clinical Trials Brisbane (South Bank) ( Site 0001), South Brisbane, South Australia, Australia
Centre de santé Lupidi 1, Kapolowe, Haut-Katanga, Congo, The Democratic Republic of the
Centres de santé de Mikalayi et Matamba, Kazumba, Kasai Central, Congo, The Democratic Republic of the
Centre de santé de Coopération, Kimpese, Kongo Central, Congo, The Democratic Republic of the
Kibindu, Bagamoyo, Dar esSalaam, Tanzania
Yombo Dispensary, Bagamoyo, Yombo, Tanzania
Infectious Diseases Institute, Kampala, Uganda
ST. Paul's Health Center, Kasese, Uganda
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