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.
Malaria Research and Training Centre, Bamako, Mali
Malaria Research and Training Centre, Bamako, Mali
Programme National de Lutte Contre Le Paludisme, Niamey, Niger
Centre national de recherche et de formation sur le paludisme (CNRFP), Ouagadougou, Kadiogo, Burkina Faso
Tororo District Hospital, Tororo, Uganda
Infectious Diseases Institute, Kampala, Uganda
KEMRI, Kombewa, Kenya
Centre de Santé Lupidi 1, Kapolowe, Haut-Katanga, Congo, The Democratic Republic of the
Centre Evangélique de Coopération, Kimpese, Kongo Central, Congo, The Democratic Republic of the
Centre de Santé de Référence Mikalayi, Kazumba, Kasai-central, Congo, The Democratic Republic of the
Apin (Aids Prevention Initiatives in Nigeria) clinic, Lagos University Teaching Hospital, Suru Lere, Lagos State, Nigeria
Centre de Recherches Medicales de Lambarene, Lambaréné, Gabon
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
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