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.
Stung Treng Referral Hospital/Siem Pang Health Center, Stung Treng, Cambodia
Pursat Referral Hospital/Kravanh Health Center, Pursat, Cambodia
Tropical Diseases Research Centre, Ndola, Copperbelt, Zambia
Centre for Marialogy, Parasitology, and Entomology, Vientiane, Lao People's Democratic Republic
IDRC- Tororo Research Clinic and Tororo District Hospital, Tororo, Uganda
MGH campus, Busia, Uganda
Kilifi County Hospital, Kilifi, Kenya
Centre de santé Bolenge, Bolenge, Equateur, Congo, The Democratic Republic of the
Centre de Santé de Référence Rutshuru, Rutshuru, Nord-Kivu, Congo, The Democratic Republic of the
Centre de Santé Foyer Social, Kabondo, Tshopo, Congo, The Democratic Republic of the
Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
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