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.
Ujiji Health Centre, Ujiji, Kigoma, Tanzania
Muheza Disignated District Hospital, Muheza, Tanga, Tanzania
Primary health centres, Tanjung Tiram, North Sumatera, Indonesia
Pulau-pulau Batu health centres, Tello island, North Sumatera, Indonesia
Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
Andoumé Health Centre, Maradi, Niger
Makerere University - JHU Research Collaboration (30293), Kampala, Uganda
University of North Carolina Lilongwe (12001), Lilongwe, Malawi
College of Med. JHU CRS (30301), Blantyre, Malawi
Bandim Health Project, Bissau, Guinea-Bissau
Clinical Reaserch Unit, Nanoro, Boulkiemdé, Burkina Faso
Kassala, Kassala, Sudan
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