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Artemether-lumefantrine: an oral antimalarial for uncomplicated malaria in children
George O Adjei1, Bamenla Q Goka, Fred Binka
1Center for Tropical Clinical Pharmacology and Therapeutics, University of Ghana Medical School, College of Health Sciences, PO Box 4236, Accra, Ghana. goadjei@chs.edu.gh
Insights
Artemether-lumefantrine (AL) is a widely used malaria treatment effective in children and adults. Its safety and efficacy support its role in global malaria control efforts.
Area of Science:
- Pharmacology
- Tropical Medicine
- Global Health
Background:
- Artemether-lumefantrine (AL) is a leading artemisinin-based combination therapy (ACT) for malaria.
- It is manufactured under Good Manufacturing Practice (GMP) conditions.
- AL is the most frequently used ACT in malaria control programs worldwide.
Purpose of the Study:
- To review the efficacy and safety of AL for treating uncomplicated malaria.
- To emphasize AL's use in pediatric malaria cases.
- To discuss factors relevant to malaria control policy decisions.
Main Methods:
- Systematic review of available evidence.
- Focus on studies concerning uncomplicated malaria treatment.
- Consideration of pediatric populations and adverse event profiles.
Main Results:
- AL is efficacious in treating uncomplicated malaria in children.
- The adverse event profile of AL is comparable to other ACTs.
- AL is approved for adults, children, infants, and non-immune travelers.
Conclusions:
- Artemether-lumefantrine is a safe and effective treatment for uncomplicated malaria, particularly in children.
- Its established efficacy and safety profile support its continued use in malaria control.
- Evidence supports AL's role in policy decisions for malaria treatment strategies.
Abstract:
Artemether-lumefantrine (AL; Coartem, Riamet) is the first fixed-dose artemisinin combination therapy (ACT) regimen to be manufactured under Good Manufacturing Practice conditions, and is the most widely adopted ACT regimen used in malaria control programs. AL is approved for the treatment of uncomplicated malaria in adults, children and infants, and as treatment of uncomplicated malaria in nonimmune travelers returning from malarious areas. AL is efficacious for treating uncomplicated malaria in children and the frequency of associated adverse events is not higher than other available ACT regimens. In this review, available evidence on efficacy and safety of AL in the treatment of uncomplicated malaria, with emphasis on children where appropriate, and focusing on characteristics that are potentially important for malaria control policy decisions, are presented and discussed.
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