# \[e-drug\] MSF press release: malaria treatment (cont)

**URL:** <https://talk.edrugplus.org/t/e-drug-msf-press-release-malaria-treatment-cont/13719>\
**Category:** e-drug\
**Created:** [February 21, 2002, 5:12am UTC](https://talk.edrugplus.org/t/e-drug-msf-press-release-malaria-treatment-cont/13719 "2002-02-21T05:12:21Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![Dr\_S\_Toovey](https://avatars.discourse-cdn.com/v4/letter/d/71e660/32.png) [@Dr\_S\_Toovey](https://talk.edrugplus.org/u/Dr_S_Toovey)\
**Post date:** [February 21, 2002, 5:12am UTC](https://talk.edrugplus.org/t/e-drug-msf-press-release-malaria-treatment-cont/13719/1 "2002-02-21T05:12:21Z")

</div>

E-drug: MSF press release: malaria treatment (cont)  
---------------------------------------------

Recrudescence is major problem unless seven days of artemesinins is given.  
Compliance failure leads not only to treatment failure, but also to risk of  
resistance against artemesinins. If we lose the artemesinins we are in real  
trouble - there is nothing else coming soon to replace them.

We have been using co-artemether (combined artemether-lumefantrine) in  
Mozambique and have had a 100% cure rate thus far. We have used it to treat  
uncomplicated falciparum malaria in non-immunes and semi-immunes.  
Monotherapy with artemesinin (or indeed any antimalarial) is now considered  
by many to represent unacceptable risks.

I recently asked the manufacturer why a paediatric formulation was not  
available. It is apparently in development. The tablets can be given to  
children with a little condensed milk or similar to aid absorption and  
disguise the taste.

Dr Stephen Toovey  
SAA-Netcare Travel Clinics  
American Society of Tropical Medicine and Hygiene certified in Clinical  
Tropical Medicine and Travellers' Health,  
Aviation Medical Examiner  
toovey@travelclinic.co.za  
[http://www.travelclinic.co.za](http://www.travelclinic.co.za)  
[http://www.malaria.co.za](http://www.malaria.co.za)  
P O Box 786692  
Sandton  
2146  
South Africa  
Fax: +27-11-883-6152  
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