# \[e-drug\] Prices of antimalarial combinations (cont'd) **URL:** \ **Category:** e-drug\ **Created:** [August 18, 2001, 9:28am UTC](https://talk.edrugplus.org/t/e-drug-prices-of-antimalarial-combinations-contd/12176 "2001-08-18T09:28:10Z")\ **Posts on this page:** 1\ **Page:** 1
**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:** [August 18, 2001, 9:28am UTC](https://talk.edrugplus.org/t/e-drug-prices-of-antimalarial-combinations-contd/12176/1 "2001-08-18T09:28:10Z")
E-drug: Prices of antimalarial combinations (cont'd) ------------------------------------------------------------------------- I would suggest that you contact Novartis to see if you can access their really cheap co-artemether (artemether plus benflumetol - now renamed lumefantrine). They are running a programme with WHO to provide co-artemether at cost price. The pricing works out at US$2,00 per course. I would certainly avoid sulphadoxine and pyrimethamine as high levels of resistance are reported from various regions in southern Africa (up to 60% in Kwa-Zulu-Natal). Cross resistance between the chlorproguanil and dapsone combination(lap-dap) and the pyrimethamine and dapsone combination (Fansidar) is quite likely too. Amodiaquine is associated with significant and potentially fatal toxicity. Its use in developed countries would be unthinkable, and I think the same should apply to developing countries too. My recommendation would be the choice of co-artemether if you can obtain it at preferential pricing from Novartis. Dr Stephen Toovey SAA-Netcare Travel Clinics P O Box 786692 Sandton 2146, South Africa Fax: +27-11-883-6152 e-mail: toovey@travelclinic.co.za [http://www.travelclinic.co.za](http://www.travelclinic.co.za) [http://www.malaria.co.za](http://www.malaria.co.za) -- Send mail for the `E-Drug' conference to `e-drug@usa.healthnet.org'. Information and archive [http://satellife.healthnet.org/programs/edrug.html](http://satellife.healthnet.org/programs/edrug.html) Mail administrative requests to `majordomo@usa.healthnet.org'. For additional assistance, send mail to: `owner-e-drug@usa.healthnet.org'.