# \[e-drug\] Treatment of Malaria (cont)

**URL:** <https://talk.edrugplus.org/t/e-drug-treatment-of-malaria-cont/10078>\
**Category:** e-drug\
**Created:** [January 16, 2001, 11:04pm UTC](https://talk.edrugplus.org/t/e-drug-treatment-of-malaria-cont/10078 "2001-01-16T23:04:10Z")\
**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:** [January 16, 2001, 11:04pm UTC](https://talk.edrugplus.org/t/e-drug-treatment-of-malaria-cont/10078/1 "2001-01-16T23:04:10Z")

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E-drug: Treatment of Malaria (cont)  
---------------------------------------------  
There is work from the Bangkok children's hospital showing that mefloquine  
can be followed by quinine.

Further recent work by French researchers working in Africa has shown that  
mefloquine does not cause the sort of QT prolongation that halofantrine  
does. This corroborates the work from Bangkok, removing the theoretical  
contra-indication to following mefloquine with quinine.

Following mefloquine with chloroquine would not make sense, as a parasite  
resistant to mefloquine would most likely not be susceptible to chloroquine.  
The prophylaxis may not have failed because of parasite resistance, but it  
is probably safer clinically to assume so.

Dr Stephen Toovey  
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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