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Table 1

From: A decade with Falciparum Malaria in the ICU

Drug(s) used

Year

Complication

Comments

Mefloquine

1993–1997

Prolonged parasitemia

High incidence of drug resistance and side effects

Mefloquine + others

1993–1997

Nausea, vomiting

High incidence of gastro side effects

Mefloquine + others + Quinine and outcome

1993–1997

Vomiting, intolerance

Neither cost nor time effective, unpredictable response

Quinine

1993–1999

Mainly GI in PO administration

Better results in all types except MOF/shock

Artesunate

2000–2002

Virtually nil

Drastic reduction of parasite index

Artemether

2000–2002

  

Quinine + Artesunate

1999–2002

Virtually nil; noteworthy is no prolongation of QT interval

Best combination to date; reserved for P.I. > 4%, failure to reduce P.I. by 25% in 48 hours and shock