Re: Malaria Prophylaxis during pregnancy

From: Dr Riaan van der Colf (rvdcolf@mweb.com.na)
Sun Mar 24 00:46:25 2002


The newer drug on the market (which seems to be the best at present for treatment) is Co-Artem. So what I would suggest if you are in the "bush" (and not pregnant!!): Have a test kit with you and when malaria is suspected, do a test. If positive, start using Co-Artem.

Dr R van der Colf

>----- Original Message -----
From: "Eberhard Lisse" <el@ac.lisse.na> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Friday, March 22, 2002 4:46 PM Subject: Re: Malaria Prophylaxis during pregnancy

> Hi Riaan,
>
> long time no see :-)-O
>
> In message <000e01c1d16d$475e7e20$0200a8c0@riaan>, "Dr Riaan van der Colf"
writ > es:
>
> > I agree - however, Mefloquine is for prohylaxis, NOT treatment.
> >
> > Dr AP van der Colf
>
> I personally don't like it at all. I have seen too many patients
> getting really bad psychoctic episodes, spoiling their whole
> vacation. And there is cross resistance with chlroquine if I am not
> mistaken.
>
> Which is what I mean with not for prophylaxis.
>
> The current advice from many tropical institutes in Europe to tourists
> into endemic areas is to have a pack of Mefloquine in the bag for the
> case of suspected Malaria where there is no experienced help.
>
> Which is what I mean for treatment.
>
> Obviously a pregnant patient will be hospitalited and treated with
> Quinine. And perhaps Erythromycin.
>
> el
>





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