Paper II
2013 September (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Classify anti malarial drugs. Mention the adverse effects and therapeutic uses of chloroquine. (2+2+2=6)

Q16 marksEssays

Answer

Classification of antimalarial drugs (by stage of action)

  • Tissue schizonticides (causal prophylactics/radical cure): Primaquine (exoerythrocytic/hypnozoites), Proguanil
  • Blood schizonticides: Chloroquine, Quinine, Artemisinin derivatives, Mefloquine, Sulfadoxine-pyrimethamine
  • Gametocytocides: Primaquine (all species), Chloroquine (P. vivax/ovale/malariae only)
  • Sporontocides: Proguanil, Primaquine

Adverse effects of chloroquine

  • GI upset (nausea, vomiting)
  • Pruritus (especially in dark-skinned individuals)
  • Headache, blurring of vision
  • Retinopathy and corneal deposits (with prolonged high-dose use)
  • Cardiotoxicity (arrhythmias) with rapid IV administration
  • Haemolysis in G6PD-deficient patients

Therapeutic uses of chloroquine

  • Treatment of sensitive P. vivax, P. ovale, P. malariae, and sensitive P. falciparum malaria
  • Malaria chemoprophylaxis
  • Extraintestinal amoebiasis (hepatic amoebiasis)
  • Rheumatoid arthritis, discoid/systemic lupus erythematosus (disease-modifying antirheumatic use)

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