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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