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emergency standby treatment
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Emergency standby treatment should be recommended for those taking chemoprophylaxis and visiting remote areas where they are unlikely to be within 24 hours of medical attention.
Standby treatment course should be completed and antimalarial cheoprophylaxis should be recommenced 1 week after taking the first treatment dose. Exception to this is in the case of mefloquine prophylaxis, which should be resumed at least twelve hours after the last treatment dose if quinine was used for standby treatment
If vomiting occurs:
Antipyretics should be used to treat fever.
Advisory Committee on Malaria Prevention in UK Travellers (ACMP) recommended regimens for emergency standby treatment are as follows - please check ACMP for latest guidance
| Standby treatment regine | Usual amount per tablet | Adult dosage |
Chloroquine or | Artemether plus | 20 mg artemether | 4 tablets initially, followed 4 tablets initially, followed |
Chloroquine or | Atovaquone | 250 mg | 4 tablets as a single |
Chloroquine or | Quinine plus | 300 mg quinine | Quinine 2 tablets 3 times |
Recommended NB Now applies to | Chloroquine | 155 mg | 4 tablets on days 1 & |
Pregnancy | Quinine plus | 300 mg quinine | Quinine 2 tablets 3 times |
Reference:
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