Nuffield Department of Medicine, University of Oxford, Rm7400, Level 7 The John Radcliffe, Headington, Oxford, OX39DU, UK.
Expert Rev Clin Pharmacol. 2014 May;7(3):299-316. doi: 10.1586/17512433.2014.907523. Epub 2014 Apr 9.
Artemisinin combination therapy for the treatment of uncomplicated malaria includes artemether plus lumefantrine, artesunate plus amodiaquine, artesunate plus mefloquine, artesunate plus sulfadoxine-pyrimethamine and dihydroartemisinin plus piperaquine. These drugs are safe and efficacious at present. The emergence of artemisinin resistant parasites in SE Asia means that there is a need to optimise drug dosing and investigate novel therapies to maintain the impressive reduction in malaria mortality which has been seen in the past decade.
青蒿素联合疗法用于治疗无并发症疟疾,包括青蒿琥酯加本芴醇、青蒿琥酯加阿莫地喹、青蒿琥酯加甲氟喹、青蒿琥酯加磺胺多辛-乙胺嘧啶和双氢青蒿素加哌喹。这些药物目前是安全有效的。青蒿素耐药寄生虫在东南亚的出现意味着需要优化药物剂量,并研究新的治疗方法,以维持过去十年中疟疾死亡率显著下降的趋势。