Artesunate

From IDWiki

Background

  • Artemesinin compound indicated for the treatment of severe malaria

Dosing

  • Adults and children ≥20 kg: 2.4 mg/kg at 0 hour, 12 hours, 24 hours, and 48 hours, followed by oral therapy
  • Children <20 kg: 3.0 mg/kg at 0 hour, 12 hours, 24 hours, and 48 hours, followed by oral therapy

Safety

Post-Artesunate Delayed Hemolysis

  • Likely the result from delayed clearance of previously-infected erythrocytes rather than toxic effect of the drug
  • Recommend weekly CBC for at least 4 weeks following treatment, as well as clinical monitoring for signs and symptoms of anemia and jaundice