Mefloquine: Difference between revisions

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'''Mefloquine''' is an [[antimalarial medication]] used in the prevention and treatment of [[malaria]]. Mefloquine was first developed in the 1970s by the [[United States Army]] in an effort to combat malaria in soldiers. It is on the [[World Health Organization]]'s List of Essential Medicines, indicating its importance in a basic health system.
{{Short description|Antimalarial medication}}
{{Drugbox
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| verifiedrevid = 477002313
| image = (RS,SR)-mefloquine.svg
| image2 = (RS,SR)-mefloquine_ball-and-stick_model.png
}}


== History ==
'''Mefloquine''', sold under the brand name '''Lariam''' among others, is a medication used to prevent and treat [[malaria]]. It is effective against [[Plasmodium falciparum]] and [[Plasmodium vivax]], the parasites responsible for the majority of malaria cases. Mefloquine is taken by mouth.
Mefloquine was developed during the [[Vietnam War]] due to the widespread resistance of [[Plasmodium falciparum]] to existing antimalarial drugs. The drug was commercialized by [[Hoffmann–La Roche]] under the trade name Lariam, and was approved by the [[Food and Drug Administration]] (FDA) in 1989.


== Medical Uses ==
==Medical uses==
Mefloquine is used as a treatment for all types of malaria. It is also used as a preventative medication for travellers to areas where malaria is prevalent. Mefloquine is often used when other antimalarials, such as [[chloroquine]] or [[atovaquone-proguanil]], are not suitable.
Mefloquine is primarily used for the prevention and treatment of malaria. It is particularly useful in areas where [[chloroquine]]-resistant malaria is common. For prevention, it is typically started a few weeks before entering an area with malaria and continued for several weeks after leaving. For treatment, it is used in combination with other antimalarial medications.


== Side Effects ==
===Prevention===
Common side effects of mefloquine include nausea, vomiting, and diarrhea. More serious side effects may include problems with vision, seizures, and heart problems. The drug is also known to cause neuropsychiatric effects, including anxiety, paranoia, and hallucinations.
Mefloquine is used as a prophylactic agent for travelers to regions where malaria is endemic. It is taken once weekly, starting at least two weeks before travel to the endemic area and continuing for four weeks after leaving the area. This regimen helps ensure that the drug reaches effective levels in the bloodstream before exposure to malaria and continues to protect against infection after leaving the area.


== Pharmacology ==
===Treatment===
Mefloquine works by disrupting the growth of parasites in the red blood cells of the human body. The exact mechanism of action is not fully understood, but it is believed to inhibit the action of a parasitic enzyme.
In the treatment of malaria, mefloquine is often used in combination with other antimalarial drugs to increase efficacy and reduce the risk of resistance. It is effective against both uncomplicated and severe malaria caused by [[Plasmodium falciparum]].


== Resistance ==
==Side effects==
Resistance to mefloquine has been reported, particularly in areas of Southeast Asia. This has led to a decrease in the use of mefloquine in some areas, and an increase in the use of alternative antimalarial drugs.
Common side effects of mefloquine include nausea, vomiting, diarrhea, dizziness, and sleep disturbances. More serious side effects can include neuropsychiatric effects such as anxiety, depression, hallucinations, and seizures. Due to these potential side effects, mefloquine is not recommended for people with a history of psychiatric disorders.


== See Also ==
==Mechanism of action==
The exact mechanism of action of mefloquine is not fully understood, but it is believed to interfere with the parasite's ability to metabolize and utilize hemoglobin. This interference disrupts the parasite's growth and replication within red blood cells.
 
==History==
Mefloquine was developed in the 1970s by the United States Army in response to the increasing prevalence of chloroquine-resistant malaria. It was approved for medical use in the United States in 1989. Since then, it has been widely used for both prevention and treatment of malaria, although concerns about its side effects have led to the development and use of alternative medications.
 
==Society and culture==
Mefloquine is available as a generic medication and is sold under various brand names, including Lariam. It is included in the [[World Health Organization]]'s List of Essential Medicines, which lists the most effective and safe medicines needed in a health system.
 
==Related pages==
* [[Malaria]]
* [[Antimalarial medication]]
* [[Antimalarial medication]]
* [[Malaria]]
* [[Plasmodium falciparum]]
* [[Plasmodium falciparum]]
* [[Chloroquine]]
* [[Chloroquine]]
* [[Atovaquone-proguanil]]
 
==Gallery==
[[File:Lariam.JPG|Lariam (Mefloquine) tablets|thumb|right]]


[[Category:Antimalarial agents]]
[[Category:Antimalarial agents]]
[[Category:World Health Organization essential medicines]]
[[Category:World Health Organization essential medicines]]
[[Category:Drugs with unknown mechanisms of action]]
{{Pharma-stub}}
{{medicine-stub}}
== Mefloquine ==
<gallery>
File:(RS,SR)-mefloquine.svg|Mefloquine chemical structure
File:(RS,SR)-mefloquine_ball-and-stick_model.png|Mefloquine ball-and-stick model
File:Lariam.JPG|Lariam (Mefloquine) tablets
</gallery>
== Mefloquine ==
<gallery>
File:(RS,SR)-mefloquine.svg|Mefloquine chemical structure
File:(RS,SR)-mefloquine_ball-and-stick_model.png|Mefloquine ball-and-stick model
File:Lariam.JPG|Lariam (Mefloquine) tablets
</gallery>

Latest revision as of 10:45, 23 March 2025

Antimalarial medication


Mefloquine
INN
Drug class
Routes of administration
Pregnancy category
Bioavailability
Metabolism
Elimination half-life
Excretion
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CAS Number
PubChem
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ChemSpider
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Mefloquine, sold under the brand name Lariam among others, is a medication used to prevent and treat malaria. It is effective against Plasmodium falciparum and Plasmodium vivax, the parasites responsible for the majority of malaria cases. Mefloquine is taken by mouth.

Medical uses[edit]

Mefloquine is primarily used for the prevention and treatment of malaria. It is particularly useful in areas where chloroquine-resistant malaria is common. For prevention, it is typically started a few weeks before entering an area with malaria and continued for several weeks after leaving. For treatment, it is used in combination with other antimalarial medications.

Prevention[edit]

Mefloquine is used as a prophylactic agent for travelers to regions where malaria is endemic. It is taken once weekly, starting at least two weeks before travel to the endemic area and continuing for four weeks after leaving the area. This regimen helps ensure that the drug reaches effective levels in the bloodstream before exposure to malaria and continues to protect against infection after leaving the area.

Treatment[edit]

In the treatment of malaria, mefloquine is often used in combination with other antimalarial drugs to increase efficacy and reduce the risk of resistance. It is effective against both uncomplicated and severe malaria caused by Plasmodium falciparum.

Side effects[edit]

Common side effects of mefloquine include nausea, vomiting, diarrhea, dizziness, and sleep disturbances. More serious side effects can include neuropsychiatric effects such as anxiety, depression, hallucinations, and seizures. Due to these potential side effects, mefloquine is not recommended for people with a history of psychiatric disorders.

Mechanism of action[edit]

The exact mechanism of action of mefloquine is not fully understood, but it is believed to interfere with the parasite's ability to metabolize and utilize hemoglobin. This interference disrupts the parasite's growth and replication within red blood cells.

History[edit]

Mefloquine was developed in the 1970s by the United States Army in response to the increasing prevalence of chloroquine-resistant malaria. It was approved for medical use in the United States in 1989. Since then, it has been widely used for both prevention and treatment of malaria, although concerns about its side effects have led to the development and use of alternative medications.

Society and culture[edit]

Mefloquine is available as a generic medication and is sold under various brand names, including Lariam. It is included in the World Health Organization's List of Essential Medicines, which lists the most effective and safe medicines needed in a health system.

Related pages[edit]

Gallery[edit]

Lariam (Mefloquine) tablets