(States of Assam, Manipur, Nagaland, Mizoram, Tripura, Arunachal Pradesh)
The north eastern states of
India have reported cases of chloroquine resistant P. falciparum malaria. Therefore,
visitors to these areas are recommended the following prophylaxis, in addition to all the personal protection measures against mosquito bites.
Pregnant women and babies and young children are advised against visiting these areas.
Mefloquine is recommended as
the first choice. The dosage and regimen is given below:
Dosage for Mefloquine Prophylaxis
(Start 2-3 weeks before, continue during exposure and for 4 weeks thereafter) |
| Dosage
for adults |
Dosage
for children |
| 250 mg once
weekly |
| <15 kgs |
5 mg of salt/kg/week |
| 15-19 kgs |
¼ tab/week |
| 20-30 kgs |
½ tab/week |
| 31-45 kgs |
¾ tab/week |
| >45 kgs |
1 tab/week |
|
Alternatively, chloroquine
and proguanil can be taken.
Chloroquine + Proguanil Prophylaxis Against Malaria |
Drug |
Dosage for adults |
Dosage for children |
Chloroquine
(Start one week before, continue during exposure and for 4 weeks thereafter) |
300
mg of base once weekly |
5
mg/kg of base once weekly |
Proguanil
(Start 1-2 days before, continue during exposure and for 4 weeks thereafter) |
200
mg daily |
| <2 yrs |
50 mg/ day |
| 2-6 yrs |
100 mg/d |
| 7-9 yrs |
150 mg/day |
| >9 yrs |
200 mg/d |
|
|
