Pharmacokinetics of Oral Doxycycline during Combination Treatment of Severe Falciparum Malaria

Author:

Newton Paul N.12,Chaulet Jean-François3,Brockman Alan41,Chierakul Wirongrong1,Dondorp Arjen12,Ruangveerayuth Ronatrai5,Looareesuwan Sornchai1,Mounier Cyril3,White Nicholas J.412

Affiliation:

1. Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand

2. Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, Oxford, United Kingdom

3. Laboratoire de biochimie, toxicologie et pharmacologie, Hopital d'Instruction des Armées Desgenettes, Lyon, France

4. Shoklo Malaria Research Unit

5. Mae Sot Hospital, Mae Sot, Tak

Abstract

ABSTRACT The pharmacokinetics of oral doxycycline administered at 200 mg every 24 h were investigated in 17 patients recovering from severe Plasmodium falciparum malaria. The data suggest that the doses of doxycycline currently recommended (circa 3.5 mg/kg of body weight daily) may not be optimal.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference30 articles.

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2. Anonymous. 2000. British National Formulary No. 39. British Medical Association and the Royal Pharmaceutical Society of Great Britain London United Kingdom.

3. Basco, L. K., and J. Le Bras. 1993. Activity in vitro of doxycycline against multidrug-resistant Plasmodium falciparum. Trans. R. Soc. Trop. Med. Hyg.87:469-470.

4. Brockman, A., R. N. Price, M. van Vugt, D. G. Heppner, D. Walsh, P. Sooklo, T. Wimonwaltrawatee, S. Looareesuwan, N. J. White, and F. Nosten. 2000. Plasmodium falciparum antimalarial drug susceptibility on the northwestern border of Thailand during five years of extensive artesunate-mefloquine use. Trans. R. Soc. Trop. Med. Hyg.94:537-544.

5. Chin, W., and R. Intraprasert. 1973. The evaluation of quinine alone or in combination with tetracycline and pyrimethamine against falciparum malaria in Thailand. Southeast Asian J. Trop. Med. Public Health4:245-249.

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