ARTEM-DS PLUS 80/480MG

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Artem-Ds Plus Specification Sheet


Requires Prescription: Yes
Generics: Artemether and Lumefantrine
Used For: Treatment of Malaria


How It Works

  • Artemether contains an endoperoxide bridge that generates cytotoxic free radicals in the malarial parasite, damaging and killing it.
  • Lumefantrine works by interfering with the conversion of heme to hemozoin in the parasite, which is essential for its survival.
  • Together, they act on different stages of the parasite lifecycle for effective clearance.

 

Indications

  • Treatment of uncomplicated malaria, particularly Plasmodium falciparum infections.
  • Effective against drug-resistant strains when used as recommended.

Dosage

  • Active Ingredients: Artemether + Lumefantrine
  • Must be taken with fatty food for optimal absorption.
  • Dosage as prescribed by a healthcare professional, usually in a six-dose schedule over 3 days.

Side Effects

Very Common:

  • Palpitations, headache, dizziness
  • Abdominal pain, nausea, vomiting, anorexia
  • Arthralgia, myalgia, asthenia (weakness), fatigue
  • Sleep disturbances

Common:

  • Diarrhea, rash, cough, insomnia
  • Pruritus (itching), amnesia, paraesthesia
  • Gait disturbances, QT prolongation on ECG

Uncommon:

  • Elevated liver enzymes
  • Neurological symptoms: clonus, ataxia, hypoesthesia, somnolence

Drug Interactions

Avoid concurrent use with drugs that affect CYP3A4 or CYP2D6, such as:

  • CYP3A4 inhibitors: erythromycin, ketoconazole, itraconazole, cimetidine, HIV protease inhibitors
  • CYP2D6 inhibitors: flecainide, metoprolol, imipramine, amitriptyline
  • Mefloquine – may reduce the bioavailability of lumefantrine

When Not to Use

  • Hypersensitivity to artemether or lumefantrine
  • Avoid use if there's a history of cardiac arrhythmia or QT prolongation

Precautions

  • Avoid combining with other antimalarials unless absolutely necessary
  • Use with extreme caution in patients with:
    • Severe renal or hepatic impairment
    • Cardiac disorders
    • Electrolyte imbalances

Warnings

Warning 1:
Patients with renal, hepatic, or cardiac conditions require close ECG monitoring and electrolyte correction before and during treatment.

Warning 2:
Caution when combining with other CYP3A4-metabolized drugs, as therapeutic levels may be altered.

Warning 3:
Patients unable to consume food during treatment should be closely monitored, as treatment failure or recrudescence risk increases with reduced drug absorption.


Pregnancy Category

⚠️ Always consult a physician before use during pregnancy or breastfeeding


Storage

Yes — Store at room temperature, away from direct light and heat

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