Declining Concentrations of Dihydroartemisinin in Plasma during 5-Day Oral Treatment with Artesunate for Falciparum Malaria
Author(s) -
Nguyen Xuan Khanh,
Peter J. de Vries,
Lê Dang Hà,
Chris J. van Boxtel,
Richard P. Koopmans,
Piet A. Kager
Publication year - 1999
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.43.3.690
Subject(s) - artesunate , dihydroartemisinin , plasmodium falciparum , malaria , artemisinin , plasma concentration , pharmacology , medicine , pharmacokinetics , chemistry , immunology
Six patients with uncomplicated falciparum malaria received artesunate for 5 days. Plasma concentrations of artesunate and dihydroartemisinin were determined by high-performance liquid chromatography with electrochemical detection. The concentrations of dihydroartemisinin in plasma 2 h after a dose showed a time-dependent decline. Concentrations of artesunate in plasma especially after the last dose, were very low. Despite this, all patients responded with a fast recovery.
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