Pharmacotherapeutic Options for Visceral Leishmaniasis—Current Scenario

Visceral leishmaniasis (VL) or Kala-azar is a protozoal disease, which was previously regarded as one of the most neglected tropical diseases. Management of this disease is quite difficult, because it is said to affect the poorest of the poor. Previously Sodium Stibogluconate (SSG) was regarded as t...

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Main Authors: Krishna Pandey MD, Prabhat Kumar Sinha, Vidyanand Ravi Das, Sanjiva Bimal, Shubhankar K. Singh, Pradeep Das
Format: Article
Language:English
Published: SAGE Publishing 2009-01-01
Series:Clinical Medicine Insights: Pathology
Online Access:https://doi.org/10.4137/CPath.S821
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author Krishna Pandey MD
Prabhat Kumar Sinha
Vidyanand Ravi Das
Sanjiva Bimal
Shubhankar K. Singh
Pradeep Das
author_facet Krishna Pandey MD
Prabhat Kumar Sinha
Vidyanand Ravi Das
Sanjiva Bimal
Shubhankar K. Singh
Pradeep Das
author_sort Krishna Pandey MD
collection DOAJ
description Visceral leishmaniasis (VL) or Kala-azar is a protozoal disease, which was previously regarded as one of the most neglected tropical diseases. Management of this disease is quite difficult, because it is said to affect the poorest of the poor. Previously Sodium Stibogluconate (SSG) was regarded as the gold standard treatment for VL. But due to the increasing unresponsiveness, to this drug various other drugs were tried and are still being tried. Pentamidine is very toxic and has been discarded of late. Amphotericin B and its lipid formulations are very effective but require hospital admission and monitoring. Oral drugs like Miltefosine have already been launched. An amino glycoside Paromomycin and another oral drug Sitamaquine are in the pipe line. Interferon gamma has been used with discouraging results.
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spelling doaj.art-9505072642e542f5909ed575be822ac22022-12-22T03:55:54ZengSAGE PublishingClinical Medicine Insights: Pathology1179-55572009-01-01210.4137/CPath.S821Pharmacotherapeutic Options for Visceral Leishmaniasis—Current ScenarioKrishna Pandey MD0Prabhat Kumar Sinha1Vidyanand Ravi Das2Sanjiva Bimal3Shubhankar K. Singh4Pradeep Das5Rajendra Memorial Research Institute of Medical Sciences (ICMR), Agamkuan, Patna-800 007, Bihar, India.Rajendra Memorial Research Institute of Medical Sciences (ICMR), Agamkuan, Patna-800 007, Bihar, India.Rajendra Memorial Research Institute of Medical Sciences (ICMR), Agamkuan, Patna-800 007, Bihar, India.Rajendra Memorial Research Institute of Medical Sciences (ICMR), Agamkuan, Patna-800 007, Bihar, India.Rajendra Memorial Research Institute of Medical Sciences (ICMR), Agamkuan, Patna-800 007, Bihar, India.Rajendra Memorial Research Institute of Medical Sciences (ICMR), Agamkuan, Patna-800 007, Bihar, India.Visceral leishmaniasis (VL) or Kala-azar is a protozoal disease, which was previously regarded as one of the most neglected tropical diseases. Management of this disease is quite difficult, because it is said to affect the poorest of the poor. Previously Sodium Stibogluconate (SSG) was regarded as the gold standard treatment for VL. But due to the increasing unresponsiveness, to this drug various other drugs were tried and are still being tried. Pentamidine is very toxic and has been discarded of late. Amphotericin B and its lipid formulations are very effective but require hospital admission and monitoring. Oral drugs like Miltefosine have already been launched. An amino glycoside Paromomycin and another oral drug Sitamaquine are in the pipe line. Interferon gamma has been used with discouraging results.https://doi.org/10.4137/CPath.S821
spellingShingle Krishna Pandey MD
Prabhat Kumar Sinha
Vidyanand Ravi Das
Sanjiva Bimal
Shubhankar K. Singh
Pradeep Das
Pharmacotherapeutic Options for Visceral Leishmaniasis—Current Scenario
Clinical Medicine Insights: Pathology
title Pharmacotherapeutic Options for Visceral Leishmaniasis—Current Scenario
title_full Pharmacotherapeutic Options for Visceral Leishmaniasis—Current Scenario
title_fullStr Pharmacotherapeutic Options for Visceral Leishmaniasis—Current Scenario
title_full_unstemmed Pharmacotherapeutic Options for Visceral Leishmaniasis—Current Scenario
title_short Pharmacotherapeutic Options for Visceral Leishmaniasis—Current Scenario
title_sort pharmacotherapeutic options for visceral leishmaniasis current scenario
url https://doi.org/10.4137/CPath.S821
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