The cardiotoxicity of antimalarials

The cardiotoxicity of antimalarial medicines has received renewed interest in recent years following the ‘Thorough QT’ assessment of the dihydroartemisinin-piperaquine formulation approved by the European Medicines Agency, which showed evidence of QT interval prolongation. Piperaquine is a bisquinol...

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Other Authors: Chan, X
Format: Report
Published: World Health Organization 2017
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author2 Chan, X
author_facet Chan, X
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description The cardiotoxicity of antimalarial medicines has received renewed interest in recent years following the ‘Thorough QT’ assessment of the dihydroartemisinin-piperaquine formulation approved by the European Medicines Agency, which showed evidence of QT interval prolongation. Piperaquine is a bisquinoline antimalarial that is structurally related to chloroquine. Many drugs among the quinoline and structurally-related medicines affect myocardial depolarization and repolarization. WHO currently recommends the artemisinin-based combination treatment dihydroartemisinin-piperaquine for the treatment of uncomplicated malaria. This treatment is being considered alongside other antimalarial medicines for preventive therapy and mass drug administration. To inform WHO recommendations, a group of experts met in October 2016 to review evidence on the cardiotoxicity risk of quinoline antimalarials and structurally-related medicines in people with and without clinical malaria. The following recommendations were proposed by the WHO Evidence Review Group for consideration by the WHO Malaria Policy Advisory Committee and the WHO Advisory Committee on Safety of Medicinal Products.
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spelling oxford-uuid:0ee360b1-6b0f-4be2-a0b8-3c2a4dc2f0912022-03-26T09:48:23ZThe cardiotoxicity of antimalarialsReporthttp://purl.org/coar/resource_type/c_93fcuuid:0ee360b1-6b0f-4be2-a0b8-3c2a4dc2f091Symplectic Elements at OxfordWorld Health Organization2017Chan, XWhite, NThe cardiotoxicity of antimalarial medicines has received renewed interest in recent years following the ‘Thorough QT’ assessment of the dihydroartemisinin-piperaquine formulation approved by the European Medicines Agency, which showed evidence of QT interval prolongation. Piperaquine is a bisquinoline antimalarial that is structurally related to chloroquine. Many drugs among the quinoline and structurally-related medicines affect myocardial depolarization and repolarization. WHO currently recommends the artemisinin-based combination treatment dihydroartemisinin-piperaquine for the treatment of uncomplicated malaria. This treatment is being considered alongside other antimalarial medicines for preventive therapy and mass drug administration. To inform WHO recommendations, a group of experts met in October 2016 to review evidence on the cardiotoxicity risk of quinoline antimalarials and structurally-related medicines in people with and without clinical malaria. The following recommendations were proposed by the WHO Evidence Review Group for consideration by the WHO Malaria Policy Advisory Committee and the WHO Advisory Committee on Safety of Medicinal Products.
spellingShingle The cardiotoxicity of antimalarials
title The cardiotoxicity of antimalarials
title_full The cardiotoxicity of antimalarials
title_fullStr The cardiotoxicity of antimalarials
title_full_unstemmed The cardiotoxicity of antimalarials
title_short The cardiotoxicity of antimalarials
title_sort cardiotoxicity of antimalarials