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W.H.O Bans Some Malaria Drugs In Nigeria - Health - Nairaland

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W.H.O Bans Some Malaria Drugs In Nigeria by tosinaded(m): 8:37am On Apr 25, 2011
Just listened to coolfm 96.9 right here in Lagos. . .

W.H.O bans Artesunate, Amalar and Chloroquine!

Any doctor in the house knows why?
Re: W.H.O Bans Some Malaria Drugs In Nigeria by dominique(f): 2:28pm On Apr 25, 2011
they must have checked out their chemical components and found some unfavourable substances.
thank God i hardly take drugs.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by aieromon(m): 6:32pm On Apr 25, 2011
The World Health Organisation (WHO) country representative to Nigeria, Dr David Okello, has disclosed that WHO has prohibited the prescription and use of Artemisinin monotherapies and other less efficacious medicines such as Artesunate, Chloroquine, Amalar, and others in order to delay or prevent the development of drug resistance malaria.

Dr Okello who was represented by Dr Tolu Arowolo, National Professional Officer, Malaria(South-West) of WHO stated this in Lagos on Wednesday at a media roundtable organised by Journalists Against AIDS (JAAIDS) as part of activities to commemorate this year’s World Malaria Day scheduled for April 25.

He explained: “WHO has recommended the ban of the production, importation and prescription of artemisinin monotherapies. It has also launched a global plan to contain or control the spread of artemisinin resistant malaria. There is no place for the use of Chloroquine and Amalar in the treatment of malaria in Nigeria. Artesunate alone cannot treat malaria. Sulphadoxine pyremethamine are no longer recommended in the treatment of malaria.”

http://www.tribune.com.ng/index.php/news/20783-artesunate-chloroquine-amalar-banned-in-malaria-treatment-who

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Re: W.H.O Bans Some Malaria Drugs In Nigeria by TNUBU4LIFE: 12:09am On Apr 26, 2011
artemisin monotherapies would likely hasten the build up of resistance against artemisin by the malaria parasite with the likely consequence of a high population treatment resistance,recrusdence and failure in malaria therapy.This is no news as even international trade in pure artemisin is scrict and regulated,the gold-standard is to combine artemisin with other pharmacologically active agents like lumefantrine,primaquine,amodiaquine etc popularly regarded as Artemisin combination therapies(ACTs).The blanket ban placed on chloroquine is still controversial,I see it more of economic-political scheme,most patients still prefer chloroquine shocked,especially those who feel or are convinced it works best for them(interestingly I belong to this group,I have never used any ACT to treat myself anytime I am down with malaria!) and most importantly,the issue of cost remains a major reason I consider it hasty to ban C/Q in 3rd world countries like Nigeria,for as long as the ACTs remain as expensive as they are currently,it bcomes extremely necessary to keep c/q as alternative as failure to provide this alternative would promote the use or patronage of quacks and herbal practitioners for malaria tx while the platform to educate and maintain health education to poor patients would diminish!

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Re: W.H.O Bans Some Malaria Drugs In Nigeria by tosinaded(m): 12:59pm On Apr 26, 2011
tnx for the links. . .
Re: W.H.O Bans Some Malaria Drugs In Nigeria by MaiSuya(m): 2:50pm On Apr 26, 2011
this is odd. . .

firstly WHO cannot ban the use of any drug in a country. That power lies solely on the regulatory agency in that country, NAFDAC in our case.

secondly, amalar and the likes have indeed been shown to be useful in preventing malaria in pregnant women, hence their use as IPT.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by freezy(m): 12:28pm On Apr 27, 2011
Now that the banned ones have been named, can we have the list of accepted malaria drugs? You can't ban without giving alternatives na. . .
Re: W.H.O Bans Some Malaria Drugs In Nigeria by Odunnu: 12:34pm On Apr 27, 2011
Exact question I was going to ask
Re: W.H.O Bans Some Malaria Drugs In Nigeria by legba1(m): 12:40pm On Apr 27, 2011
good talk freezy,in my house,i use artezunate while my wife prefer the amalar.we both detest C/Q coz it scratches.now they are banned.what will they advice son of man to use.and why are they banned,we need some explanation,atleast somfin better than the effort of this man up.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by obailala(m): 12:56pm On Apr 27, 2011
legba1:

good talk freezy,in my house,i use artezunate while my wife prefer the amalar.we both detest C/Q coz it scratches.now they are banned.what will they advice son of man to use.and why are they banned,we need some explanation,atleast somfin better than the effort of this man up.




[size=14pt]". . . the solution are AMATEM"[/size] grin grin grin contains the recommended combination therapy (ACT) as prescribed by W.H.O
Re: W.H.O Bans Some Malaria Drugs In Nigeria by hillsate: 1:05pm On Apr 27, 2011
The reasons for the banning of artemisinin monotherapies, sulfadoxine pyrimethamine and chloroquine is tied to the build up of resistance of the malaria parasite. But note that sulfadoxine-pyrimethamine 2nd and 3rd trimesters) and chloroquine( All trimesters) are still the recommended medications in pregnancy

The current therapies we have now are being safe guarded against the malaria parasite building resistance to them.
i tell you the truth, if the current approved antimalaria drugs fail again we are in for trouble.

And yes, the WHO can regulate drugs worldwide. NAFDAC for your information collaborates on a high level with the WHO and in some instances answerable to the WHO even if not directly.

The recommended antimalaria drugs are as listed below. but please note that self medication is highly discouraged. You have to be confirmed to having malaria before you take these antimalaria drugs. if not you'll be contributing to the build up of resistance. These drugs are not for prophylaxis ( not for prevention) but for treatment of established malaria case. Pharmacies and the laboratories can test you for malaria.

1. Artemether lumefantrine combination drug
2. Artesunate  amodiaquine combination.
3. Quinine for celebral malaria and even in pregnancy ( consult the pharmacist or the doctor first).

others that can also be used are
1. Artesunate -sulfadoxine combination
2. artesunate- piperaquine combination.

NOTE: DO NOT SELF MEDICATE. CONSULT YOUR PHARMACIST OR DOCTOR BEFORE TAKING ANY MEDICATION.

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Re: W.H.O Bans Some Malaria Drugs In Nigeria by Hanoobaba(m): 1:09pm On Apr 27, 2011
My pharmacist aunt usually gives me Artesunate and Fansidar. I hope there is nothing wrong with that.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by wealthnet: 1:16pm On Apr 27, 2011
Can we confirm this from WHO website and also get details with elaborate reason for this ban.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by ziccoit: 1:40pm On Apr 27, 2011
Monotherapy is dangerous with the end result that the malaria parasites would develop resistance to the drugs rendering them ineffective and useless. WHO is worried that if the situation gets to this level the world especially African countries would suffer. There may be no replacement if this should be allowed to happen.

As of today, malaria infection is responsible for the highest morbidity and mortality in children and pregnant women in Sub-Sahara Africa.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by speakmamaj(f): 2:02pm On Apr 27, 2011
what is so difficult in taking to simple instruction. obedient they say is better than scarify
Re: W.H.O Bans Some Malaria Drugs In Nigeria by dani1luv: 2:24pm On Apr 27, 2011
Artesunate. . .My Brother's Favorite Malaria Drug. angry
Re: W.H.O Bans Some Malaria Drugs In Nigeria by richforeva: 2:44pm On Apr 27, 2011
Well haven’t read the full text of the WHO report . Banning the use of artemesin monotherapies makes sense because use of artemesins alone as mono therapy will promote resistance to the drug and thus render it useless. But a blanket ban on the use of chloroquineand sulphadoxine pyremethamine does not make sense. To begin with Non falciparun malaria(not very common in Nigeria) is stll quite sensitive to chloroquine and it makes economic sense to use chloroquine for treating such malaria even in Nigeria. Besides chloroquine has other uses apart from treating malaria. For the Sulphadoxine pyremethamine group, they are still recommended for prophylaxis and as such should not have been banned.
@obailala. There is no best brand for treating malaria! even the ACTs still being develoaped. Some combinations are known to cause severe side effects are falling out of favour while new combinations are being researched .ACTs are not for every and anybody as presence of some medical conditions would prohibit the use of some of these combinations.
Please discuss with your doctor or pharmacist if in doubt.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by queensmith: 2:46pm On Apr 27, 2011
Most likely to be because of resistance, in that case it will only be limited for a couple of years soo when next its re-released the drug will be more effective.
IMO the side effects of chloroquine outweighs its benefits, the illness caused by chloroquione in most is worst than malaria itself.

Nigeria should focus more on improved national health, malaria is only bad in cases where immunity is already compromised.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by busaryoh(f): 3:52pm On Apr 27, 2011
As for me,the only drug I use for malaria is Artesunate;can any medical person advise on any other drug(s) I can take ,now that it has been banned embarassed.

Thanks
Re: W.H.O Bans Some Malaria Drugs In Nigeria by ziccoit: 4:16pm On Apr 27, 2011
busaryoh:

As for me,the only drug I use for malaria is Artesunate;can any medical person advise on any other drug(s) I can take ,now that it has been banned  embarassed.

Thanks

My sister, Artesunate is not banned o. What is banned is the use of Artesunate ALONE. To use the drug it must be ACT(Artemisinin Combination Therapy) i.e you combine Artesunate with say Fansidar.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by busaryoh(f): 4:23pm On Apr 27, 2011
@Ziccot.

ehn ehn,Thanks a bunch smiley
Re: W.H.O Bans Some Malaria Drugs In Nigeria by matiltomd(f): 4:23pm On Apr 27, 2011
speakmamaj:

what is so difficult in taking to simple instruction. obedient [/b]they say is better than [b]scarify

What class are you ?
Re: W.H.O Bans Some Malaria Drugs In Nigeria by Hanoobaba(m): 4:28pm On Apr 27, 2011
@ziccoit: thanks, just what i wanted to hear. But not every1 can afford that combination. Will they be distributed free of charge by WHO?
Re: W.H.O Bans Some Malaria Drugs In Nigeria by Nobody: 4:38pm On Apr 27, 2011
So far they don't ban Agunmu and Agbo Iba.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by maclatunji: 4:41pm On Apr 27, 2011
~Bluetooth:

So far they don't ban Agunmu and Agbo Iba.

Dude, you beat me to it!
Re: W.H.O Bans Some Malaria Drugs In Nigeria by hillsate: 4:46pm On Apr 27, 2011
MOD, Wait! i dont understand. I gave a very non biased and cautious response to the banning of some antimalaria drugs only for my post to be deleted and my posting rights withdrawn.
can you point out why i was banned?
You cant ban and unban me without a reason. I demand to know why i was banned. if its a mistake i demand an apology. Else you are simply INCOMPETENT as a moderator.
BAN ME AGAIN! MSCHEWWW!
Re: W.H.O Bans Some Malaria Drugs In Nigeria by Nobody: 4:49pm On Apr 27, 2011
maclatunji:

Dude, you beat me to it!

That one na direct from source.Ongbonofelifeli anyways I no know say you sabi the levels too. grin i can't stand the body itching from those chemical called malaria drugs.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by hillsate: 4:58pm On Apr 27, 2011
dominique:

they must have checked out their chemical components and found some unfavourable substances.
thank God i hardly take drugs.

Don't mis-inform people. That is not the reason the drugs were banned. If you know nothing about this topic, simply keep quiet and allow people that know contribute meaningfully.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by Nobody: 5:12pm On Apr 27, 2011
hillsate:

Don't mis-inform people. That is not the reason the drugs were banned. If you know nothing about this topic, simply keep quiet and allow people that know contribute meaningfully.

Since you know better,why not inform us on what you know instead of condemning her opinion ?
Re: W.H.O Bans Some Malaria Drugs In Nigeria by hillsate: 5:19pm On Apr 27, 2011
~Bluetooth:

Since you know better,why not inform us on what you know instead of condemning her opinion ?

@Bluetooth, i gave out the reasons why the drugs were banned and even rolled out the WHO recommended/ministry of health approved antimalarial drugs. I used the chemical components of the drugs and not their marketing names. the post was deleted, I was banned with my posting rights withdrawn. I had to ask why the ban? i wasn't told why but my posting right was released.
Re: W.H.O Bans Some Malaria Drugs In Nigeria by underdawg(f): 5:39pm On Apr 27, 2011
@ziccoit, fansidar is a sulphadoxine derivative so you cannot use it, according to the article.

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