Drugs

, Volume 62, Issue 9, pp 1315–1329

Combination Therapy for Malaria

The Way Forward?
Current Opinion

DOI: 10.2165/00003495-200262090-00003

Cite this article as:
Nosten, F. & Brasseur, P. Drugs (2002) 62: 1315. doi:10.2165/00003495-200262090-00003

Abstract

Unless new strategies are deployed to combat malaria, the already enormous health and economic burden related to the disease in tropical countries is bound to worsen. The main obstacle to malaria control is the emergence of drug resistant strains of Plasmodium falciparum. As for HIV/AIDS and tuberculosis, the use of combinations of antimalarial drugs reduces the risk of selecting for resistant mutants of the plasmodial parasites. In large field trials, the combination of an artemisinin derivative and a partner drug with an unrelated mode of action (in this case mefloquine), has shown a remarkable double effect: preventing the emergence and spread of drug resistance, and interrupting the transmission of P. falciparum. This has opened the way for a new approach to the deployment of antimalarial drugs. Coupled with early detection and confirmed diagnosis, this strategy represents the only way forward in the chemotherapy of malaria. Massive economic assistance will be needed to detect and treat adequately the estimated 500 million cases of malaria per year, but without radical action there is no prospect of ‘Rolling Back’ malaria.

Copyright information

© Adis International Limited 2002

Authors and Affiliations

  1. 1.Shoklo Malaria Research UnitMae SotThailand
  2. 2.Faculty of Tropical MedicineMahidol UniversityBangkokThailand
  3. 3.Nuffield Department of Clinical Medicine, Centre for Tropical MedicineJohn Radcliffe HospitalOxfordUK
  4. 4.Laboratory of ParasitologyHôpital Charles NicolleRouenFrance

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