Artesunate IV

Antibiotics

Antibiotics · Artemisinin antimalarial

Artesunate IV

Dose

2.4 mg/kg IV at 0, 12 and 24 h then daily; switch to oral ACT after ≥24 h and tolerating.

Use

Severe falciparum malaria — first-line, superior to quinine (SEAQUAMAT/AQUAMAT).

Monitoring

Parasitaemia daily, glucose, haemoglobin weekly × 4 (delayed haemolysis).

Side effects

  • Post-artesunate delayed haemolysis
  • Nausea
  • Transaminitis

Related in WardRound

Always confirm dose against your local formulary / BNF before prescribing.

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