{"id":3580,"count":11,"description":"Malaria r\u0103m\u00e2ne o problem\u0103 major\u0103 \u00een medicina de c\u0103l\u0103torie \u0219i medicina tropical\u0103 \u00een \u00eentreaga Afric\u0103 subsaharian\u0103, \u00een cea mai mare parte a Asiei de Sud \u0219i de Sud-Est, \u00een unele p\u0103r\u021bi din America Central\u0103 \u0219i de Sud \u0219i \u00een anumite destina\u021bii din Pacific. Catalogul de tablete antimalarice MedsBase include agen\u021bii utiliza\u021bi pentru chimioprofilaxie (preven\u021bie \u00eenainte \/ \u00een timpul \/ dup\u0103 c\u0103l\u0103toria \u00een zone endemice), tratamentul acut \u0219i vindecarea radical\u0103 a specielor recidivante. Toate produsele sunt furnizate de <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong>.\n\n<strong>Clorochin\u0103 \u0219i hidroxiclorochin\u0103 \u2014 pentru zone sensibile la clorochin\u0103 \u0219i indica\u021bii selecte non-malaria.<\/strong> Clorochina r\u0103m\u00e2ne eficient\u0103 \u00een pu\u021binele zone sensibile la clorochin\u0103 r\u0103mase (p\u0103r\u021bi din America Central\u0103 la vest \u0219i nord de Canalul Panama, Hispaniola, Orientul Mijlociu). Stocat\u0103 sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/lariago\/\">Lariago<\/a> (250 mg) \u0219i <a href=\"https:\/\/medsbase.com\/ro\/lariago-ds\/\">Lariago DS<\/a>. Hydroxychloroquine is also catalogued for autoimmune indications (rheumatoid arthritis, systemic lupus erythematosus, Sj\u00f6gren's syndrome) \u2014 stocked as <a href=\"https:\/\/medsbase.com\/ro\/hcqs\/\">HCQS<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/hqcheal\/\">Hqcheal<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/hyquin\/\">Hyquin<\/a>, <a href=\"https:\/\/medsbase.com\/ro\/hqtor\/\">Hqtor<\/a>, \u0219i <a href=\"https:\/\/medsbase.com\/ro\/rtqs-200\/\">Rtqs 200<\/a>. Important: majoritatea regiunilor endemice moderne pentru malaria au rezisten\u021b\u0103 larg r\u0103sp\u00e2ndit\u0103 la clorochin\u0103 \u2014 clorochina NU este profilaxie adecvat\u0103 pentru Africa subsaharian\u0103, India, Asia de Sud-Est sau regiunile Amazonului.\n\n<strong>Meflochin\u0103 \u2014 chimioprofilaxie s\u0103pt\u0103m\u00e2nal\u0103 pentru multe zone rezistente.<\/strong> Meflochin\u0103 250 mg luat\u0103 o dat\u0103 pe s\u0103pt\u0103m\u00e2n\u0103, \u00eencep\u00e2nd cu 2\u20133 s\u0103pt\u0103m\u00e2ni \u00eenainte de c\u0103l\u0103torie \u0219i continu\u00e2nd 4 s\u0103pt\u0103m\u00e2ni dup\u0103 \u00eentoarcere. Eficient\u0103 \u00een majoritatea zonelor rezistente la clorochin\u0103. Stocat\u0103 sub form\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/mefque\/\">Mefque<\/a>. Preocup\u0103ri legate de efectele secundare: vise vii, modific\u0103ri de stare de spirit, anxietate, depresie, reac\u021bii neuropsihiatrice rare \u2014 contraindicate la pacien\u021bii cu istoric de depresie, tulburare de anxietate, psihoz\u0103, convulsii sau anomalii de conducere cardiac\u0103. Testa\u021bi prima doz\u0103 cu 3 s\u0103pt\u0103m\u00e2ni \u00eenainte de plecare pentru a identifica intoleran\u021ba.\n\n<strong>Doxiciclin\u0103 \u2014 chimioprofilaxie zilnic\u0103 pentru majoritatea zonelor rezistente.<\/strong> Doxiciclin\u0103 100 mg zilnic, \u00eenceput\u0103 cu 1\u20132 zile \u00eenainte de intrarea \u00een zona malaric\u0103 \u0219i continu\u00e2nd 4 s\u0103pt\u0103m\u00e2ni dup\u0103 \u00eentoarcere. Cea mai accesibil\u0103 op\u021biune modern\u0103 de profilaxie, acoperind \u0219i leptospiroza \u0219i bolile rickettsiale prevalente \u00een unele destina\u021bii. Stoc\u0103m tablete \u0219i capsule de doxiciclin\u0103 \u00een catalogul nostru <a href=\"https:\/\/medsbase.com\/ro\/antibiotics\/\">Antibiotice<\/a> . Efecte secundare: fotosensibilitate (folosi\u021bi protec\u021bie solar\u0103 SPF 50+), esofagit\u0103 (lua\u021bi cu un pahar plin de ap\u0103, r\u0103m\u00e2ne\u021bi \u00een pozi\u021bie vertical\u0103 30 de minute), tulbur\u0103ri gastrointestinale. Evita\u021bi \u00een sarcin\u0103 \u0219i la copiii sub 8 ani.\n\n<strong>Primachin\u0103 \u2014 vindecare radical\u0103 pentru malaria recidivant\u0103 vivax \u0219i ovale.<\/strong> Primaquine elimin\u0103 hipnozoi\u021bii hepatocitari dormi\u021bi ai P. vivax \u0219i P. ovale, prevenind recidivele la s\u0103pt\u0103m\u00e2ni sau luni dup\u0103 tratamentul ini\u021bial. Stocat ca <a href=\"https:\/\/medsbase.com\/ro\/primaquine\/\">Primaquine<\/a>. <strong>Testarea obligatorie a G6PD \u00eenainte de utilizare<\/strong> \u2014 primaquine provoac\u0103 anemie hemolitic\u0103 sever\u0103 la pacien\u021bii cu deficit de G6PD (\u2248 5% din popula\u021biile africane\/mediteraneene\/asiatice). Se administreaz\u0103 cu alimente pentru a reduce tulbur\u0103rile gastrointestinale.\n\n<strong>Chinin\u0103 \u2014 pentru malarie sever\u0103 \u0219i rezistent\u0103 la clorochin\u0103.<\/strong> Chinina 300 mg r\u0103m\u00e2ne \u00een uz selectiv pentru P. falciparum rezistent la clorochin\u0103 (combinat\u0103 cu doxiciclin\u0103 sau clindamicin\u0103) \u0219i ca terapie IV pentru malarie sever\u0103. Stocat\u0103 ca <a href=\"https:\/\/medsbase.com\/ro\/quinin-300\/\">Quinin 300<\/a>. Efecte secundare: chinonism (tinitus, cefalee, grea\u021b\u0103), hipoglicemie (dependent\u0103 de doz\u0103), prelungirea intervalului QT. Ghidurile moderne ale WHO prefer\u0103 artesunatul IV \u00een locul chininei IV pentru malaria sever\u0103 acolo unde artesunatul este disponibil.\n\n<strong>What's NOT here \u2014 important.<\/strong> Atovaquon-proguanil (Malarone) este profilaxia modern\u0103 cea mai bine tolerat\u0103 (\u00eencepe\u021bi 1\u20132 zile \u00eenainte, continua\u021bi 7 zile dup\u0103; efecte secundare minime) dar nu se afl\u0103 \u00een prezent \u00een catalogul nostru \u2014 consulta\u021bi o clinic\u0103 de medicin\u0103 de c\u0103l\u0103torie pentru o prescrip\u021bie de Malarone dac\u0103 aceasta este op\u021biunea preferat\u0103. Terapiile combinate cu artemisinin\u0103 (ACT) precum artemeter-lumefantrin\u0103 (Coartem) \u0219i dihidroartemisinin\u0103-piperachin\u0103 pentru tratamentul acut nu fac parte nici ele din stocul nostru obi\u0219nuit.\n\n<strong>Cum s\u0103 alege\u021bi pentru profilaxie.<\/strong> Durata c\u0103l\u0103toriei, modelul de rezisten\u021b\u0103 al destina\u021biei, toleran\u021ba la efectele secundare \u0219i contraindica\u021biile sunt toate importante. Ghidurile autoritare specifice destina\u021biei se g\u0103sesc la <a href=\"https:\/\/wwwnc.cdc.gov\/travel\/yellowbook\/2024\/preparing\/malaria\">CDC Yellow Book<\/a> \u0219i <a href=\"https:\/\/www.fitfortravel.nhs.uk\/destinations\">fitfortravel.nhs.uk<\/a>. C\u0103l\u0103torii scurte \u00een zone cu rezisten\u021b\u0103 minim\u0103 \u2014 clorochin\u0103 acceptabil\u0103. Majoritatea destina\u021biilor moderne \u2014 doxiciclin\u0103 zilnic (dac\u0103 nu exist\u0103 fotosensibilitate \/ probleme de sarcin\u0103) sau meflochin\u0103 s\u0103pt\u0103m\u00e2nal (dac\u0103 nu exist\u0103 istoric neuropsihiatric). Sarcin\u0103 sau intoleran\u021b\u0103 la doxiciclin\u0103 \u2014 meflochina este op\u021biunea preferat\u0103 dup\u0103 o doz\u0103 de test \u00eenainte de c\u0103l\u0103torie.\n\n<strong>Important.<\/strong> No prophylaxis is 100% effective. Use mosquito-bite prevention (DEET \/ picaridin \/ IR3535 repellent, permethrin-treated clothing, insecticide-impregnated bed nets, evening sleeve cover) regardless of chemoprophylaxis choice. Any febrile illness within 1 year of travel to a malaria-endemic area warrants urgent thick-and-thin blood film \u2014 malaria can be rapidly fatal if untreated. Severe malaria (impaired consciousness, jaundice, hypoglycaemia, severe anaemia, respiratory distress) is a hospital emergency requiring IV artesunate and supportive care.\n\nAll MedsBase Malaria Tablets ship from <strong>produc\u0103tori certifica\u021bi WHO-GMP<\/strong> cu ambalaj discret \u0219i sunt acoperite de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a>.","link":"https:\/\/medsbase.com\/ro\/malaria-tablets\/","name":"Comprimate pentru malarie","slug":"malaria-tablets","taxonomy":"product_cat","parent":3448,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat\/3448"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product?product_cat=3580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}