Chloroquine has been extensively used in mass drug administrations, which may have contributed to the emergence and spread of resistance. It is recommended to check if chloroquine is still effective in the region prior to using it. Hydroxychloroquine 200 mg para q sirve Plaquenil brand vs generic Drug-resistant P. falciparum. Chloroquine-resistant P. falciparum first developed independently in three to four areas in Southeast Asia, Oceania, and South America in the late 1950s and early 1960s. Since then, chloroquine resistance has spread to nearly all areas of the world where falciparum malaria is transmitted. Sep 15, 2001 Searches for new drugs against chloroquine-resistant malaria, especially as they relate to analogues of chloroquine and chemosensitizing agents against the different forms of P. falciparum and P. vivax, should benefit greatly from research work in this area P. falciparum is now highly resistant to chloroquine in most malaria-affected areas. Resistance to SP is also widespread and has developed much more rapidly. Resistance to mefloquine is confined only to those areas where it has been used widely Thailand, Cambodia, and Vietnam but has arisen within six years of systematic deployment. The Centers for Disease Control and Prevention recommend against treatment of malaria with chloroquine alone due to more effective combinations. In areas where resistance is present, other antimalarials, such as mefloquine or atovaquone, may be used instead. Malaria chloroquine resistant areas Malaria Prevention –, Chloroquine-Resistant Malaria The Journal of Infectious. Hydroxychloroquine plaquenil side effevts If resistance to artemisinins develops and spreads to other large geographical areas, as has happened before with chloroquine and sulfacoxine-pyrimethamine SP,” the World Health Organization warned in 2009, “the public health consequences could be dire, as no alternative antimalarial medicines will be available in the near future.” Unlocking the secrets of drug resistance in malaria parasites. Antimalarial drug resistance. Chloroquine Resistant Malaria –. Spread of malaria to new areas and re-emergence of malaria in areas where the disease had been eradi-cated. Drug resistance has also played a significant role in the occurrence and severity of epidemics in some parts of the world. Population movement has introduced resistant parasites to areas previously free of drug resistance. The economics. QUESTION In India how to treat a child and adult suffering from malaria? ANSWER Chloroquine-resistant malaria has been observed in India and so the first line drug of choice should be an artemisinin-derivative in combination with another drug this group of medications are more generally known as "artemisinin-based combination therapies" or ACTs. Chloroquine resistance is widespread. Chloroquine should not be used for treatment of P. falciparum infections from areas of chloroquine resistance or malaria occurring in patients where chloroquine prophylaxis has failed. Patients infected with a resistant strains of plasmodia should be treated with another antimalarial drug.