Arinet

Arinet, an artemisinin derivative, is a powerful antimalarial drug. It is used for both adults and children. It is indicated for the following conditions:
Treatment of severe and complicated malaria caused by Plasmodium falciparum both in adults and in children in areas where there is multidrug resistance.
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Arinet, an artemisinin derivative, is a powerful antimalarial drug. It is used for both adults and children. It is indicated for the following conditions:
Treatment of severe and complicated malaria caused by Plasmodium falciparum both in adults and in children in areas where there is multidrug resistance.
Treatment of uncomplicated malaria in situations where there is the widespread prevalence of multidrug-resistant Plasmodium falciparum.
Arinet tablet is also suitable to salvage patients with pernicious malaria and treat malaria caused by Plasmodium falciparum and Plasmodium vivax.

It is to be given by oral route. The oral dose of Artesunate tablet can be defined as follows:
For Artesunate 50 mg tablet
:
Adults:
Two Artesunate 50 tablets twice on the first day, then
one Artesunate 50 tablet twice daily for the next four days (4, 2, 2, 2, 2)
Children:
1-3 years: 3 Artesunate 50 tablets for 5 days (1, 1⁄2, 1⁄2, 1⁄2, 1⁄2)
4-5 years: 6 Artesunate 50 tablets for 5 days (2, 1, 1, 1, 1)
6-12 years: 8 Artesunate 50 tablets for 5 days (3, 2, 1, 1, 1)
For Artesunate 100 mg tablet
:
Adults: One Artesunate 100 tablet twice on the first day, then half Artesunate 100 tablet twice daily for the next four days (2, 1, 1, 1, 1)
Children:
4-5 years: 3 Artesunate 100 tablets for 5 days (1, 1⁄2, 1⁄2, 1⁄2, 1⁄2)
6-12 years: 4 Artesunate 100 tablets for 5 days (11⁄2,1,1⁄2,1⁄2,1⁄2)
Patients aged more than 12 years: should be given same as adult dose.
Dosage for the prevention of malaria: Two Artesunate 50 tablets (or one Artesunate 100 tablet) as a single dose once a week, from one week before entering a malaria-affected area to four weeks after leaving the area.

Arinet tablet is well tolerated. No adverse effects have been reported from the treatment of Arinet at recommended dose.

This tablet should be used with caution in patients vomiting severely.
For emergency treatment of patients suffering from severe malaria, intravenous or intramuscular injection is preferred.
Do not use the drug without the advice of a Registered Physician.
Do not exceed the recommended dose.

Artesunate is metabolized to the active DHA. the endoperoxide bridge of DHA reacts with heme, generating free radicals which inhibit protein and nucleic acid synthesis of the Plasmodium parasites during all erythrocytic stages. Reactions with these free radicals can also lead to alkylation of parasitic proteins such as a calcium adenosine triphosphatase and EXP1, a glutathione S-transferase.