Mefloquine

Mefloquine Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Mefloquine is a brand name. Its generic name is Mefloquine.

Mefloquine

Mefloquine is an antimalarial drug that is used to prevent or treat malaria. It is a synthetic mescaline-related compound classified as a 4-quinolinemethanol group. It is available in oral pill form or as an injectable solution. It is especially used to prevent and treat malaria caused by Plasmodium falciparum, the parasite that causes the most severe form of malaria in humans.

Uses for Mefloquine

Mefloquine is used to prevent and treat malaria caused by Plasmodium falciparum. It is also used to prevent malaria in travelers to areas where the disease is prevalent. Mefloquine can be used to treat individuals who have already been infected with the parasite.

Mechanism of Action

Mefloquine works by preventing the growth of Plasmodium inside human red blood cells, which reduces the spread of the disease. Mefloquine also interferes with the metabolic processes of the parasites, preventing them from forming important enzymes and proteins required for their survival.

How Long Does it Take to Work?

Mefloquine usually takes effect within 2 hours of ingestion and can remain effective for up to 4 weeks. The risk of malaria is significantly reduced if the drug is taken every 7 days for at least 10 days before entering an endemic area. Prolonged use may also reduce the risk of pneumonitis due to Plasmodium knowlesi.

Absorption

Mefloquine is rapidly and almost completely absorbed from the gastrointestinal tract after oral administration. The mean bioavailability is around 80%. Its absorption is increased when taken with food.

Route of Elimination

Mefloquine is eliminated mainly through the kidneys as the unchanged drug. It is also metabolized in the liver into active and inactive metabolites.

Dosage

Mefloquine is available in 250-mg tablets or an injectable solution. The recommended dosage for adults and children is 250 mg taken orally once weekly for the prevention of malaria. For the treatment of malaria, the recommended dose is 500-mg loading dose followed by a 250-mg single dose taken by mouth once a week for 4 weeks. The dosage for the treatment of malaria may vary depending on the severity of the infection. For children, the dosage should be adjusted based on body weight.

Administration

Mefloquine should be taken with food or milk to reduce stomach discomfort. Additionally, it is recommended to drink plenty of fluids to avoid dehydration when taking Mefloquine. If vomiting occurs within 30 minutes of taking Mefloquine, a repeat dose should be taken.

Side Effect

Mefloquine may cause a number of mild to moderate side effects including nausea, vomiting, dizziness, headache, stomach cramps, loss of appetite, and diarrhea. More serious side effects include unusual behavior or psychosis, seizures, visual disturbances, and cardiac arrhythmias. It is important to contact the doctor immediately if any of these symptoms occur.

Toxicity

Mefloquine is generally not toxic when taken as prescribed. The most common side effect is nausea and vomiting. Overdose of Mefloquine can cause vomiting, tremors, convulsions,nervousness, increased heart rate, and irregular heartbeats. If any of these symptoms occur, contact a poison control center immediately.

Precaution

Mefloquine should not be taken by individuals with a known allergy to the drug or its components. Additionally, Mefloquine should be used with caution in people with a history of seizures, depression, renal or hepatic impairment, cardiac arrhythmias, and other psychiatric conditions. It is also important to take extra precautions when taking Mefloquine in combination with other medications. Inform your doctor if you are taking any other medications before taking Mefloquine.

Interaction

Mefloquine interacts with certain antibiotics, antifungals, and other antimalarial drugs. Additionally, Mefloquine can interact with different drugs, such as warfarin, cytochrome P4503A, and protease inhibitors, that can reduce or increase its effectiveness. Therefore, it is important to inform your doctor about all of the medications you are taking before starting Mefloquine.

Disease Interaction

Mefloquine is not recommended for individuals with a history of seizures or neuropsychiatric disorders as it can worsen existing neurological conditions. Additionally, Mefloquine is not recommended for patients with hepatic or renal impairment, as it can cause an accumulation of the drug in the body, leading to an increased risk of adverse reactions.

Drug Interaction

Mefloquine may interact with other medications, such as antibiotics, antifungals, antidepressants, antacids, or anticonvulsants. Inform your doctor about all medications you are on before starting Mefloquine. In addition, using Mefloquine concurrently with certain drugs, such as warfarin, cytochrome P4503A, or protease inhibitors, can lead to an increased risk of adverse reactions.

Food Interactions

Mefloquine is best taken with food to reduce potential side effects such as nausea and vomiting. Additionally, Mefloquine can interact with certain foods, such as grapefruit juice or dairy products. Inform your doctor if you plan on eating any of these foods while taking Mefloquine.

Pregnancy Use

Mefloquine should not be used during pregnancy unless the potential benefits outweigh the risks. It is classified as an FDA Category C drug, which means that animal studies have shown adverse effects and there is a lack of sufficient data on humans. Therefore, it is recommended to discuss the risks and benefits with your doctor before taking Mefloquine.

Lactation Use

Mefloquine passes into breast milk and can have adverse effects on an infant. It is therefore not recommended to take Mefloquine while breastfeeding unless the potential benefits outweigh the risks. Consult your doctor for more information.

Acute Overdose

Acute overdose of Mefloquine can result in dizziness, drowsiness, confusion, agitation, and gastrointestinal disturbances. It is important to seek medical assistance as soon as possible if an overdose is suspected.

Contraindication

Mefloquine is contraindicated in individuals with a known allergy to the drug or its components. It should also not be taken by people with a history of seizures, depression, renal or hepatic impairment, cardiac arrhythmias, and other psychiatric conditions. Additionally, Mefloquine should not be taken during pregnancy or by breastfeeding mothers.

Use Direction

Mefloquine should be taken by mouth with food or milk. For the prevention of malaria, the recommended dosage for adults and children is 250 mg taken orally once weekly. For the treatment of malaria, the recommended dose is 500-mg loading dose followed by a 250-mg single dose taken orally once a week for 4 weeks. The dosage for children should be adjusted based on body weight. If vomiting occurs within 30 minutes of taking Mefloquine, a repeat dose should be taken.

Storage Condition

Mefloquine oral tablets should be stored at room temperature away from direct sunlight, moisture, and heat. In addition, the injectable solution should be stored at or below 20°C (68°F).

Volume of Distribution

The volume of distribution of Mefloquine is 0.35-0.7 L/kg.

Half Life

The half-life of Mefloquine is 7-41 days.

Clearance

Mefloquine is eliminated mainly through the kidneys as the unchanged drug. It is also metabolized in the liver into active and inactive metabolites.

Here you find in details version of Mefloquine

Some Frequently Asked Questions About Mefloquine

What is Mefloquine?

Mefloquine is a medication commonly used to prevent and treat malaria. It is classified as an antimalarial drug and is taken as a weekly tablet to help prevent malaria caused by certain types of mosquitoes.

Is Mefloquine safe?

Mefloquine is generally safe if taken as prescribed. It does have some potential side effects, such as nausea, dizziness, and headaches, but these can be managed with careful monitoring.

What are the possible side effects of Mefloquine?

The most common side effects of mefloquine include nausea, vomiting, dizziness, headache, and stomach upset. Rare side effects can include depression, anxiety, hallucinations, and seizures.

Can I take Mefloquine while pregnant or breastfeeding?

Mefloquine is not recommended for pregnant or breastfeeding women. Speak with your doctor if you are pregnant or breastfeeding and need to take Mefloquine for malaria prevention.

Is Mefloquine available over-the-counter (OTC)?

No, Mefloquine is a prescription medication and is not available OTC.

Do I need to take a certain dosage of Mefloquine?

Yes, Mefloquine should be taken according to the directions of your doctor. It is typically taken in a single tablet once a week.

Can I take Mefloquine while on other medications?

You should always discuss with your doctor the medications that you are taking or will be taking before starting Mefloquine. Certain medications may interact with Mefloquine, such as antifungals, anticonvulsants, and macrolide antibiotics.

What is the proper way to store Mefloquine?

Mefloquine should be stored at room temperature, away from moisture, heat, and light. It should also be kept in its original container and it should be disposed of properly when no longer needed.

Can I take Mefloquine while travelling?

Yes, Mefloquine is often prescribed to people travelling to areas with a high risk of malaria infection. It should be taken as prescribed to help reduce the risk of malaria infection while travelling.

What should I do if I miss a dose of Mefloquine?

If you miss a dose of Mefloquine, take it as soon as you remember and then continue to take it as prescribed. Speak with your doctor if you are concerned about missing a dose.

How long does it take for Mefloquine to start working?

Mefloquine starts working immediately once taken. It is typically taken once a week and provides protection against malaria for seven days.

How long does it take for Mefloquine to be completely out of my system?

Mefloquine usually takes two weeks to be completely out of the system. Speak with your doctor if you have any questions.

What should I do if I have an allergic reaction to Mefloquine?

If you experience a serious allergic reaction (e.g. difficulty breathing, facial swelling, or hives) seek immediate medical attention. You should stop taking Mefloquine and contact your doctor right away.

Can I drink alcohol while taking Mefloquine?

It is not recommended to consume alcohol while taking Mefloquine. This is due to the potential for interactions between the two substances which could lead to serious side effects.

Can Mefloquine cause depression or anxiety?

Mefloquine can cause rare side effects such as depression and anxiety. Speak with your doctor if you experience any mental health side effects while taking Mefloquine.

What is the most effective way to take Mefloquine?

The most effective way to take Mefloquine is to take it exactly as prescribed by your doctor, typically as a single tablet once a week.

How does Mefloquine work to prevent malaria?

Mefloquine works by blocking the reproduction of malaria parasites, thus preventing them from multiplying and causing malaria symptoms. This helps to reduce the likelihood of infection.

How long will I need to take Mefloquine?

The amount of time needed to take Mefloquine depends on your individual risk of malaria. Speak with your doctor to discuss your individual risk and the recommended duration of treatment.

Can Mefloquine cause liver damage?

Mefloquine can rarely cause liver damage. If you experience any signs of liver damage (e.g. yellowing of the skin or eyes, dark colored urine) stop taking Mefloquine and contact your doctor right away.

Can I take Mefloquine with other medications?

You should always discuss with your doctor the medications that you are taking or will be taking before starting Mefloquine. Certain medications may interact with Mefloquine, such as antifungals, anticonvulsants, and macrolide antibiotics.

Does Mefloquine work for all types of malaria?

Mefloquine is only effective against malaria caused by certain types of mosquitoes. It does not work for all types of malaria, so it is important to talk to your doctor about the best form of prevention and treatment for your specific situation.

How long should I stay on Mefloquine?

The amount of time needed to take Mefloquine depends on your individual risk of malaria. Speak with your doctor to discuss your individual risk and the recommended duration of treatment.

What should I do if I overdose on Mefloquine?

If you suspect an overdose, seek immediate medical attention. Overdose symptoms can include irregular heartbeat, confusion, seizures, and unconsciousness.

Are there any alternatives to Mefloquine?

Yes, there are other antimalarial medications available, such as doxycycline and atovaquone-proguanil. Speak with your doctor about the best option for you and your particular situation.

Can I take Mefloquine if I have an allergy to certain medications?

Yes, you can take Mefloquine, however you should always discuss your medical history and any allergies that you may have with your doctor before taking any medications.

Is Mefloquine only used to prevent malaria?

No, Mefloquine can also be used to treat malaria. It is important to discuss the best form of treatment with your doctor, as some types of malaria require specific treatments.

Can children take Mefloquine?

Mefloquine is not recommended for children under the age of 8. Speak with your doctor if you need to give Mefloquine to a child.

What are the common side effects of Mefloquine?

The most common side effects of mefloquine include nausea, vomiting, dizziness, headache, and stomach upset. Speak with your doctor if you experience any of these side effects.

What is the difference between Mefloquine and quinine?

Mefloquine and quinine are both antimalarial medications. Mefloquine is taken weekly in tablet form whereas quinine is usually taken in liquid form, multiple times per day.

Why should I use Mefloquine and not other forms of malaria prevention?

Your doctor can best determine the best form of malaria prevention for you based on your individual situation and risk of malaria. Mefloquine is effective in preventing certain types of malaria and is generally well-tolerated.

Does Mefloquine cause weight gain?

Weight gain is not a common side effect of Mefloquine. Speak with your doctor if you are concerned about any potential side effects.

Can I take Mefloquine while travelling to a high-risk area?

Yes, Mefloquine is often prescribed to people travelling to areas with a high risk of malaria infection. It should be taken as prescribed to help reduce the risk of malaria infection while travelling.

Is Mefloquine expensive?

Mefloquine may be expensive depending on your insurance coverage. Most insurance plans will cover the cost of the medication but speak with your insurance provider for specifics.

Can Mefloquine cause insomnia?

Insomnia is not a common side effect of Mefloquine. However, if you experience symptoms of insomnia while taking Mefloquine, speak with your doctor right away.

What should I avoid while taking Mefloquine?

You should avoid drinking alcohol while taking Mefloquine, as there may be interactions between the two substances. You should also avoid unnecessary sun exposure as Mefloquine can make your skin more sensitive to the sun.

What is the best way to take Mefloquine?

The best way to take Mefloquine is as prescribed by your doctor. It should be taken once a week as a single tablet and should be taken at the same time each week for best results.

What is the shelf life of Mefloquine?

The shelf life of Mefloquine is two years. However, it should be stored at room temperature, away from moisture, heat, and light, and in its original container until it is used.