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Active Ingredients: Doxycycline


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    Resistance to antimalarial drugs has been documented in all classes of antimalarials including artemisinin derivatives and it is a major threat to malaria control. When given the second time in a different combination, he had recrudescence with recurrence of fever twelve days after the medicines were stopped.

    Also another interesting fact that emerged in this case was the persistent diagnostic dilemma due to negativity of malarial parasite on microscopy as well as by RDT, optiMAL based on Plasmodium lactate dehydrogenase LDH.

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    There are concerns about availability of fake drugs in the market which lead to treatment failure and propagate resistance. Artemisinin compounds used in our case both the times were from reputed drug firms in doses recommended as per the body weight of the patient and were tolerated well.

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    References WHO guidelines for treatment of malaria. Geneva — World health organisation,. This will give you a general idea of what you need to consider for your trip Click here for more information on routine, recommended and required vaccinations How can I prepare for travel to high altitude?

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    There is no way of predicting your response to travel to altitude either trekking, bus or flights to cities e. Even the experienced sherpa or triathlete can develop alttitude sickness on his first season climb.

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