Methaemoglobinaemia and the radical curative efficacy of 8-aminoquinoline antimalarials.

Br J Clin Pharmacol

Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Published: June 2022

Methaemoglobin results from the oxidation of ferrous to ferric iron in the centre of the haem moiety of haemoglobin. The production of dose-dependent methaemoglobinaemia by 8-aminoquinoline antimalarial drugs appears to be associated with, but is not directly linked to, therapeutic efficacy against latent Plasmodium vivax and Plasmodium ovale malarias (radical cure). Iatrogenic methaemoglobinaemia may be a useful pharmacodynamic measure in 8-aminoquinoline drug and dose optimization.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7612727PMC
http://dx.doi.org/10.1111/bcp.15219DOI Listing

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