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This study was undertaken to evaluate the protective and therapeutic efficacy of pyrimethamine (Daraprim) against Chesson strain Plasmodium vivax in human volunteers. The drug was highly effective as a suppressive agent, 0.8 to 25 mg. gave complete protection during drug administration; it was less efficient when used for therapy of acute attacks. Pyrimethamine does not appear to be a true causal prophylactic although prolonged delays before patent parasitemia suggested some deleterious effect against early tissue stages of the parasite. Weekly administration of the drug for 8 or more weeks resulted in suppressive cure of many infections. Probably the greatest usefulness of the drug will be for routine suppression.
1 The work reported here and in the two papers that follow was conducted under a contract between the Office of the Surgeon General, Department of the Army, and the National Institutes of Health.
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A. V. MYATT and G. R. COATNEY PRESENT CONCEPTS AND TREATMENT OF PLASMODIUM VIVAX MALARIA Arch Intern Med, February 1, 1954; 93(2): 191 - 196. [Abstract] [PDF] |
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