No evidence of cardiotoxicity during antimalarial treatment with artemether-lumefantrine.

M van Vugt Shoklo Malaria Research Unit, Mae Sod, Thailand.

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F Ezzet Shoklo Malaria Research Unit, Mae Sod, Thailand.

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F Nosten Shoklo Malaria Research Unit, Mae Sod, Thailand.

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I Gathmann Shoklo Malaria Research Unit, Mae Sod, Thailand.

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P Wilairatana Shoklo Malaria Research Unit, Mae Sod, Thailand.

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S Looareesuwan Shoklo Malaria Research Unit, Mae Sod, Thailand.

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N J White Shoklo Malaria Research Unit, Mae Sod, Thailand.

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Artemether-lumefantrine is a new fixed antimalarial combination effective against multidrug-resistant falciparum malaria. A prospective electrocardiographic study was conducted in 150 patients receiving artemetherlumefantrine and 50 treated with artesunate-mefloquine. There was no evidence for clinically significant changes in the electrocardiographic intervals and in particular no relationship between plasma concentrations of lumefantrine and QTc prolongation. Artemether-lumefantrine does not have significant cardiac effects at therapeutic doses.

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