Dosages
Side effects in children
Warnings & precautions in children
Contra-indications in children

Interactions
PK
Renal impairment
References

Proguanil

Generic name
Proguanil
Brand name
ATC Code
P01BB01

Pharmacokinetics in children

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dose recommendation of formulary compared to licensed use (on-label versus off-label)

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Available formulations

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Dosages

Prophylaxis for malaria
  • Oral
    • < 1 year
      • 25 mg/day in 1 dose
    • 1 year up to 5 years
      • 50 mg/day in 1 dose
    • 5 years up to 9 years
      • 100 mg/day in 1 dose
    • 9 years up to 15 years
      • 150 mg/day in 1 dose
    • ≥ 15 years
      • 200 mg/day in 1 dose

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Renal impaiment in children > 3 months

Adjustment in renal impairment as specified:

GFR 50-80 ml/min/1.73 m2
100 percentage of single dose and dosing interval : 24 uur
GFR 30-50 ml/min/1.73 m2
50 percentage of single dose and dosing interval : 24 uur
GFR 10-30 ml/min/1.73 m2
Do not administer
GFR < 10 ml/min/1.73 m2
Do not administer
Clinical consequences

The clearance of proguanil is less when the renal function is reduced. The risk of side effects is elevated as a result.

Symptoms of overdose include haematuria, nausea, vomiting and pain in the kidney region. Aplastic and megaloblastic anaemia can occur.

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The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here

Side effects

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The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here

Contra-indications

No information available on specific contra indications in children.

The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here

Warnings & precautions

No information available on specific warnings and precautions in children.

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Interactions

The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here

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References

  1. LCR, Malariaprofylaxebulletin 2015
  2. Alliance Pharmaceuticals Limited, SmPC Paludrine (RVG 00550) 09-12-2013, www.geneesmiddeleninformatiebank.nl

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Changes

Changes