Pharmacokinetics of Amodiaquine and Desethylamodiaquine in Pregnant and Postpartum Women with Plasmodium vivax Malaria
Open accessAbstract
In order to study the pharmacokinetic properties of amodiaquine and desethylamodiaquine during pregnancy, 24 pregnant women in the second and third trimesters of pregnancy and with Plasmodium vivax malaria were treated with amodiaquine (10 mg/kg of body weight/day) for 3 days. The same women were studied again at 3 months postpartum. Plasma was analyzed for amodiaquine and desethylamodiaquine by use of a liquid chromatography-tandem mass spectrometry method. Individual concentration-time data were evaluated using noncompartmental analysis. There were no clinically relevant differences in the pharmacokinetics of amodiaquine and desethylamodiaquine between pregnant (n = 24) and postpartum (n = 18) women. The results suggest that the current amodiaquine dosing regimen is adequate for the treatment of P. vivax infections during pregnancy.
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A pharmacokinetics study on AQ for treatment of P. vivax in pregnancy conducted in Thailand indicates the doses are similar to that of non-pregnant adults.
“A pharmacokinetics study on AQ for treatment of P.vivax in pregnancy conducted in Thailand indicates the doses are similar to that of non-pregnant adults.131,135”
From Malaria in pregnancy. (2013) · cites this paper as [131]
Data available indicate that ACTs are relatively safe for the foetus when taken after the first trimester of pregnancy.
“Data available indicate that ACTs are relatively safe for the foetus when taken after the first trimester of pregnancy.”
From Malaria in pregnancy. (2013) · cites this paper as [131]
Cites
Malaria during pregnancy in an area of unstable endemicity.
Nosten, F., ter Kuile, F., Maelankirri, L., Decludt, B., & White, N. J. (1991) · Transactions of the Royal Society of Tropical Medicine and Hygiene · doi:10.1016/0035-9203(91)90205-d · Cited by 294 · cited 1× · see citing works
“All women have a dating ultrasound scan at their first antenatal clinic attendance (18) and are invited to attend weekly consultations providing early detection and treatment of all malaria episodes (14).”
BackgroundSelf-citationObstetric ultrasound scanning by local health workers in a refugee camp on the Thai-Burmese border.
Rijken, M. J., Lee, S. J., Boel, M. E., Papageorghiou, A. T., Visser, G. H. A., Dwell, S. L. M., Kennedy, S. H., Singhasivanon, P., White, N. J., Nosten, F., et al. (2009) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.7350 · Cited by 108 · see citing works
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Takem, E. N., & D'Alessandro, U. (2013) · Mediterranean Journal of Hematology and Infectious Diseases · doi:10.4084/mjhid.2013.010 · Cited by 185 · see citing works
Tarning, J., Rijken, M. J., McGready, R., Phyo, A. P., Hanpithakpong, W., Day, N. P. J., White, N. J., Nosten, F., & Lindegardh, N. (2012) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.05756-11 · Cited by 102 · see citing works
Self-citationCohort Profile: the SMRU Refugee and Migrant Pregnancy Study in Western Thailand and Eastern Myanmar
McGready, R., J White, N., Nosten, F. H., & Collaborators, S. R. A. M. P. S. (2026) · Wellcome Open Research · doi:10.12688/wellcomeopenres.25582.2 · Cited by 2 · see citing works
Self-citation
- Authors
- Rijken, M. J., McGready, R., Jullien, V., Tarning, J., Lindegardh, N., Phyo, A. P., Win, A. K., Hsi, P., Cammas, M., Singhasivanon, P., White, N. J., & Nosten, F.
- Affiliations
- Shoklo Malaria Research Unit (TH)
- Mahidol University (TH)
- Inserm (FR)
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
- Corresponding author
- Nosten, François
- ORCID
- Venue
- Antimicrobial Agents and Chemotherapy
- Publisher
- American Society for Microbiology
- Published
- 2011-09
- Volume
- 55
- Issue
- 9
- Pages
- 4338-4342
- ISSN
- 0066-4804 (ISSN-L)
- 1098-6596
- PMC
- PMC3165320
- OpenAlex
- W2057464338
- Cited by
- 50
- References
- 2
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 6 · 2017: 2 · 2016: 5 · 2015: 4 · 2014: 4 · 2013: 5 · 2012: 5
- FWCI
- 4.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Antimicrobial Agents and Chemotherapy (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust (093956, 093956/Z/10/Z)
- University of Oxford
- Mahidol University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Health Sciences › Medicine › Pharmacology › Antibiotics Pharmacokinetics and Efficacy
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Keywords
- amodiaquine, desethylamodiaquine, pharmacokinetics, vivax malaria, pregnancy, postpartum women, plasma drug concentration
- MeSH terms
- Adolescent, Adult, Amodiaquine, Antimalarials, Female, Humans, Pregnancy, Malaria, Vivax, Postpartum Period, Young Adult
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