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Leishmaniasis: an update of current pharmacotherapy

Sundar, Shyam, Chakravarty, Jaya·2013·Expert Opinion on Pharmacotherapy

Abstract

INTRODUCTION: Leishmaniasis broadly manifests as visceral leishmaniasis (VL), cutaneous leishmaniasis (CL) and mucocutaneous leishmaniasis (MCL). The treatment of VL is challenging. The duration of treatment is long, and drugs are toxic thereby needing monitoring and hospitalization. AREAS COVERED: Novel therapies such as single dose of liposomal amphotericin B (L-AmB) and multidrug therapy are important breakthrough for VL in the Indian subcontinent and have been recommended as the treatment of choice in this region. African Leishmania donovani is less susceptible to L-AmB, miltefosine and paromomycin as compared to the Indian strains, and the treatment of choice remains a 17-day combination therapy of pentavalent antimonials (SB(v)) and paromomycin. L-AmB at a total dose of 18 - 21 mg/kg is the recommended regimen in the Mediterranean region and South America. It is also the treatment of choice for HIV-VL coinfection. Treatment of CL should be decided by the clinical lesions, etiological species and its potential to develop into mucosal leishmaniasis. A literature search on treatment of leishmaniasis was done on PubMed and through Google. EXPERT OPINION: There is an urgent need for exploratory studies with short course, highly efficient regimens such as single dose L-AmB or combination therapy for all the endemic regions of VL. Shorter and more acceptable regimens are needed for the treatment of post-kala-azar dermal leishmaniasis. Treatment of CL remains one of the neglected areas of leishmaniasis as data are scarce and drawn from uncontrolled studies.

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Metadata

Authors
Sundar, S., & Chakravarty, J.
Venue
Expert Opinion on Pharmacotherapy
Published
2012-12-21
Volume
14
Issue
1
Pages
53-63
ISSN
  • 1465-6566 (ISSN-L)
  • 1744-7666
OpenAlex
W2072810264
Cited by
261
References
38
FWCI
21.41
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Leishmaniasis: an update of current pharmacotherapy. https://app.cochat.ai/papers/10.1517/14656566.2013.755515
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Sundar, S., & Chakravarty, J. (2013). Leishmaniasis: an update of current pharmacotherapy. Expert Opinion on Pharmacotherapy. https://doi.org/10.1517/14656566.2013.755515

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