Please review the following URL and make sure that it is spelled correctly. Atovaquone/Proguanil (Malarone) Adults: 1 adult tablet daily. Plaquenil and stroke Icd 10 coding for plaquenil use Specific antimalarial drugs • Quinine – Drug of choice for chloroquine-resistant malaria • Lumifantrine, Amodiaquine, Atovaquone – Reserve medication 30. Tuberculosis in pregnancy First-line drugs • Isoniazid • Rifampicin • Ethambutol • Pyrazinamide Contraindicated • Streptomycin 31. Because the other drugs effective against chloroquine-resistant P falciparum may produce uterine stimulation quinine sulfate or damage the fetal skeleton tetracyclines, the pyrimethamine-sulfonamide combination with folinic acid supplementation may be the best available choice for the treatment and prophylaxis of chloroquine-resistant P. Malaria Chloroquine, hydroxychloroquine For chloroquine-resistant P. falciparum infection, treat with either mefloquine or a combination of quinine sulfate and clindamycin 16,17 Nausea and vomiting of pregnancy Doxylamine succinate and pyridoxine hydrochloride. Refractory cases add promethazine or dimenhydrate. This drug should be used during pregnancy only if clearly needed and the benefit outweighs the risk.-According to some authorities: Use is considered acceptable. Begin 1-2 days before travel, daily during travel, and for 7 days after leaving. Drug of choice for chloroquine resistant malaria in pregnancy Malaria - Chapter 4 - 2020 Yellow Book Travelers' Health CDC, Treatment of chloroquine-resistant malaria during pregnancy. Plaquenil well toleratedHydroxychloroquine cause bladder infectionsSide effects of long term use of plaquenilPlaquenil and surgery This agent is approved in the United States for the prophylaxis and treatment of mild chloroquine-resistant malaria. It may be a good prophylactic option for patients who are visiting areas with chloroquine-resistant malaria and who cannot tolerate mefloquine. Each tab combines 250 mg of atovaquone and 100 mg of proguanil hydrochloride. Malaria Medication Antimalarials. Prescription Drugs of Choice During Pregnancy. Malaria – Knowledge for medical students and physicians. Mefloquine is the agent of choice for chloroquine-resistant areas, and evidence suggests it is not associated with an increased risk to the fetus. Although the atovaquone-proguanil drug combination is not currently recommended for use during pregnancy, limited data suggest that it is not harmful to the fetus. Chloroquine is the drug of choice for the prophylaxis and treatment of sensitive malaria species during pregnancy. Chloroquine should only be given during pregnancy when need has been clearly established. See references. Chloroquine Breastfeeding Warnings. Chloroquine is excreted into human milk. Some evidence supports the safety of mefloquine in the second and third trimesters, and it therefore remains the drug of choice for chloroquine resistance areas.6 24 Caution is needed with mefloquine in the first trimester because of limited data.