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Table 3 Summary of reported adverse side effects seen during drug administration of radical, preventive and presumptive treatment

From: Transition of radical, preventive and presumptive treatment regimens for malaria in China: a systematic review

Adverse side effects

No. observed

No. side effects (%)

(1) Preventive treatment: 600 mg piperaquine phosphate once a month [46]

Mild side effects: dizziness, nausea and cheek numbing [46].

238

103(43.3%)

(2) Radical treatment: 90 mg primaquine for 4 days [49]

 

Side effect: haemolysis [49].

2,529

8(0.32%)

(3) Radical cure: 150 mg primaquine for 5 days [50].

Mild side effects: dizziness, nausea and headache [50]

853

114(13.4%)

(4) Radical treatment: 150 mg primaquine for 5 days plus 100 mg pyrimethamine for 2 days [50]

Mild side effect: dizziness, nausea and headache [50]

1,381

264(19.1%)

(5) Radical treatment: 180 mg primaquine for 8 days plus 100 mg pyrimethamine for 2 days [51, 55]

Serious side effects: dizziness, nausea, headache, shivering, hyperspasmia and eventually death [51]

1

1

Other side effects: varying levels of dizziness, nausea and headache [55]

857

174(20.3%)

(6) Accident: mistakenly taking 2500 mg pyrimethamine as a single dose [53]

Serious side effects: hematocyanosis and eventual death [53]

1

1

(7) Radical treatment: primaquine 22.5 mg daily × 8 days and pyrimethamine 50 mg daily × 2 days [23]

Haematuria, weakness, fever, appetite loss, abdominal pain/discomfort, dizziness and headache, bruising, epistaxis [23]

254,910

9 (0.0035%)

(8) Radical treatment: primaquine 30 mg daily × 4 days and pyrimethamine 50 mg daily × 2 days [23]

Jaundice, fever, loss of appetite, weakness, dizziness, haematuria, dark coloured urine, abdominal pain, cyanosis, and headache [23]

444,589

40 (0.009%)