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Table 3 Malaria in pregnancy treatment regimens and estimated costs

From: Drug treatment and prevention of malaria in pregnancy: a critical review of the guidelines

Anti-malarial drugs

Strength/dosage form

Median unit price† (US $)

Dosage/frequency

Total number of tab/cap/vial/ampule

Total cost (US$)

Oral medications

 Clindamycin

150 mg tab/cap

0.077 bmp

4 tabs given twice daily for 7 consecutive days

56 Tap-Cap

4.3

 Clindamycin

300 mg tab/cap

0.087 bmp

2 tabs given twice daily for 7 consecutive days

28 Tab-Cap

2.4

 Median clindamycin price

    

3.4

 Quinine

300 mg tab/cap

0.059 smp

2 tabs given twice daily for 7 consecutive days

28 Tab-Cap

1.65

 Clindamycin + Quinine

    

4.05*–5.95**

Parenteral medications

 Artesunate (IV)

60 mg/vial (3 vials for 51–75 kg individual)

1.91 smp

2.4 mg/kg at 0, 12, 24, and 48 h

12 Vial

22.92

 Quinine (IV)

250–300 mg/ml ampule

0.42 bmp

10 mg/kg at 0, 8, 16, and 24 h

12 ampules (including loading dose)

5.04

Artemisinin-based combinations

 Artemether + Lumefantrine (AL)

20 mg + 120 mg (SPC)‡

0.16 smp

4 tabs given at 0, 8, 24, 36, 48, and 60 h over 3 consecutive days

24 Tab-Cap

3.84

 Artesunate + Amodiaquine (AS–AQ)

100 mg + 270 mg (SPC)‡

0.85 smp

2 tabs given once daily for 3 consecutive days

6 Tab

5.1

 Dihydroartemisinin + Piperaquine (DHA–PPQ)

40 mg + 320 mg (SPC)‡

0.23 smp

4 tabs given once daily for 3 consecutive days

12 Tab-Cap

2.8

Medication for chemoprophylaxis in pregnancy

 Sulfadoxine + Pyrimethamine (SP)

500 mg + 25 mg (SPC)‡

0.039 smp

3 tabs given at every scheduled antenatal visit from 2nd trimester at least 1 month apart up to delivery

12 Tab-Cap§

0.47

  1. bmp: Buyer median price; smp: Supplier median price; IV: intravenous
  2. † Calculated from international medical products price guide30
  3. ‡ Single-pill combination
  4. § Calculated as a four antenatal care visit
  5. * Median price of Quinine + 300 mg Clindamycin combination
  6. ** Median price of Quinine + 150 mg Clindamycin combination
  7. In some instances, the quinine dose is reduced, and clindamycin dosage may vary