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Table 3 Drugs conferring risk of haemolysis

From: Improving the radical cure of vivax malaria (IMPROV): a study protocol for a multicentre randomised, placebo-controlled comparison of short and long course primaquine regimens

Potentially haemolytic drugs

Drugs with possible risk of haemolysis

drugs with doubtful risk of haemolysis

Drugs that may increase the exposure of primaquine, chloroquine, piperaquine and lumefantrine metabolism by inhibiting the cytochrome (CYP) 450:

The following drugs may decrease the exposure of primaquine, chloroquine, piperaquine and lumefantrine metabolism by inducing CYP 450:

Dapsone

Ciprofloxacin

Chloramphenicol

Ketoconazole

Barbiturates

Sulphonamides

Norfloxacin

Quinine

Itraconazole

Carbamazepine

Methylene blue

Chloroquine

 

Cimetidine

Phenytoin

Nalidixic acid

  

Grapefruit juice

Rifampicin

Nitrofurantoin

  

Erythromycin

Macrolide antibiotics

Niridazole

  

Ritonavir

Glucocorticoids

Aspirin

    

Traditional medicines