TABLE 3: Side effects of Mefloquine compared with Artemether
 
Side effects
% side effects

mefloquine
(n = 12 )

% side effects

Artemether
( n = 34 )

Nausea 3 (25) 2 (6)
Vomiting 4 (33 )* 0
Diarrhoea 1 (8) 1 (3)
Abdominal pain 1 (8) 3 (9)
Dizziness 4 (33)+ 1 (3)
Bradycardia 5 (42) 10 (29)

(Karbwang et al 1992) * p = 0,003 and +p = 0.013 compared to artemeter.

 To establish the relevance of the above comparison, mefloquine is shown below (table 4) in another study to have more side effects than described above. Side effects here were to those of choroquine, except for nausea, which was significantly higher in chloroquine prophylaxis.
 
 

TABLE 4: Side effects of chloroquine compared with mefloquine in long-term prophylaxis in Peace Corps volunteers.
 
Side effects % side effects

Mefloquine
(n = 802 )

% side effects

Chloroquine*
(n = 520 )

Strange dreams 24.7 26
Nausea 8.7 22.1+
Diarrhoea 4.0 6.5
Dizziness 8.4 10.0
Insomnia 9.0 2.5
Weakness 5.2 7.5
Visual difficulty 6.5 45.8
Any event 40.6 45.8

(Lobel et al 1993) + p = 0.0001, *chloroquine with or without proguanil.
 
 


 


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