Drug-induced hypersensitivity to artemisinin-based therapies for malaria
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Drug-induced hypersensitivity to artemisinin-based therapies for malaria. / Nordmann, Tamara; Borrmann, Steffen; Ramharter, Michael.
in: TRENDS PARASITOL, Jahrgang 38, Nr. 2, 02.2022, S. 136-146.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Drug-induced hypersensitivity to artemisinin-based therapies for malaria
AU - Nordmann, Tamara
AU - Borrmann, Steffen
AU - Ramharter, Michael
N1 - Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.
PY - 2022/2
Y1 - 2022/2
N2 - In the early 2000s, artemisinin-based combination therapy (ACT) was introduced as first-line treatment for uncomplicated Plasmodium falciparum malaria in virtually all endemic countries. However, despite the well-known excellent tolerability of ACTs, hypersensitivity to artemisinin derivatives remains a repeatedly documented adverse drug reaction of still unknown frequency. The clinical features of an artemisinin-induced hypersensitivity reaction range from mild to life-threatening severity, and a significant number of cases may pass unnoticed. In this review, we discuss the medical importance of hypersensitivity to artemisinin derivatives and we review data on the presumed frequency and its potential underlying mechanisms. Furthermore, we advocate to make alternative non-artemisinin-based drugs available for patients who do not tolerate artemisinin derivatives and to continue investing in the development of novel non-artemisinin-based combination regimens.
AB - In the early 2000s, artemisinin-based combination therapy (ACT) was introduced as first-line treatment for uncomplicated Plasmodium falciparum malaria in virtually all endemic countries. However, despite the well-known excellent tolerability of ACTs, hypersensitivity to artemisinin derivatives remains a repeatedly documented adverse drug reaction of still unknown frequency. The clinical features of an artemisinin-induced hypersensitivity reaction range from mild to life-threatening severity, and a significant number of cases may pass unnoticed. In this review, we discuss the medical importance of hypersensitivity to artemisinin derivatives and we review data on the presumed frequency and its potential underlying mechanisms. Furthermore, we advocate to make alternative non-artemisinin-based drugs available for patients who do not tolerate artemisinin derivatives and to continue investing in the development of novel non-artemisinin-based combination regimens.
KW - Antimalarials/adverse effects
KW - Artemisinins/adverse effects
KW - Drug Therapy, Combination
KW - Humans
KW - Hypersensitivity
KW - Malaria/drug therapy
KW - Malaria, Falciparum/drug therapy
KW - Plasmodium falciparum
U2 - 10.1016/j.pt.2021.08.011
DO - 10.1016/j.pt.2021.08.011
M3 - SCORING: Review article
C2 - 34561157
VL - 38
SP - 136
EP - 146
JO - TRENDS PARASITOL
JF - TRENDS PARASITOL
SN - 1471-4922
IS - 2
ER -