.PRESCRIPTION FOR AN ADULT MALE OF UNCOMPLICATED
CHLOROQUINE RESISTANT FALCIPARUM MALARIA
Name : Doctor’s
name:
Age : Reg
No.:
Sex:
Address:
DIAGNOSIS:
CHLOROQUINE RESISTANT FALCIPARUM MALARIA
Rx
·
Tab. ARTESUNATE 100mg
Dispense 6 tablets
2 tablets to be taken orally 2 times
a day for 3 days
·
Tab.SULFADOXINE
1500mg + Tab.PYRIMETHAMINE 75 mg single dose
Dispense 1 tablet of each
1 tablet of each to be taken as single dose
Or
·
Tab.
ARTESUNATE 100mg
·
Tab.
MEFLOQUINE 750 mg on 2ndday, 500mg on 3rd day
Or
·
Tab. QUININE 600mg /8 hrly
/ 7 days + DOXYCYCLINE 100mg /7 days
Signature of the doctor
Date
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