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Antimalarial (artemisinin-based combination therapy, ACT)

Artemether/Lumefantrine: uses, side effects & precautions

Also known as Coartem, Riamet.

Ces informations sont fournies à titre indicatif uniquement et ne constituent pas un avis médical. Consultez toujours un professionnel de santé qualifié pour toute préoccupation médicale personnelle. En cas d'urgence, appelez votre numéro d'urgence local.

What it is used for

  • Treatment of uncomplicated malaria caused by Plasmodium falciparum
  • Treatment of mixed malaria infections that include P. falciparum

How it works

Artemether rapidly kills the malaria parasites in the blood, while lumefantrine clears the remaining parasites more slowly over a longer period. Combining the two reduces parasite numbers quickly and lowers the chance of resistance developing.

How it is taken

Usually taken as oral tablets, including a dispersible tablet form for children. It is taken as a short course over a few days and works best when taken with food or a fatty drink such as milk, which helps the body absorb it. Take it exactly as your doctor, pharmacist, or the label directs, and finish the full course even if you feel better.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Headache
  • Dizziness
  • Loss of appetite
  • Nausea or vomiting
  • Abdominal pain
  • Muscle or joint aches
  • Tiredness
  • Sleep disturbance

Serious effects — get help

  • Irregular or very fast heartbeat, fainting, or palpitations (possible heart-rhythm effect) — seek urgent care
  • Signs of a severe allergic reaction such as swelling of the face, lips, or throat, or difficulty breathing — seek emergency care
  • Persistent vomiting that prevents you from keeping the medicine down — contact your clinician
  • Worsening malaria symptoms or new confusion, seizures, or extreme weakness — seek emergency care

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other medicines that can affect heart rhythm (some antiarrhythmics, certain antipsychotics, some antibiotics and antifungals)
  • Drugs that strongly induce or inhibit liver enzymes (some anti-seizure medicines, rifampicin, certain HIV medicines)
  • Grapefruit juice may affect drug levels
  • Other antimalarials

Who should take care

  • Tell your clinician if you have a known heart-rhythm condition or a family history of sudden cardiac death
  • Discuss any history of liver or kidney problems
  • Inform your clinician if you are pregnant, planning pregnancy, or breastfeeding
  • Mention any electrolyte problems such as low potassium or magnesium
  • Tell your clinician about all other medicines, including over-the-counter and herbal products

Frequently asked questions

Why do I need to take it with food?
Taking it with food or a fatty drink like milk helps your body absorb the lumefantrine component properly. Poor absorption can make the treatment less effective. Follow the instructions from your clinician or the label.
What if I vomit shortly after a dose?
Vomiting can mean your body did not absorb the medicine. Do not guess about repeating a dose — contact your doctor or pharmacist for advice.
Can I stop early if I feel better?
No. Finishing the full course is important to fully clear the parasite and reduce the risk of the malaria coming back or becoming resistant. Take it exactly as directed.
Is this safe in pregnancy?
Use during pregnancy depends on your stage of pregnancy and the situation. Only a clinician can decide whether it is appropriate for you, so tell them if you are or might be pregnant.

Related conditions

Related medicines

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