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Coartem vs. Malarone

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Coartem (artemether/lumefantrine) and Malarone (atovaquone/proguanil) are both antimalarial medications, but they have some key differences. Coartem is only available as a brand name and is used solely for treating malaria, while Malarone is available in both brand and generic forms and can be used for both prevention and treatment of malaria. Coartem requires a more complex dosing schedule, with multiple doses taken over three days, whereas Malarone is taken once daily. Coartem must be taken with food to be effective and has many interactions with heart medications, making it less suitable for people with heart conditions. On the other hand, Malarone is not recommended for people with severe kidney or liver problems and is taken with food or a milk-based drink. Coartem can be used in children as young as 2 months old, while Malarone is suitable for children based on weight. Both medications can cause side effects like headache and dizziness, but Coartem has a higher incidence of these side effects.

Coartem

(artemether / lumefantrine)

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Malarone

(atovaquone / proguanil)

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Summary for Coartem

Prescription only

Coartem (artemether / lumefantrine) is an effective alternative treatment for certain types of malaria, but is only available as a brand name medication, so it might be expensive.

Indications for Coartem

  • Treatment of malaria caused by Plasmodium falciparum in people 2 months of age or older who weigh at least 5 kg (11 pounds)

Pros and Cons for Coartem

Pros

  • Only 3 days of treatment
  • Can be used in children 2 months or older who weigh at least 5 kg (11 pounds)
  • Effective in areas where there is resistance to chloroquine, another antimalarial medication

Cons

  • Many interactions with heart medications and heart conditions
  • Available as a brand only, so it might be expensive
  • Even though it only used for 3 days, you'll take a lot of pills at one time (i.e., 24 tablets over 3 days in adults)

Common Side Effects for Coartem

  • Headache (56%)
  • Loss of appetite (40%)
  • Dizziness (39%)
  • Lack of energy (38%)
  • Joint pain (34%)
  • Muscle pain (32%)

Warnings for Coartem

  • Heart problems
  • Use with other antimalarials
  • Recurrence of malarial infection

Summary for Malarone

Prescription only

Malarone (atovaquone / proguanil) is a CDC-recommended medication to help prevent and treat malaria. This combination medication is taken by mouth once per day. It doesn't have many side effects and can be used in children and adults.

Indications for Malarone

  • Prevention and treatment of malaria caused by Plasmodium falciparum species

Pros and Cons for Malarone

Pros

  • Works well for preventing and treating malaria
  • Can use for traveling to areas known to have resistance to chloroquine, another antimalarial medication
  • Good choice for shorter trips because you only have to take it for 1 more week after leaving from the malaria area, rather than for 4 more weeks with other malaria medications (e.g., mefloquine, chloroquine)
  • Has relatively few side effects

Cons

  • Not the best choice for people with severe kidney or liver problems
  • Not recommended for pregnant or breastfeeding females
  • Taken once per day (compared to other antimalarial medications that are taken once per week)

Common Side Effects for Malarone

  • Stomach pain
  • Nausea
  • Vomiting
  • Diarrhea
  • Low appetite
  • Headache
  • Weakness
  • Dizziness

Warnings for Malarone

  • Worsening infection
  • Liver damage

Prices with our coupons for Coartem vs. Malarone

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Coartem24 tablets / 20mg/120mg
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Atovaquone/Proguanil30 tablets / 250mg/100mg
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