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Malarone vs. Aralen

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

Key takeaways

Malarone (atovaquone/proguanil) and chloroquine phosphate are both used to prevent and treat malaria, but they have some key differences. Malarone is a combination of two medications, atovaquone and proguanil, which work together to stop the malaria parasite from growing. It is taken once per day and is effective in areas with chloroquine-resistant malaria. Chloroquine, on the other hand, is a single medication that interferes with the parasite's growth processes and is taken weekly for prevention. Both medications have a generic form. Chloroquine can cause serious side effects like heart rhythm problems and vision changes, especially with long-term use. Malarone is not recommended for people with severe kidney or liver problems and is not the best choice for pregnant or breastfeeding women. In contrast, chloroquine is considered safe for use during pregnancy. Both medications require a prescription and should be taken exactly as directed by your healthcare provider.

Malarone

(atovaquone / proguanil)

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Chloroquine

 

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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

Summary for Aralen

Prescription only

Chloroquine works well to prevent and treat certain types of malaria. But it can cause serious side effects, such as heart rhythm problems.

Indications for Aralen

  • Treatment of uncomplicated malaria
  • Prevention of malaria in areas of the world where there's no chloroquine resistance
  • Extraintestinal amebiasis (a type of parasitic infection)

Pros and Cons for Aralen

Pros

  • Generally safe to use for malaria prevention and treatment during pregnancy
  • Can be taken by children
  • Can take with or without food
  • Available as a lower-cost generic

Cons

  • Should be taken 2 weeks before traveling to an area with malaria, compared to some alternatives that can be taken 1-2 days before
  • Only works well against malaria from certain areas of the world
  • Can't treat severe malaria
  • Can worsen conditions, such as psoriasis or seizures

Common Side Effects for Aralen

  • Nausea
  • Vomiting
  • Diarrhea
  • Stomach cramps
  • Headache
  • Rash
  • Itching

Warnings for Aralen

  • Heart problems
  • Low blood sugar
  • Muscle weakness and nerve problems
  • Worsening of psoriasis and porphyria
  • Hearing damage
  • Low blood counts
  • Liver or kidney damage
  • Seizures
  • Serious eye damage

Prices with our coupons for Malarone vs. Aralen

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Atovaquone/Proguanil30 tablets / 250mg/100mg
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Chloroquine Phosphate30 tablets / 250mg
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