Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Malarone (atovaquone/proguanil) and Plaquenil (hydroxychloroquine) are both used to prevent and treat malaria, but they have some key differences. Malarone is a combination of two medications, atovaquone and proguanil, and is taken once per day. It is also used specifically for malaria caused by *Plasmodium falciparum*. Plaquenil, on the other hand, is a single medication that can be taken once or twice per day and is also used to treat rheumatoid arthritis and lupus in adults. Malarone is not recommended for people with severe kidney or liver problems, while Plaquenil can cause serious side effects like heart rhythm problems and eye damage. Additionally, Malarone is not recommended for pregnant or breastfeeding women, whereas Plaquenil may be considered during pregnancy if the benefits outweigh the risks. Both medications are available as lower-cost generics.
Malarone (atovaquone / proguanil)
Hydroxychloroquine (Plaquenil)
Malarone (atovaquone / proguanil)
Hydroxychloroquine (Plaquenil)
Summary of Malarone vs. Plaquenil
Summary for Antimalarial
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.
•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