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Primaquine vs. Mefloquine

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

Key takeaways

Primaquine (generic name: primaquine) and Mefloquine (generic name: mefloquine) are both antimalarial medications, but they have some key differences. Primaquine is used to treat malaria caused by the *Plasmodium vivax* parasite and is taken once daily for 14 days. It can also be used off-label for malaria prevention. Mefloquine, on the other hand, treats and prevents malaria caused by both *Plasmodium falciparum* and *Plasmodium vivax*. For prevention, it is taken once weekly, starting 1 to 3 weeks before travel and continuing for 4 weeks after leaving the malaria area. Mefloquine is not suitable for people with a history of mood disorders or seizures, while Primaquine requires testing for G6PD deficiency before use. Primaquine is not safe during pregnancy, whereas Mefloquine can be used during pregnancy but may not always be the best option. Common side effects of Primaquine include nausea and stomach pain, while Mefloquine can cause dizziness, mood changes, and unusual dreams.

Primaquine

 

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Mefloquine

 

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Summary for Primaquine

Prescription only

Primaquine helps treat certain types of malaria. It's also commonly used for prevention of malaria if you're traveling to a region where the disease is commonly found. This medication can cause stomach upset, nausea, and diarrhea.

Indications for Primaquine

  • Malaria caused by the Plasmodium vivax parasite

Pros and Cons for Primaquine

Pros

  • Good choice to treat certain types of malaria
  • Taken only once a day
  • Good for last minute travelers for malaria prevention; can start the medication 1 to 2 days before traveling

Cons

  • Must be tested for a genetic condition called glucose-6-phosphate dehydrogenase (G6PD) deficiency before starting
  • Can cause stomach upset
  • Can't be used in pregnancy

Common Side Effects for Primaquine

  • Nausea
  • Vomiting
  • Stomach pain or cramps
  • Dizziness

Warnings for Primaquine

  • Low red blood cell counts in people with G6PD deficiency
  • Blood problems
  • Heart rhythm problems

Summary for Mefloquine

Prescription only

Mefloquine is a good option to prevent and treat certain types of malaria. It's taken once a week for prevention and as a one-time dose for treatment. The medication can't be used in people with a history of mood disorders or seizures.

Indications for Mefloquine

  • Treatment and prevention of malaria caused by Plasmodium falciparum and Plasmodium vivax

Note: When used for the treatment of malaria caused by Plasmodium vivax, you will need to combine mefloquine with another antimalarial medication called primaquine.

Pros and Cons for Mefloquine

Pros

  • Good for prevention if you're taking a long trip, because it's only taken once weekly
  • Can be used in children weighing more than 20 kg
  • Available as a generic

Cons

  • Has more side effects than other antimalarials
  • Needs to be started 1 to 3 weeks before traveling if you're using it to prevent malaria
  • Not a good option for people who with active depression, a recent history of depression, anxiety, psychosis, schizophrenia or other major psychiatric conditions, or history of convulsions

Common Side Effects for Mefloquine

Most common side effects when used for treatment of malaria:

  • Dizziness
  • Muscle pain
  • Stomach pain
  • Nausea
  • Headache
  • Vomiting
  • Diarrhea
  • Skin rash
  • Fever
  • Chills
  • Tiredness
  • Loss of appetite
  • Ringing sound in ears (tinnitus)

Most common side effects when used for prevention of malaria:

  • Vomiting (3%)

Warnings for Mefloquine

  • Changes in mood and behavior
  • Heart problems
  • Feeling faint
  • Seizures
  • Nerve and eye damage

Prices with our coupons for Primaquine vs. Mefloquine

Price Card Drug Icon
Primaquine28 tablets / 26.3mg
$21.10-
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Mefloquine10 tablets / 250mg
$32.83$113.93
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