Preliminary pharmaceutical development of antimalarial–antibiotic cotherapy as a pre-referral paediatric treatment of fever in malaria endemic areas

نویسندگان

  • Alexandra Gaubert
  • Tina Kauss
  • Mathieu Marchivie
  • Boubakar B. Ba
  • Martine Lembege
  • Fawaz Fawaz
  • Jean-Michel Boiron
  • Xavier Lafarge
  • Niklas Lindegardh
  • Jean-Louis Fabre
  • Nicholas J. White
  • Piero L. Olliaro
  • Pascal Millet
  • Karen Gaudin
چکیده

Artemether (AM) plus azithromycin (AZ) rectal co-formulations were studied to provide pre-referral treatment for children with severe febrile illnesses in malaria-endemic areas. The target profile required that such product should be cheap, easy to administer by non-medically qualified persons, rapidly effective against both malaria and bacterial infections. Analytical and pharmacotechnical development, followed by in vitro and in vivo evaluation, were conducted for various AMAZ coformulations. Of the formulations tested, stability was highest for dry solid forms and bioavailability for hard gelatin capsules; AM release from AMAZ rectodispersible tablet was suboptimal due to a modification of its micro-crystalline structure.

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عنوان ژورنال:

دوره 468  شماره 

صفحات  -

تاریخ انتشار 2014