Description
Indication
Artemether injection is indicated for:
- Severe malaria: It is used when oral therapy is not possible or effective.
- Alternative to injectable artesunate: When artesunate is unavailable, Artemether can be used
Dosage
The dosage of artemether injection varies based on the patient’s weight:
- Initial dose: 3.2 mg/kg by intramuscular (IM) injection on the first day.
- Maintenance dose: 1.6 mg/kg once daily
For example:
- Children and adults:
- 3-4 kg: 0.2 ml (initial), 0.1 ml (maintenance)
- 10-14 kg: 0.6 ml (initial), 0.3 ml (maintenance)
- 40-49 kg: 2 ml (initial), 1 ml (maintenance)
Treatment should continue parenterally for at least 24 hours (2 doses), then switch to oral therapy if possible
Side Effects
Common side effects of artemether injection include:
- Gastrointestinal disturbances (nausea, vomiting)
- Dizziness
- Rarely, cardiac effects such as bradycardia and QT interval prolongation
Precautions
- Pregnancy: No contraindications, but should be used with caution.
- Breastfeeding: No contraindications.





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