GNH USA

Europe — EMA

Malastad

GNH USA supplies Malastad (Atovaquone/Proguanil), a antimalarial for malaria prevention and treatment of acute Plasmodium falciparum infection.

Proguanil Hydrochloride, Atovaquone

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What is Proguanil Hydrochloride, Atovaquone?

Atovaquone/Proguanil, the active ingredient in Malastad, is an antimalarial presented as an oral tablet for systemic use. It is used to prevent malaria infection and to treat acute uncomplicated Plasmodium falciparum malaria in adults and children. GNH USA supplies Malastad as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

What is Proguanil Hydrochloride, Atovaquone used for?

Malastad belongs to the antimalarial drug class and is indicated for both prophylaxis and treatment of malaria caused by Plasmodium species. - Malaria prophylaxis: prevents infection in travelers to endemic regions. - Uncomplicated Plasmodium falciparum malaria: treats acute infection after it occurs. - Combination therapy: used with other antimalarials to reduce the risk of resistance and recurrence.

What are the side effects of Proguanil Hydrochloride, Atovaquone?

Adverse reactions may occur with Malastad and should be monitored.

Common Side Effects: - Nausea: mild to moderate gastrointestinal upset. - Headache: transient cranial discomfort. - Dizziness: occasional light‑headedness. - Abdominal pain: cramp‑like discomfort. - Vomiting: occasional emesis. - Rash: mild skin erythema.

Serious or Rare Side Effects: - Severe hypersensitivity: including anaphylaxis. - Stevens‑Johnson syndrome: severe skin reaction. - Hepatic dysfunction: elevated liver enzymes or hepatitis. - Hemolytic anemia: breakdown of red blood cells. - Severe neutropenia: markedly reduced neutrophil count. - Acute renal failure: sudden loss of kidney function.

What precautions apply to Proguanil Hydrochloride, Atovaquone?

Before prescribing Malastad, consider patient‑specific factors and safety measures. - Pregnancy: safety not established; avoid unless benefits outweigh risks. - Breastfeeding: caution advised; drug may be excreted in milk. - Renal impairment: assess kidney function and adjust if necessary. - Hepatic impairment: monitor liver enzymes during therapy. - Drug resistance: avoid using as monotherapy in areas with known resistance. - Store at ambient temperature: keep in original packaging, protect from moisture and direct sunlight.

What does Proguanil Hydrochloride, Atovaquone interact with?

Malastad may interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid): - Rifampin: induces metabolism, reducing atovaquone levels. - Phenobarbital: lowers plasma concentrations, compromising efficacy. - Protease inhibitor antiretrovirals: may increase toxicity risk.

Moderate Interactions (Monitor Closely): - Macrolide antibiotics (e.g., azithromycin): can raise atovaquone exposure. - Sulfonamides: additive risk of hypersensitivity reactions. - Warfarin: potential alteration of INR, requiring closer monitoring.

Frequently asked questions

What is Malastad used for?+
Malastad is an oral antimalarial medication that combines atovaquone and proguanil. It is used to prevent malaria infection in travelers to endemic areas and to treat acute uncomplicated Plasmodium falciparum malaria in patients who have already contracted the disease.
How does Atovaquone/Proguanil work?+
Atovaquone blocks mitochondrial electron transport in the malaria parasite, disrupting its energy production. Proguanil is converted in the body to cycloguanil, which inhibits the parasite’s dihydrofolate reductase enzyme, preventing folate synthesis. Together, they halt parasite growth and lead to its death.
What is the usual dose of Malastad?+
The specific dose of Malastad is determined by the prescribing clinician based on the patient’s age, weight, indication (pre‑exposure prophylaxis or treatment), and local resistance patterns. Dosage instructions are provided on the prescription label and should be followed exactly as directed.
Is Malastad safe to use during pregnancy or breastfeeding?+
Safety data for Malastad in pregnancy are limited, and it is generally not recommended unless the potential benefit justifies the risk. During breastfeeding, the drug may be excreted in milk, so caution is advised and a healthcare professional should evaluate the risk‑benefit balance.
How do I order Malastad from GNH USA?+
To order Malastad, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.
How does Malastad compare with other antimalarial options?+
Malastad combines two mechanisms of action, offering a broader spectrum and reduced risk of resistance compared with single‑agent therapies such as chloroquine or mefloquine. It is often preferred for travelers and in regions where resistance to older drugs is common, though cost and local guidelines may influence choice.
What are the storage requirements for Malastad?+
Malastad tablets should be stored at ambient temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in areas with high humidity or direct sunlight.
How is Malastad administered?+
Malastad is taken orally with food or a milky drink to enhance absorption. For prophylaxis, it is usually started 1–2 days before entering a malaria‑risk area and continued for 7 days after leaving. For treatment, it is taken as directed by a healthcare professional for the full prescribed course.
What are the most serious risks associated with Malastad?+
Serious risks, though rare, include severe hypersensitivity reactions such as anaphylaxis, Stevens‑Johnson syndrome, hepatic dysfunction, hemolytic anemia, and severe neutropenia. Patients should seek immediate medical attention if they experience signs of a serious allergic reaction, jaundice, dark urine, or unexplained bleeding.
Who should not use Malastad?+
Malastad should be avoided in individuals with known hypersensitivity to atovaquone, proguanil, or any component of the formulation. It is also contraindicated in patients with severe renal or hepatic impairment unless closely monitored, and it should not be used as monotherapy in areas with documented resistance.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Proguanil Hydrochloride, Atovaquone
Route
Oral Use
Manufacturer
Stada Arzneimittel Ag
Origin
EU

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