Description
How it works
co misomal ds tab 40/240mg medicine works by interfering with certain vital functions in the cell of the malarial parasite present in the blood.
Side effects
Major & minor side effects for co misomal ds tab 40/240mg
- Abdominal pain and cramps
- Nausea and Vomiting
- Diarrhea
- Itching and skin rash
- Hives and wheezing severe
- Dizziness and lightheadedness
- Ringing or buzzing in the ears
- Increased heartbeat severe
- Elevated liver enzymes severe
- Muscle and joint pain
- Sleep disturbances
- Weight loss severe
- Shaking and trembling of arms and feet
- Decrease/loss of hearing severe
- Uncontrolled eye movements
Uses of co misomal ds tab 40/240mg
What is it prescribed for?
- Acute uncomplicated malariaThis medicine is used to treat acute uncomplicated malaria caused by Plasmodium falciparum strain of the parasite. It may also be used for the treatment of malaria that is resistant to other medicines such as chloroquine or sulphadoxine-pyrimethamine combinations.
Concerns
Frequently asked questions
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Onset of action
The initial effect of this medicine can be observed within 2-3 hours of administration.
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Duration of Effect
The effect of this medicine lasts for an average duration of 3-6 days.
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Safe with Alchohol?
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
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Is it habit forming?
No habit-forming tendencies were reported.
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Usage in pregnancy?
Use of this medicine in pregnant women is not recommended unless absolutely necessary. Your doctor will evaluate all the potential risks and benefits associated with the use of this medicine before prescribing it.
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Usage while breast-feeding?
Use of this medicine in breastfeeding women is not recommended unless absolutely necessary. Your doctor will evaluate all the potential risks and benefits associated with the use of this medicine before prescribing it.
When not to use?
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Allergy
This medicine is not recommended for use in patients with a known allergy to artemether, lumefantrine, any other artemisinin derivatives, or any other ingredients present in the formulation.
Warnings
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Pregnancy
Use of this medicine in pregnant women is not recommended unless absolutely necessary. Your doctor will evaluate all the potential risks and benefits associated with the use of this medicine before prescribing it.
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Breast-feeding
Use of this medicine in breastfeeding women is not recommended unless absolutely necessary. Your doctor will evaluate all the potential risks and benefits associated with the use of this medicine before prescribing it.
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Liver impairment
This medicine should be used with caution in patients with liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
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Kidney impairment
This medicine should be used with caution in patients with kidney diseases due to the increased risk of severe adverse effects. Close monitoring of renal function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
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Heart diseases
This medicine should be used with caution in patients suffering from a pre-existing condition of the heart. Close monitoring of heart function and vital signs, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
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Drug resistance
It is strongly recommended to take this medicine for the entire prescribed duration even when symptoms resolve or improve. Failure to do so might result in parasitic resistance to the drug and treatment of further infection with this medicine would become difficult.
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Severe complicated malarial infection
This medicine is not recommended for use if the patient is suffering from a severe and complicated malarial infection.
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Hormonal contraceptives
This medicine may alter the effectiveness of hormonal contraceptives. Hence, alternative or additional means of contraception may be necessary based on the clinical condition of the patient.
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QT prolongation
This medicine should be used with extreme caution in patients suffering from QT prolongation due to the increased risk of worsening of the patient’s condition. Close monitoring of heart function and vital signs, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Dosage
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Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
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Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.
Interactions
Interaction with Medicines
- Erythromycin severe
- Quinidine moderate
- Chlorpromazine moderate
- Ciprofloxacin severe
- Quetiapine severe
- Terfenadine moderate
- Doxorubicin severe
- Doxepin severe
- Azithromycin severe
- Citalopram severe
- Duloxetine moderate
Disease interactions
- moderateThis medicine should be administered with caution in patients having an impaired liver function. Appropriate diagnostic tests must be performed before determining the dose regimen. Suitable dose adjustment and frequent monitoring may be needed to ensure safe and effective use.
- moderateThis medicine should be administered with caution in patients having an impaired kidney function. Appropriate diagnostic tests must be performed before determining the dose regimen. Suitable dose adjustment and frequent monitoring may be needed to ensure safe and effective use.
General Instructions
Take this medicine with food, as directed by your doctor. Do not take in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.
Other details
- To be taken with food
- To be taken as instructed by doctor
- May cause sleepiness
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