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. 2024 Sep 3;25:583. doi: 10.1186/s13063-024-08428-8

Table 4.

Drugs contraindicated in this study

Dapsone
Sulphonamides
Methylene blue
Nalidixic acid
Nitrofurantoin
Niridazole
Aspirin
Traditional medicines
The following drugs may have a possible risk of haemolysis:
 Ciprofloxacin, norfloxacin
 Chloroquine
The following drugs are considered to be of doubtful risk of haemolysis:
 Chloramphenicol
 Quinine
The following drugs may increase the exposure of PQ metabolism by inhibiting the cytochrome (CYP) 450 and should not be prescribed by the research team unless clinically essential:
 Ketoconazole, itraconazole
 Cimetidine
 Grapefruit juice
 Erythromycin
 Ritonavir
The following drugs may decrease the exposure of PQ, by inducing CYP450. They should not be prescribed by the research team unless clinically essential:
 Barbiturates
 Carbamazepine
 Phenytoin
 Rifampicin
 Macrolide antibiotics
 Glucocorticoids
The following drug classes are metabolised by CYP2D6 and may compete with PQ [47]. They should not be prescribed by the research team unless clinically essential:
 Tricyclic antidepressants, e.g. amitriptyline
 Major tranquilisers: haloperidol
 Atypical antipsychotics: risperidone
 Selective serotonin reuptake inhibitors: paroxetine
 Beta blockers, e.g. carvedilol, metoprolol
 Opiates: codeine, tramadol
The following drugs are CYP2D6 inhibitors and may reduce the concentrations of PQ’s active oxidative metabolites. They should not be prescribed by the research team unless clinically essential:
 Amiodarone
 Cimetidine
 Diphenhydramine, terbinafine
 Fluoxetine, paroxetine
 Quinidine
 Ritonavir