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. 2018 Nov 20;25(1):tay110. doi: 10.1093/jtm/tay110
  • Suppressive malaria prophylaxis standard-of-care is not adequate to the threat of delayed attacks after travel by the relapsing malarias.

  • Relapsing malarias occur wherever there is falciparum malaria, with few and minor exceptions.

  • Causal prophylaxis is effective against all malarias and prevents delayed attacks after travel.

  • Causal prophylaxis is suitable for both short-notice and short-duration travel.

  • Tafenoquine is a new drug that offers the advantages of causal prophylaxis with a weekly dosing regimen.

  • Tafenoquine is hemolytically toxic to patients having inherited G6PD deficiency, so is prohibited in those patients along with pregnant and lactating women. Safety in children is not yet established.