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. 2020 Jul 24;62:e52. doi: 10.1590/S1678-9946202062052

Table 2. Negative PCR results, cardiac conditions, seronegativation; negative parasitological tests after treatment with benznidazole and adverse events observed during the treatment.

Author Treatment scheme of benznidazole PCR results (%) Cardiac conditions (%) Serological parameters (%) Parasitological parameters negative results (%) Adverse effects
Alvarez et al.6 5 mg/kg/day, divided into two daily doses every 5 days, for a total of 60 days 94.0 - - - Dermatitis (35.0%); gastrointestinal intolerance (25.0%); increased liver enzymes (20.0%); loss of appetite (5.0%); insomnia (5.0%). No serious adverse effects.
Andrade et al. 12 5 mg/kg/day/60 days - Maintained: 62.9 Unchanged: 69.2 Regressive: 23.1 Progressive: 7.7 - -
Andrade et al. 13 5 mg/kg every 8 hours/60 days - Maintained: 76.2 Worsening: 19.0 Unchanged: 80.0 Regressive: 10.0 Progressive: 10.0   -
Antunes et al. 20 No dose information. BNZ for 50-60 days; BNZ > 60 days. BNZ ≤60 days: 77.8 BNZ >60: 66.7 Maintained: 100.0 - - Allergic reactions (19.5%)
Braga et al.21 10 mg/Kg/day/ 30 or 60 days < 1 to 36 T. cruzi/ml (means 6.45 ± 9.28) - - - -
Coura et al.22 5 mg/kg/twice daily/ 30 days - Maintained: 100.0 Unchanged: 100.0 98.2 Rash, peripheral neuropathy gastrointestinal disorders. The adverse effects were discrete or moderate.
Fabbro et al. 23 5 mg/kg/day/ 30 days with half of the dose in the first week. - Worsening: 3.7 Unchanged: 44,4 Regressive: 33,3 Progressive: 22,2 100.0 Maculopapular erythema (12.5%); pruritus and edema (3.7%). These patients had to stop the medication because of intolerance.
Fernández et al. 11 2.5-5.5 mg/Kg/ 60 days 100.0 - - - Dermatitis, pruritus, oral mucositis, dysgeusia, paresthesia in lower limb, hypereosinophilia.
Lana et al.14 5-10 mg/kg/day for 40-60 consecutive days 14.8 Worsening: 4.6 Unchanged: 100.0 92.9 Anorexia, muscle pain, exanthema. One case of severe adverse effects was documented.
Laucella et al. 24 5 mg/kg/day/30 days - - Unchanged: 81.5 Regressive: 13.9 Progressive: 4.6 - -
Levi et al.15 5 mg/kg/day to 8 mg/kg/day/60 days - - - 63.4 Vesicular rash, peripheral neuropathy and psychiatric manifestations, leading to discontinuation of treatment in 41.5% of the patients.
Molina et al.25 150 mg twice daily/ 60 days 61.5 - - - Severe cutaneous reactions (6.4%) leading to discontinuation of treatment.
Morillo et al.26 300 mg per day with a variable duration of therapy (between 40 to 80 days) At the end of the treatment: 66.2; 2 years: 55.4; 5 years or more: 46.7 Worsening at 2 years: 36.7; Worsening at 5 years or more: 38.2 - - Cutaneous rash, gastrointestinal symptoms, and nervous system disorders leading to discontinuation of treatment in 23.9% of the patients.
Morillo et al.27 20 0mg daily/ 60 days BNZ+POS: 30 days: 88.9 60; days: 92.3; 360 days: 96.0 BNZ: 30 days: 89.7; 60 days: 89.3; 360 days: 96.0 - - - Severe adverse events (7.0%): cutaneous rash, nervous system disorders and gastrointestinal signs and symptoms.
Oliveira et al.16 5 mg/kg twice daily/ 60 days 76.2 There was worsening of the heart rate. - - -
Pérez-Antón et al.19 5 mg/kg/day/ 60 days 52.6 - - - -
Perez- Mazliah et al. 17 Allopurinol: 600 mg/day/ 90 days followed by 30 days of BNZ (5 mg/kg/day) - - Regressive: 73.0 - Mild dermatitis (26.7%), moderate dermatitis (26.7%). Treatment discontinuation was required in two cases (13%): one during treatment with allopurinol and one during treatment with BNZ.
Pinazo et al.28 5 mg/kg/day/ 60 days - - - - Gastrointestinal symptoms (76.0%); skin symptoms (74.0%), neurological/ musculoskeletal symptoms (74.0%), pruritus (70.0), fever (15.0%). Treatment was discontinued in 11 patients, 7 among them due to severe adverse effects.
Pinazo et al.29 5 mg/kg/day/ 60 days 75.0 - - - -
Torrico et al. 30 5 mg/kg twice daily/ 60 days 97.0 - Unchanged: 87.0 Regressive: 9.0 Inconclusive: 4.0 - Severe adverse events: 4.0%
Vallejo et al. 33 5 mg/kg twice daily/ 60 days 100.0 - - - Maculopapular rash, facial rash, fever, rash. Three discontinued therapy owing to adverse reactions.
Viotti et al.31 5 mg/kg/day/30 days - Worsening: 5.0 Regressive: 15.0 - -
Viotti et al.32 5 mg/kg/day/30 days - Maintained: 100.0 Regressive: 40.0 - -