Product image of Lariam (Mefloquine Hydrochloride) supplied by GNH India

Lariam

Active Ingredient:
Mefloquine Hydrochloride
Origin:
EU

Lariam (Mefloquine Hydrochloride)

Mefloquine hydrochloride, the active ingredient in Lariam, is an antimalarial (quinoline) presented as a tablet for oral use. It treats and prevents malaria infection in travelers and residents of endemic areas.

GNH India supplies Lariam as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Cheplapharm Arzneimittel Gmbh

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Indications & Clinical Uses

  • Lariam is an antimalarial that acts on the Plasmodium parasite to prevent and treat infection.
  • Prevention of malaria infection: provides chemoprophylaxis for individuals traveling to or residing in endemic regions.
  • Acute Plasmodium falciparum malaria: effective treatment of uncomplicated infections.
  • Acute Plasmodium vivax malaria: effective treatment of uncomplicated infections.

How It Works

  • Mefloquine hydrochloride inhibits the parasite's heme detoxification pathway and disrupts membrane function, leading to accumulation of toxic heme and loss of membrane integrity, which results in parasite death during the intra‑erythrocytic stage.

Side Effects

Common Side Effects

  • Nausea and vomiting
  • Dizziness or vertigo
  • Insomnia or vivid dreams
  • Headache
  • Visual disturbances
  • Gastrointestinal discomfort

Serious or Rare Side Effects

  • Neuropsychiatric reactions such as depression, anxiety, or psychosis
  • Severe allergic reactions including anaphylaxis
  • Cardiac arrhythmias or QT prolongation
  • Hepatic toxicity or elevated liver enzymes
  • Seizures or convulsions

Precautions & Warnings

  • Precautions should be observed when prescribing Lariam.
  • Pregnancy: safety not established; avoid unless benefits outweigh risks.
  • Breastfeeding: unknown; consider potential exposure to infant.
  • History of psychiatric disorders: use with caution due to neuropsychiatric risk.
  • Cardiac disease: monitor for arrhythmias and QT interval changes.
  • Drug interactions: review concomitant medications for potential effects.
  • Store at ambient temperature: keep below 25°C, in original packaging, protected from moisture.

Avoid Interactions

Lariam may interact with several medicines.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole): increase mefloquine levels.
  • Anticonvulsants (e.g., carbamazepine, phenytoin): reduce efficacy.
  • QT‑prolonging agents: heighten risk of cardiac arrhythmia.

Moderate Interactions (Monitor Closely)

  • Antacids: may affect absorption.
  • Rifampin: may lower plasma concentrations.
  • Cimetidine: may increase mefloquine exposure.

Frequently Asked Questions

Lariam (mefloquine hydrochloride) is an oral antimalarial indicated for chemoprophylaxis and for treatment of acute malaria caused by susceptible Plasmodium species. It is prescribed for travelers, military personnel, and residents in endemic regions.

Mefloquine interferes with the parasite’s heme detoxification pathway and disrupts membrane function, leading to accumulation of toxic heme and parasite death. It targets the intra‑erythrocytic stage of Plasmodium.

The dosing regimen is determined by the prescribing clinician based on indication, patient weight, and regional resistance patterns. Typical prophylactic schedules start one to two weeks before exposure and continue for four weeks after leaving the endemic area, while therapeutic regimens are individualized.

Safety data in pregnancy and lactation are limited. The drug is generally avoided during pregnancy unless the benefit outweighs potential risk, and breastfeeding mothers should consult a healthcare professional before use.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India 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.

Compared with alternatives such as atovaquone‑proguanil or doxycycline, mefloquine offers a weekly dosing schedule for prophylaxis, which can improve adherence, but it has a higher incidence of neuro‑psychiatric side effects. Choice depends on patient tolerance, resistance patterns and travel duration.

Lariam tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container, protected from moisture and direct sunlight. Do not store in a refrigerator or freezer.

Lariam is taken orally with a full glass of water, preferably with food to reduce gastrointestinal upset. For prophylaxis, tablets are usually taken once weekly; for treatment, the schedule is prescribed by a qualified healthcare provider.

The most serious adverse reactions include neuro‑psychiatric events such as depression, anxiety, psychosis, and severe allergic reactions like anaphylaxis. Cardiac arrhythmias and hepatic toxicity have also been reported; patients should seek immediate medical attention if these occur.

Lariam is contraindicated in individuals with a known hypersensitivity to mefloquine or other quinoline antimalarials, patients with a history of severe psychiatric disorders, and those with significant cardiac conduction abnormalities. It should also be avoided in pregnant women unless no safer alternative is available.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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