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

Mefloquine

Active Ingredient:
Mefloquine Hydrochloride
Origin:
EU

Mefloquine (Mefloquine Hydrochloride)

Mefloquine Hydrochloride, the active ingredient in Mefloquine, is a quinoline antimalarial presented as an oral dosage form for oral use. It is employed for the prevention of malaria and for the treatment of acute, uncomplicated malaria caused by chloroquine‑resistant Plasmodium falciparum in adults and children.

GNH India supplies Mefloquine as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality manufacturing, regulatory compliance and reliable global logistics, and supporting patient care across malaria‑endemic regions through consistent supply chains.

Manufacturer / TM Owner

Neon Healthcare Limited

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Indications & Clinical Uses

Mefloquine is used in the antimalarial therapeutic class to prevent and treat infections caused by Plasmodium species.

  • Malaria prophylaxis: prevents infection in individuals traveling to or residing in areas with chloroquine‑resistant malaria.
  • Chemoprophylaxis for malaria in endemic regions: provides ongoing protection during prolonged exposure.
  • Acute uncomplicated malaria (chloroquine‑resistant Plasmodium falciparum): treats infection, leading to parasite clearance and symptom resolution.

How It Works

  • Mefloquine disrupts the malaria parasite's ability to digest hemoglobin and interferes with the stability of its cell membranes. By binding to heme and inhibiting hemozoin formation, it causes toxic accumulation of free heme within the parasite, leading to oxidative damage and death of Plasmodium species.

Side Effects

Mefloquine may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Dizziness: transient light‑headedness.
  • Headache: occasional throbbing pain.
  • Insomnia: difficulty falling or staying asleep.

Serious or Rare Side Effects

  • Psychiatric reactions: anxiety, depression, or psychosis.
  • Seizures: rare convulsive episodes.
  • Severe allergic reactions: rash, swelling, or anaphylaxis.
  • Cardiac arrhythmias: QT interval prolongation leading to irregular heartbeat.

Precautions & Warnings

Before prescribing mefloquine, clinicians should consider several safety factors.

  • Assess contraindications: avoid in patients with known hypersensitivity to quinoline antimalarials.
  • Review psychiatric history: use cautiously in individuals with prior mood disorders.
  • Evaluate cardiac risk: monitor QT interval in patients with cardiac disease or on other QT‑prolonging drugs.
  • Consider hepatic function: adjust use in patients with severe liver impairment.
  • Store at ambient temperature: keep below 25°C in the original packaging, protected from moisture.

Avoid Interactions

Mefloquine can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Antiepileptic drugs (e.g., carbamazepine, phenytoin): may reduce mefloquine efficacy.
  • QT‑prolonging agents (e.g., quinidine, haloperidol): increase risk of cardiac arrhythmias.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., erythromycin, clarithromycin): may raise plasma concentrations.
  • CYP3A4 inducers (e.g., rifampicin, phenobarbital): may lower plasma concentrations.
  • Antacids: can affect gastrointestinal absorption of mefloquine.

Frequently Asked Questions

Mefloquine is an oral quinoline antimalarial indicated for the prevention of malaria (chemoprophylaxis) and for the treatment of acute, uncomplicated malaria caused by chloroquine‑resistant Plasmodium falciparum in adults and children.

Mefloquine interferes with the parasite’s hemoglobin digestion and destabilizes its cell membrane. By binding to heme, it prevents hemozoin formation, leading to toxic free heme buildup, oxidative stress, and ultimately death of the malaria parasite.

The specific dose and regimen of mefloquine are determined by the prescribing clinician based on the indication, patient weight, age, and local resistance patterns. Patients should follow the exact instructions provided by their healthcare professional.

Safety data for mefloquine in pregnancy and lactation are limited. Clinicians must weigh potential benefits against risks and consider alternative therapies when possible. Pregnant or breastfeeding individuals should discuss use with their healthcare provider.

To request mefloquine, 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.

Mefloquine is particularly effective against chloroquine‑resistant Plasmodium falciparum, whereas drugs like chloroquine are less active in resistant regions. Compared with artemisinin‑based combination therapies, mefloquine offers a longer half‑life, allowing less frequent dosing for prophylaxis, but it may have a higher incidence of neuropsychiatric side effects.

Mefloquine should be stored at ambient temperature, below 25 °C, in its original container, protected from moisture and direct sunlight. Keeping the product in a dry, cool place helps maintain its stability and potency.

Mefloquine is taken orally, usually with a full glass of water. For prophylaxis, it is started before travel, taken weekly during exposure, and continued for a short period after leaving the endemic area. For treatment, the prescribed regimen is followed as directed by the prescriber.

Serious risks include neuropsychiatric events such as severe anxiety, depression, psychosis, and rare seizures, as well as cardiac arrhythmias due to QT prolongation and severe allergic reactions. Patients should seek immediate medical attention if they experience any of these symptoms.

Mefloquine is contraindicated in individuals with known hypersensitivity to quinoline antimalarials, a history of severe psychiatric disorders, uncontrolled epilepsy, or significant cardiac disease that predisposes to QT prolongation. It should also be used with caution in patients with hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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