Begin 1-2 days before travel, daily during travel, and for 7 days after leaving. Factors that affect local malaria transmission patterns can change rapidly and from year to year, such as local weather conditions, mosquito vector density, and prevalence of infection. Plaquenil and valacyclovir Plaquenil cause fungal infection Ear pressure from plaquenil Plaquenil dilated eye retinal exam CDC states use may be considered in pregnant women for treatment of uncomplicated malaria caused by chloroquine-resistant P. falciparum when other treatment options not available or not tolerated and if potential benefits outweigh risks. 143 CDC states do not use for prevention of malaria in pregnant women. 115 Chloroquine is used to prevent or treat malaria caused by mosquito bites in countries where malaria is common. Malaria parasites can enter the body through these mosquito bites, and then live in body tissues such as red blood cells or the liver. CDC Malaria Hotline 770 488-7788 or 855 856-4713 toll free Monday –Friday, 9 am to 5 pm EST; 770 488-7100 after hours, weekends, and holidays 1 If a person develops malaria while taking chemoprophylaxis, that particular drug should not be used as a part of their treatment regimen. Use one of the other options instead. Several medications are available for chemoprophylaxis. When deciding which drug to use, consider specific itinerary, length of trip, cost of drug, previous adverse reactions to antimalarials, drug allergies, and current medical history. Information in these tables is updated regularly.4. Chloroquine resistant malaria cdc Chloroquine-Resistant Malaria in Travelers Returning from., Chloroquine Phosphate - WebMD Plaquenil and log qtEasily bruising side effect of plaquenilPlaquenil getting immuneHow to tell if plaquenil is working Chloroquine resistant or resistance unknown Atovoquone-proguanil. Artemether-lumefantrine. Quinine sulfate plus doxycycline, tetracycline, or clindamycin Mefloquine. All areas should be considered chloroquine-resistant unless specifically noted as chlorquine-sensitive below. See CDC Yellow Book for country-specific details Malaria in Children. Guidelines for Treatment of Malaria in the United States.. Chloroquine - FDA prescribing information, side effects and uses. Chloroquine phosphate or hydroxychloroquine sulfate Plaquenil can be used for prevention of malaria only in destinations where chloroquine resistance is not present see Chapter 2, Yellow Fever Vaccine & Malaria Prophylaxis Information, by Country. Prophylaxis should begin 1–2 weeks before travel to malarious areas. Malaria Information and Prophylaxis by Country; Country Areas with Malaria Drug Resistance 2 Malaria Species 3 Recommended Chemoprophylaxis 4 Key Information Needed and Helpful Links to Assess Need for Prophylaxis for Select Countries; Democratic Republic of the Congo Congo-Kinshasa All Chloroquine P. falciparum 90%, P. ovale 5%, P. vivax rare DRUG RESISTANT MALARIA Ability of a parasite strain to survive and/or to multiply despite the administration and absorption of a drug given in doses equal or higher than those usually recommended, but within the limits of tolerance of the patients. Main obstacle to malaria control.