Plasma chloroquine and desethylchloroquine concentrations in children during and after chloroquine treatment for malaria

Br J Clin Pharmacol. 1983 Dec;16(6):701-5. doi: 10.1111/j.1365-2125.1983.tb02244.x.

Abstract

Twelve children with acute falciparum malaria were treated with 25 mg/kg chloroquine orally in three divided doses at 24 h intervals. Concentrations of chloroquine and its metabolite, desethylchloroquine, were measured in plasma from the beginning of treatment for up to 7 days using a high pressure liquid chromatography (h.p.l.c.) technique. Chloroquine was detectable in plasma within 30 min of giving the drug. Peak level was reached in 1-8 h after the first dose of 10 mg/kg and the peak concentrations ranged between 65 and 263 ng/ml. Chloroquine concentration declined slowly in plasma after stopping drug administration so that the concentration at the seventh day was 37.5% of the concentration on the third day. The apparent half-life was 3-4 days. Desethylchloroquine was detectable in plasma within 30 min of giving chloroquine and peak levels were reached in 2-12 h. Peak concentration after the first dose of chloroquine ranged between 9 and 62 ng/ml. Desethylchloroquine was also slowly cleared from plasma and mean concentration at the end of 7 days was 49% of the mean concentration at the end of 3 days.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child, Preschool
  • Chloroquine / analogs & derivatives*
  • Chloroquine / blood*
  • Chloroquine / therapeutic use
  • Drug Resistance
  • Humans
  • Infant
  • Malaria / drug therapy*

Substances

  • Chloroquine
  • desethylchloroquine