District Health & Family Welfare Samiti, Jalpaiguri

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NVBDCP

DRUG SCHEDULE FOR TREATMENT OF P vivax MALARIA CASES

(As per NVDBCP Guide Line)

Chloroquine & Primaquine :

Chloroquine & Primaquine
Age in years	To be given just after collection of B/S				After obtaining B/S report
	Chloroquine Tab (consecutive 3 days)			Primaquine Tab (1st day single dose)	Pv (Tab Primaquine for 14 days)	Pf
	1st Day	2nd Day	3rd Day	Primaquine Tab (1st day single dose)	Pv (Tab Primaquine for 14 days)	Pf
0 -1	½ (75mg)	½ (75mg)	¼ (37.5 mg)	0	Nil	No medicine
1+ - 4	1 (150 mg)	1 (150 mg)	½ (75 mg)	1 (7.5 mg)	2.5 mg daily
4+ - 8	2 (300 mg)	2 (300 mg)	1 (150 mg)	2 (15 mg)	5 mg daily
8+ - 14	3 (450 mg)	3 (450 mg)	1½ (225 mg)	4 ( 30 mg)	10 mg daily
14 above	4 (600 mg)	4 (600 mg)	2 (300 mg)	6 (45 mg)	15 mg daily

NOTE: Tab Primaquine is contraindicated in Pregnancy
For Chloroquine resistant area (2nd line drug)
DRUG SCHEDULE FOR TREATMENT OF P falciperum MALARIA CASES of Jalpaiguri district

Sulphadoxine-Pyrimethamine & Artesunate Combination Therapy :

Sulphadoxine-Pyrimethamine & Artesunate Combination Therapy
Age in Yr.	Artesunate (AS) & SP)	Day-1 (No. of Tab)	Day-2 (No. of Tab)	Day-3 (No. of Tab)	Day-2 (Tab Primaquine)
Below 1Yr.	AS	½	½	½	0
Below 1Yr.	SP	¼	NIL	NIL
1 to 4Yr	AS	1	1	1	1 (7.5mg)
1 to 4Yr	SP	½	NIL	NIL
4+ to 8Yr	AS	2	2	2	2(15mg)
4+ to 8Yr	SP	1	NIL	NIL
8+ to 14Yr.	AS	3	3	3	4(30 mg)
8+ to 14Yr.	SP	2	NIL	NIL
14 & above	AS	4	4	4	6(45 mg)
14 & above	SP	3	NIL	NIL

NOTE :
• Jalpaiguri district is a High risk district as a whole.
• 2nd line drug are using for falciparum infection. Sulphadoxine-Pyrimethamine (SP), Artesunate (AS) should always be used in combination. Otherwise resistance to this drug will develop soon.

Now in our district we are using age wise combiblister pack of ACT.