Treatment: Antimalarials and other drugs

CountryAntimalarialConvulsionsStreptococcal sore throatDeworming
OralIM-Preferral
Afghanistan CHQ SP QUI DIA MEB*
Djibouti CHQ SP QUI DIA or MED PEN V or AMO# MEB*
Egypt -- -- -- SV BP --
Iran (Islamic Republic of) (physicians only) (physicians only) PEN V --
Iraq CHQ Pyrimethamine^ SP" -- DIA BP or AMO (ERY)# --
Morocco -- -- -- DIA or MED AMO or PEN V, BP (ERY)# --
Occupied Palestinian territory -- -- -- DIA BP (ERY)# --
Oman (Hospital management only) -- PEN V --
Pakistan ACTo -- QUI DIA BP or AMO MEB
Syrian Arab Republic -- -- -- SV BP (ERY)# --
Sudan ACTo ACTo QUI DIA -- --
Tunisia -- -- -- DIA BP or AMO, PEN V (ERY) --
Yemen ACTo ACTo ART sup or QUI DIA PEN V or BP MEB*

IM=intramuscular; ACT = Artemisinin-base Combination Therapy; AMO = Amoxicillin; ARTsup = Artesunate suppositories; BP = Benzathine-penicillin; CHQ = Chloroquine; DIA = Diazepam; MEB = Mebendazole; MED = Medazolam; PEN V = Penicillin V (Erythromycin if allergic to penicillin); PP = Pyrantel pamoate; QUI = Quinine; SP = Sulfadoxine-pyrimethamine; SV = Sodium valproate;

#STREPTOCOCCAL SORE THROAT

Djibouti: AMO for children 2 up to 12 months old, PEN V for older children; ERY for those allergic to penicillin.

Iraq: If BP not available, AMO given for 10 days; ERY for those allergic to penicillin

Morocco: AMO for children less than 2 years old, PEN V for those 24 up to 36 months old, BP for older children; ERY for those allergic to penicillin.

Occupied Palestinian territory, Syrian Arab Republic, Tunisia: ERY for children allergic to penicillin.

" SULFADOXINE-PYRIMETHAMINE

Iraq: Not to be given to children less than 2 years old

* MEBENDAZOLE:

Afghanistan: Child 1 year old or older and no dose in the previous 6 months: 250mg if child 2 yr

Djibouti: If Ancylostomiasis and Oxyuriasis are endemic in the Region, child is 2 years old or older, and no dose in the previous 6 months: 500mg

Pakistan: Child 1 year old or older and no dose in the previous 6 months: 500mg

Yemen: Child 2 years old or older and no dose in the previous 6 months: 500mg

^ PYRIMETHAMINE:

Iraq: To be given following chloroquine in all children more than 1 year of age, except for children with G-6-PD or specific contra-indication

Sulfadoxine-pyrimethamine (SP) not to be given to children less than 2 years old

oACT (Artemisinin-base Combination Therapy ):

Pakistan ACT includes first-line treatment with artesunate + sulfadoxine-pyrimethamine (SP)

Sudan, Yemen: ACT specifically includes:

a) First-line treatment: Artesunate + sulfadoxine-pyrimethamine (SP);

b) Second-line treatment: Artemether + lumefantrine

CountryAntimalarialConvulsionsStreptococcal sore throatDeworming
OralIM-Preferral
Afghanistan CHQ SP QUI DIA MEB*
Djibouti CHQ SP QUI DIA or MED PEN V or AMO# MEB*
Egypt -- -- -- SV BP --
Iran (Islamic Republic of) (physicians only) (physicians only) PEN V --
Iraq CHQ Pyrimethamine^ SP" -- DIA BP or AMO (ERY)# --
Morocco -- -- -- DIA or MED AMO or PEN V, BP (ERY)# --
Occupied Palestinian territory -- -- -- DIA BP (ERY)# --
Oman (Hospital management only) -- PEN V --
Pakistan ACTo -- QUI DIA BP or AMO MEB
Syrian Arab Republic -- -- -- SV BP (ERY)# --
Sudan ACTo ACTo QUI DIA -- --
Tunisia -- -- -- DIA BP or AMO, PEN V (ERY) --
Yemen ACTo ACTo ART sup or QUI DIA PEN V or BP MEB*

IM=intramuscular; ACT = Artemisinin-base Combination Therapy; AMO = Amoxicillin; ARTsup = Artesunate suppositories; BP = Benzathine-penicillin; CHQ = Chloroquine; DIA = Diazepam; MEB = Mebendazole; MED = Medazolam; PEN V = Penicillin V (Erythromycin if allergic to penicillin); PP = Pyrantel pamoate; QUI = Quinine; SP = Sulfadoxine-pyrimethamine; SV = Sodium valproate;

#STREPTOCOCCAL SORE THROAT

Djibouti: AMO for children 2 up to 12 months old, PEN V for older children; ERY for those allergic to penicillin.

Iraq: If BP not available, AMO given for 10 days; ERY for those allergic to penicillin

Morocco: AMO for children less than 2 years old, PEN V for those 24 up to 36 months old, BP for older children; ERY for those allergic to penicillin.

Occupied Palestinian territory, Syrian Arab Republic, Tunisia: ERY for children allergic to penicillin.

" SULFADOXINE-PYRIMETHAMINE

Iraq: Not to be given to children less than 2 years old

* MEBENDAZOLE:

Afghanistan: Child 1 year old or older and no dose in the previous 6 months: 250mg if child 2 yr

Djibouti: If Ancylostomiasis and Oxyuriasis are endemic in the Region, child is 2 years old or older, and no dose in the previous 6 months: 500mg

Pakistan: Child 1 year old or older and no dose in the previous 6 months: 500mg

Yemen: Child 2 years old or older and no dose in the previous 6 months: 500mg

^ PYRIMETHAMINE:

Iraq: To be given following chloroquine in all children more than 1 year of age, except for children with G-6-PD or specific contra-indication

Sulfadoxine-pyrimethamine (SP) not to be given to children less than 2 years old

oACT (Artemisinin-base Combination Therapy ):

Pakistan ACT includes first-line treatment with artesunate + sulfadoxine-pyrimethamine (SP)

Sudan, Yemen: ACT specifically includes:

a) First-line treatment: Artesunate + sulfadoxine-pyrimethamine (SP);

b) Second-line treatment: Artemether + lumefantrine