Artesunate Mefloquine Tablets

Arsugin M Combipack
Artesunate Tablets + Mefloquine Tablets
a) Each Film Coated Tablet Contains:
Artesunate 200 mg
b)  Each Film Coated Tablet Contains:
Mefloquine Hydrochloride BP
eq. To Mefloquine 250 mg

Usage: – Treat severe Malaria

Category: – Antimalarial drugs

Therapeutic category: – Antimalarial,

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Description

Artesunate and Mefloquine Tablets (AS+MQ)

Manufactured by: Healthy Life Pharma Pvt. Ltd. (WHO-GMP Certified)

Exported by: Healthy Inc (Star Export House)

1. Product Introduction

Healthy Life Pharma Pvt. Ltd. is a specialized Manufacturer of Artesunate and Mefloquine Tablets in India. This Artemisinin-based Combination Therapy (ACT) is a critical antimalarial formulation recommended by the World Health Organization (WHO) for the treatment of uncomplicated Plasmodium falciparum malaria, particularly in regions with multi-drug resistance (MDR), such as Southeast Asia and the Amazon basin.

 

We offer Contract Manufacturing (Third Party) services for this high-potency combination. Because Artesunate acts rapidly while Mefloquine has a very long half-life, this combination is extremely effective at preventing recrudescence (return of infection). Our WHO-GMP certified facility in Mumbai utilizes advanced Bilayer Tablet Technology or Co-Blistered Combi-Packs to ensure the chemical stability of both active ingredients. Healthy Inc manages the export logistics, supplying National Malaria Control Programs (NMCP) and NGOs with high-stability formulations.

2. Product Specifications

ParameterSpecification
Product NameArtesunate and Mefloquine Tablets
Generic NameArtesunate & Mefloquine Hydrochloride Tablets USP / BP / IP
CAS Number88495-63-0 (Artesunate) / 53230-10-7 (Mefloquine)
Strength

Pediatric: Artesunate 25mg + Mefloquine 55mg

 

Adult: Artesunate 100mg + Mefloquine 220mg

Dosage FormBilayer Tablet (FDC) / Co-Blistered Tablets
StandardUSP / BP / IP / WHO Compliant
Therapeutic ClassAntimalarial / ACT
Shelf Life24 to 36 Months
Packaging1×3, 1×6 (Alu-Alu Blisters)

3. Manufacturing Technology

Ensuring stability in tropical climates is our priority.

  • The Manufacturer: Healthy Life Pharma Pvt. Ltd.

    • Bilayer Technology: To prevent chemical interaction, we often manufacture this as a Bilayer Tablet. One layer contains Artesunate (acid-sensitive) and the other contains Mefloquine. This physical separation ensures that the Artesunate does not degrade into Dihydroartemisinin prematurely.

    • Hydrolysis Protection: Artesunate is highly susceptible to moisture. We process it in Dehumidified Suites (< 30% RH) and use moisture-protective excipients.

    • Taste Masking: Mefloquine is intensely bitter. We use specialized film coatings (Opadry) or sweeteners in pediatric formulations to improve palatability and compliance.

  • The Exporter: Healthy Inc

    • High-Barrier Packaging: We exclusively use Alu-Alu Cold Form Blisters for this product. This provides a near-perfect barrier against humidity and light, which is essential for preserving the potency of Artesunate during transport to malaria-endemic regions.

4. Quality Assurance

We adhere to strict Pharmacopoeial and WHO protocols:

  • Dissolution: We test the release rate of both drugs. Artesunate must release immediately (>85% in 15 mins) to lower the parasite load, while Mefloquine releases effectively to clear residual parasites.

  • Related Substances: We strictly monitor for degradation products like Artemisinin and specific Mefloquine impurities to ensure safety.

  • Assay: We confirm the precise content of both actives (90-110%) using validated HPLC methods.

5. Why Use Artesunate + Mefloquine?

It is the drug of choice for resistant malaria strains.

  • Mechanism:

    • Artesunate: Rapidly reduces the parasite biomass (kills 99% of parasites within the first 24 hours).

    • Mefloquine: Has a very long half-life (2-3 weeks); it eliminates the remaining parasites (“mop-up” action) to prevent the infection from returning.

  • Key Indications:

    • MDR Malaria: Highly effective in areas where Plasmodium falciparum is resistant to other drugs like Chloroquine or SP.

    • Standby Treatment: Often prescribed for travelers to carry in case of emergency malaria symptoms in remote areas.

6. Export and Regulatory Support

We streamline the registration process for our B2B partners:

  • Dossier Support: We offer CTD and ACTD Dossiers for quick registration.

  • Certificates: Free Sale Certificate (FSC), COPP (WHO-GMP), and COA.

  • Logistics: Efficient shipping via Air or Sea (FOB Mumbai / CIF).

7. Frequently Asked Questions

  • Q: Who manufactures Artesunate Mefloquine Tablets?

    A: Healthy Life Pharma Pvt. Ltd. manufactures them in India using stability-enhanced bilayer technology.

  • Q: Can this be used for prevention (prophylaxis)?

    A: No. This combination is for treatment only. Mefloquine alone can be used for prevention, but Artesunate should not be used for long-term prophylaxis to prevent resistance.

  • Q: Does it cause neuropsychiatric side effects?

    A: Mefloquine has been associated with anxiety, vivid dreams, or dizziness in some patients. It should be used with caution in patients with a history of psychiatric conditions.


CLINICAL PHARMACOLOGY & SAFETY INFORMATION

(For Registered Medical Practitioners & Patient Reference)

8. Dosage and Administration

  • Standard Course: Taken once daily for 3 days.

  • Dosing by Weight:

    • 5 to <9 kg: 1 tablet (25/55mg) daily.

    • 9 to <18 kg: 2 tablets (25/55mg) daily.

    • 30 kg (Adult): 2 tablets (100/220mg) daily.

  • Administration: Take with food or a full glass of water to improve absorption and reduce stomach upset.

9. Side Effects and Precautions

  • Common Side Effects: Nausea, vomiting, dizziness, sleep disturbances (vivid dreams), and abdominal pain.

  • Neuropsychiatric: Rare but serious risk of anxiety, depression, or hallucinations. Contraindicated in patients with a history of seizures or psychiatric disorders.

  • Cardiac: Use with caution in patients with cardiac conduction disorders.

10. Storage Instructions

  • Store below 30°C in a dry place.

  • Keep strictly protected from light and moisture.