Malaria tablets: dose for children

Latest update: - Authors: Mieke Croughs, Ula Maniewski-Kelner

The following malaria tablets can be given to children to prevent malaria. The pharmacist can prepare capsules containing the correct dose.

Atovaquone/proguanil 

  • Can be used for children from 5 kg.
  • Junior tablets (62.5/25 mg) or tablets for adults (250/100 mg).
  • The tablets for adults can be cut into quarters using a tablet cutter. This is best done just prior to taking the tablet. If the tablets are cut well in advance, this can have an impact on the efficacy of the ingredients.
  • Take the tablet during a meal. 

Dose of atovaquone/proguanil for children

Weight of child in kg Number of tablets per day
<5 Not recommended
5-7 ½ juniortablet
8-10 ¾  juniortablet
11-20 1 junior tablet or ¼ adult tablet
21-30 2 junior tablets or ½ adult tablet
31-40 3 junior tablets or ¾ adult tablet
From 40 1 adult tablet

Mefloquine

  • Available in tablets of 250 mg.
  • Can be used for children from 5 kg.
  • The tablets for adults can be cut into quarters using a tablet cutter, or the pharmacist can prepare a special formulation.  

Dose of mefloquine for children: 4-5 mg/kg/week to a maximum of 250 mg 

Weight of child in kg Number of tablets once per week
<5 Not recommended
5-10 ⅛ tablet
11-20 ¼ tablet
21-30 ½ tablet
31-45 ¾ tablet
vanaf 45 1 tablet

Doxycycline

  • Can be used for children from 8 years of age.
  • The dose is 1.5 mg/kg/day to a maximum of 100 mg per day.

Different schedules and different medicines are used for the treatment of malaria. Also read the general measures to prevent malaria.

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