Bibliographic information

GuidelineWHO guidelines for malaria, 13 August 2025
Year of Publication2025
Issuing InstitutionWorld Health Organization

Recommendation

New

In low-transmission areas, a single dose of 0.25 mg/kg bw primaquine should be given with an ACT to patients with P. falciparum malaria (except pregnant women) to reduce transmission. Glucose-6-phosphate dehydrogenase testing is not required.

Recommended in favor

Strong

Notes and Remarks

Practical info In light of concern about the safety of the previously recommended dose of 0.75 mg/kg bw in individuals with G6PD deficiency, a WHO panel reviewed the safety of primaquine as a P. falciparum gametocytocide and concluded that a single dose of 0.25 mg/kg bw of primaquine base is unlikely to cause serious toxicity, even in people with G6PD deficiency [223]. Thus, where indicated a single dose of 0.25mg/kg bw of primaquine base should be given on the first day of treatment, in addition to an ACT, to all patients with parasitologically confirmed P. falciparum malaria except for pregnant women, infants < 1 months of age and women breastfeeding infants < 1 months of age. Secretion of primaquine in breast milk is negligible [224]. Dosing table based on the most widely currently available tablet strength (7.5mg base) (see Table).