Bibliographic information

GuidelineWHO guidelines for malaria, 31 March 2022.
Year of Publication2022
Issuing InstitutionWHO

Recommendation

Maintained

Revised dose recommendation for dihydroartemisinin + piperaquine in young children: Children weighing <25kg treated with dihydroartemisinin + piperaquine should receive a minimum of 2.5 mg/kg bw per day of dihydroartemisinin and 20 mg/ kg bw per day of piperaquine daily for 3 days.

Recommended in favor

Strong

Notes and Remarks

Practical Info Formulations: Currently available as a fixed-dose combination in tablets containing 40 mg dihydroartemisinin and 320 mg piperaquine and paediatric tablets contain 20 mg dihydroartemisinin and 160 mg piperaquine. Target dose and range: A target dose (range) of 4 (2–10) mg/ kg bw per day dihydroartemisinin and 18 (16–27) mg/kg bw per day piperaquine given once a day for 3 days for adults and children weighing ≥ 25 kg. The target doses and ranges for children weighing < 25 kg are 4 (2.5–10) mg/kg bw per day dihydroartemisinin and 24 (20–32) mg/kg bw per day piperaquine once a day for 3 days. Recommended dosage regimen: The dose regimen currently recommended by the manufacturer provides adequate exposure to piperaquine and excellent cure rates (> 95%), except in children < 5 years, who have a threefold increased risk for treatment failure. Children in this age group have significantly lower plasma piperaquine concentrations than older children and adults given the same mg/kg bw dose. Children weighing < 25 kg should receive at least 2.5 mg/kg bw dihydroartemisinin and 20 mg/kg bw piperaquine to achieve the same exposure as children weighing ≥ 25 kg and adults. Dihydroartemisinin + piperaquine should be given daily for 3 days. Body weight (kg) : Dihydroartemisinin + piperaquine dose (mg) given daily for 3 days 5 to < 8 : 20 + 160 8 to < 11 : 30 + 240 11 to < 17 : 40 + 320 17 to < 25 : 60 + 480

Also Featured In

This recommendation also appears in the following guidelines:

Originally Developed
Guideline

Guidelines for the treatment of malaria

Year2015
InstitutionWorld Health Organization
Guideline

WHO guidelines for malaria, 16 February 2021.

Year2021
InstitutionWHO
Guideline

WHO guidelines for malaria, 13 July 2021.

Year2021
InstitutionWHO
Guideline

WHO guidelines for malaria, 18 February 2022.

Year2022
InstitutionWHO
Guideline

WHO guidelines for malaria, 3 June 2022.

Year2022
InstitutionWHO
Guideline

WHO guidelines for malaria, 25 November 2022.

Year2022
InstitutionWorld Health Organization
Guideline

WHO Guidelines for malaria, 14 March 2023

Year2023
InstitutionWHO