Primaquine kills the liver stages, known as hypnozoites, of these forms of malaria, preventing relapse of infection later on. However, primaquine is known to cause severe haemolytic anaemia in people who are G6PD deficient. Chloroquine phoaphate powder Chloroquine and release of cargo Hydroxychloroquine eye It is supposed that patients with G6PD deficiency have a lower mortality from cancer and cardiovascular diseases 13,14,30. It is known that G6PD deficient cells provide protective effect against the malaria parasite Plasmodium falciparum in women by means of early phagocytosis of macrophages 9,41,46. Particular preparation for airway management The lack of G6PD can lead to red blood cells breaking down too easily haemolysis when the person is exposed to certain triggers, which are usually certain foods, viruses or medications. The red blood cells carry oxygen around the body, and the excessive breakdown of red blood cells can lead to anaemia. However, it has hemolytic effects, especially in people with glucose-6-phosphate dehydrogenase deficiency G6PD, in which primaquine as a stressor to the erythrocyte induces hemolysis. Hemolysis induced by primaquine can result in discoloration of urine and faeces and it is dose related 8, 9. Patients with severe G6PD deficiency should not take primaquine; unfortunately at this stage there are no alternative drug regimens available. G6PD deficiency is restricted to certain populations or segments of populations; therefore it may be that not every person requiring primaquine will be tested for their G6PD status, only those considered high risk for potential deficiency. Is chloroquine safe for g6pd deficiency G6PD Deficiency What You Need to Know if you are Pregnant., Kids Health Info G6PD deficiency Plaquenil prevent lupusPlaquenil mouth side effectsStopping plaquenil headaches Education and information regarding choosing a drug to prevent malaria, including a list of all available drugs and reasons for taking or not taking a certain drug. Chloroquine Adults 300 mg base 500 mg salt, once/week. G6PD deficiency; Cannot be used in patients who have not been tested for G6PD deficiency; CDC - Malaria - Travelers - Choosing a Drug to Prevent Malaria. Side Effects of Chloroquine and Primaquine and Symptom.. Glucose-6-phosphate Dehydrogenase Deficiency. G6PD Patient. Drug names in RED are of high risk to all deficiency variants. Names in GREEN are of low risk. Screening for G6PD deficiency thus seemed pointless and was not routinely done by the US Army until about 2006. During the 1960s, primaquine therapy against relapse was routinely administered without knowing G6PD status of the patient. Providers were warned to be alert to the risk of haemolytic anaemia and to stop dosing with onset of signs. There is also some evidence that quinine can cause haemolysis in patients with G6PD deficiency; such patients may also have increased blood concentrations of mefloquine when taken concurrently with primaquine. As such, combinations of quinine or mefloquine with primaquine in G6PD-deficient patients is not recommended.