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Malaria medicines

Sulfadoxine + Pyrimethamine

Also sold as: Fansidar

Prescription neededMalaria medicines
Comes as:Tablet

Usual adult dose

Dose is set by your doctor or health worker. Adults: 3 tablets taken together as a single dose, usually together with artesunate. Not for self-treatment.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • stomach upset
  • headache

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe skin rash with blisters or peeling
  • sore throat with fever
  • yellow eyes or skin

Do not take it, or take care, if

  • Allergy to sulfonamide (sulfa) medicines
  • Taking co-trimoxazole
  • Severe liver or kidney disease
  • Babies under 2 months

Interactions

Medicines that can react with this one.

Serious2 medicinesDo not take these together unless your doctor says so.
  • Co-trimoxazole

    Both are sulfa and folate-blocking medicines; together they raise the risk of severe skin and blood reactions.

  • Methotrexate

    Both block folate; together they can cause serious bone marrow damage.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Artemether + Lumefantrine
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.