Atovaquone: Difference between revisions

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(Replace manual dosing with dynamic SMW tables (Adult + Pediatric))
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==Adult Dosing==
==Adult Dosing==
*Babesiosis: 750mg PO q12h + azithromycin
===Indications by Disease===
*Toxoplasma encephalitis, HIV+: 1500mg daily + leucovorin +/- pyrimethamine
{{#ask: [[Has DrugName::Atovaquone]] [[Has Population::Adult]]
*PCP pneumonia (2nd line): 1500mg daily
|?Treats disease=Disease
*Malaria prophylaxis:
|?Has Dose=Dose
|?Has Context=Context
|format=table
|limit=50
|mainlabel=-
|headers=show
|sort=Treats disease
}}
 
==Pediatric Dosing==
==Pediatric Dosing==
*Babesiosis: 20mg/kg q12h (max 750mg/dose) + azithromycin
===Indications by Disease===
*PCP pneumonia (2nd line)
{{#ask: [[Has DrugName::Atovaquone]] [[Has Population::Pediatric]]
**>13yo,  HIV- : 1500mg daily
|?Treats disease=Disease
**Adolescents, HIV+: 1500mg daily +/- leucovorin, +/- pyrimethamine
|?Has Dose=Dose
**1-3mo, 2-13yo, HIV+: 30 mg/kg PO daily
|?Has Context=Context
**4-24mo, HIV+: 45mg/kg PO daily
|format=table
*Malaria prophylaxis: 250mg + 100mg proguanil daily
|limit=50
*Malaria falciparum/vivax treatment: 1000mg + proguanil 400mg daily
|mainlabel=-
|headers=show
|sort=Treats disease
}}


==Special Populations==
==Special Populations==

Revision as of 01:53, 20 March 2026

Administration

Adult Dosing

Indications by Disease

DiseaseDoseContext
Babesiosis750mg BID x 10 daysMild parasitemia less than 4 percent option 1

Pediatric Dosing

Indications by Disease

Special Populations

  • Pregnancy Rating: C
  • Lactation risk: Infant risk cannot be ruled out
  • Renal dosing: atovaquone/proguanil contraindicated in severe renal failure for malaria prophylaxis, otherwise no adjustment
  • Hepatic dosing: no adjustment

Contraindications

  • Allergy to class/drug

Adverse Reactions

Serious

  • SJS, erythema multiforme
  • Methemoglobinemia
  • Hepatitis, liver failure

Common

  • Nausea/vomiting, diarrhea
  • Rash
  • Headache, insomnia
  • Fever
  • Cough, rhinitis

Pharmacology

  • Half-life: 2.2-3.2 days
  • Metabolism: undergoes enterohepatic recirculation
  • Excretion: Fecal

Mechanism of Action

  • Unclear mechanism; structurally similar to ubiquonone, which inhibits cytochromal electron transport in Plasmodia species

Comments

See Also

References