Atovaquone
Atovaquone is an anprotozoal, and a highly lipophilic analog of ubiquinone. It interferes with mitochondrial electron transport and related processes in suseptible malaria parasites. It has potent activity against blood stages of plasmodia, tachyzoites and cyst formsof T.gondii, the fungus P.carinii, and Babesia species. Atovaqunone is used with a biguanide for the treatment of malariato obtain optimal clinical results and avoid emergence of drug-resultant plasmodial strains.
Primary Characteristics
It is of Synthetic origin and belongs to Naphthalenedione.
It is classified in Antiprotozoal pharmacological group.
Molecular Weight: 366.8 · pKa: not known · Solubility in Water: insoluble · Solubility in Alcohol: low · Non-proprietary name: Atovaquone.

Pharmacokinetics
Absorption: Atovaquone has an oral bioavailability is 23% (±11%).
Distribution: Atovaquone has a volume of distribution is unknown. plasma protein binding is > 99%.
Elimination: plasma half-life is 2.9 days, renal excretion is > 1% (unchanged).
Advertisement
Indications
Atovaquone is primarily indicated in conditions like Pneumocystis carinii pneumonia, Prophylaxis of acid aspiration in obstetric patients.
Atovaquone is also indicated for secondary conditions like Acute toxoplasmic encephalitis, Malaria, Prophylaxis of p-carinii pneumonia.
Contraindications
Atovaquone is contraindicated in conditions like Hypersensitivity.
Dosage
Atovaquone's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 750 mg | 750 mg | Every 12h | PO | This dose is for treatment of mild-moderate PCP(pneumocystis carini pneumonia): 750mg or 5ml two times daily taken with meal. |
| 1500 mg | 1500 mg | Every 24h | PO | This dose is for prevention of PCP(pneumocystis carini pneumonia): 1500mg or 10ml one daily taken with meal. |
| Paediatric Dosage (20kg) | ||||
| No data. | ||||
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Atovaquone in overdosage may give rise to further complications which include Maculopapular rash .
Atovaquone is known to cause more or less tolerable side effects which are usually transient. These include Anemia, Asthenia , Diarrhea, Fever, Headache, Insomnia, Nausea, Rashes , Vomiting .
Warnings / Precautions
Available Brands
Storage Conditions
Drug Classification
- 1.6.4.1 — Antiamebic & antigiardiasis drugs
Manufacturers
Manufacturers of Atovaquone in Pakistan: