Community Medicine (PSM) · National Health Programmes (NTEP, NVBDCP, NACP, NIS, RMNCH+A)

Under the National Vector Borne Disease Control Programme (NVBDCP), the drug of choice for radical cure of Plasmodium vivax malaria in a G6PD-normal patient is primaquine. The recommended regimen currently used in India is:

  • A Primaquine 0.25 mg/kg/day for 14 days along with chloroquine
  • B Primaquine 15 mg daily for 14 days with chloroquine
  • C Primaquine 0.5 mg/kg as a single dose with chloroquine
  • D Primaquine 0.75 mg/kg weekly for 8 weeks
Correct answer: B. Primaquine 15 mg daily for 14 days with chloroquine

Explanation

India's NVBDCP recommends primaquine 15 mg (0.25 mg/kg for adults) daily for 14 days combined with chloroquine (day 1-3) for radical cure of P. vivax. For high-risk areas and to improve compliance, WHO recommends 0.5 mg/kg/day for 7 days. The 0.5 mg/kg single dose is for P. falciparum gametocyte clearance only, not radical cure.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

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