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Artemether information


Artemether
Clinical data
Trade namesMany[1]
AHFS/Drugs.comInternational Drug Names
Routes of
administration
Intramuscular[2] Oral
ATC code
  • P01BE02 (WHO)
Legal status
Legal status
  • UK: POM (Prescription only)
  • In general: ℞ (Prescription only)
Identifiers
IUPAC name
  • (3R,5aS,6R,8aS,9R,10S,12R,12aR)-10-methoxy-3,6,9-trimethyldecahydro-12H-3,12-epoxy[1,2]dioxepino[4,3-i]-2-benzopyran
CAS Number
  • 71963-77-4 checkY
PubChem CID
  • 68911
DrugBank
  • DB06697 checkY
ChemSpider
  • 62138 checkY
UNII
  • C7D6T3H22J
KEGG
  • D02483 checkY
ChEBI
  • CHEBI:195280 checkY
PDB ligand
  • D8Z (PDBe, RCSB PDB)
CompTox Dashboard (EPA)
  • DTXSID7040651 Edit this at Wikidata
ECHA InfoCard100.189.847 Edit this at Wikidata
Chemical and physical data
FormulaC16H26O5
Molar mass298.379 g·mol−1
3D model (JSmol)
  • Interactive image
Melting point86 to 88 °C (187 to 190 °F)
SMILES
  • C[C@@H]1CC[C@@H]3C42OO[C@](C)(CC[C@@H]12)O[C@H]4O[C@H](OC)[C@@H]3C
InChI
  • InChI=1S/C16H26O5/c1-9-5-6-12-10(2)13(17-4)18-14-16(12)11(9)7-8-15(3,19-14)20-21-16/h9-14H,5-8H2,1-4H3/t9-,10-,11+,12+,13+,14-,15-,16-/m1/s1 checkY
  • Key:SXYIRMFQILZOAM-HVNFFKDJSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Artemether is a medication used for the treatment of malaria.[1][2] The injectable form is specifically used for severe malaria rather than quinine.[2] In adults, it may not be as effective as artesunate.[2] It is given by injection in a muscle.[2] It is also available by mouth in combination with lumefantrine, known as artemether/lumefantrine.[1][3]

Artemether causes relatively few side effects.[4] An irregular heartbeat may rarely occur.[4] While there is evidence that use during pregnancy may be harmful in animals, there is no evidence of concern in humans.[4] The World Health Organization (WHO) therefore recommends its use during pregnancy.[4] It is in the artemisinin class of medication.[4]

Artemether has been studied since at least 1981, and has been in medical use since 1987.[5] It is on the World Health Organization's List of Essential Medicines.[6]

  1. ^ a b c "Artemether and Lumefantrine (Monograph)". Drugs.com. 22 February 2023. Retrieved 17 February 2024.
  2. ^ a b c d e Esu EB, Effa EE, Opie ON, Meremikwu MM (June 2019). "Artemether for severe malaria". The Cochrane Database of Systematic Reviews. 6 (6): CD010678. doi:10.1002/14651858.CD010678.pub3. PMC 6580442. PMID 31210357.
  3. ^ Cite error: The named reference Coartem FDA label was invoked but never defined (see the help page).
  4. ^ a b c d e Kovacs SD, Rijken MJ, Stergachis A (February 2015). "Treating severe malaria in pregnancy: a review of the evidence". Drug Safety. 38 (2): 165–181. doi:10.1007/s40264-014-0261-9. PMC 4328128. PMID 25556421.
  5. ^ Rao Y, Zhang D, Li R (2016). Tu Youyou and the Discovery of Artemisinin: 2015 Nobel Laureate in Physiology or Medicine. World Scientific. p. 162. ISBN 9789813109919. Archived from the original on 2017-09-10.
  6. ^ World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. 2019. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.

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artemether. The term "co-artemether" is sometimes used to describe this combination. Lumefantrine has a much longer half-life compared to artemether,...

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Dihydroartemisinin

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active metabolite of all artemisinin compounds (artemisinin, artesunate, artemether, etc.) and is also available as a drug in itself. It is a semi-synthetic...

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Antimalarial medication

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combination therapy[verification needed] (e.g., using agents such as artemether and lumefantrine against chloroquine-resistant Plasmodium falciparum...

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Coccidiostat

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acts upon Coccidia parasites. Examples include: Amprolium Arprinocid Artemether Clazuril Clopidol Decoquinate Diclazuril Dinitolmide Ethopabate Halofuginone...

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Quinine

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Retrieved 14 May 2020. Esu EB, Effa EE, Opie ON, Meremikwu MM (June 2019). "Artemether for severe malaria". The Cochrane Database of Systematic Reviews. 6 (6):...

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Malaria

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resistance to any single drug component. Artemether-lumefantrine (six-dose regimen) is more effective than the artemether-lumefantrine (four-dose regimen) or...

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Tu Youyou

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1973) Pyronaridine (1973) Artemether (Zhou Weishan (周维善), 1975) Lumefantrine (1976) Artesunate (Liu Xu (刘旭), 1977) Artemether/lumefantrine (Zhou Yiqing...

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Artemisinin

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treatment with any of five artemisinin-based combination therapies (ACTs): artemether/lumefantrine, artesunate/amodiaquine (ASAQ), artesunate/mefloquine,...

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ATC code P01

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combinations P01BE01 Artemisinin P01BE02 Artemether P01BE03 Artesunate P01BE04 Artemotil P01BE05 Artenimol P01BF01 Artemether and lumefantrine P01BF02 Artesunate...

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Artemisia annua

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ether-based extraction method, further showing the artemisinin derivative artemether to be an effective antimalarial drug. Artemisinin is a sesquiterpene lactone...

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Project 523

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For their high efficacy, safety and stability, artemisinins such as artemether and artesunate became the drugs of choice in treating falciparum malaria...

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WHO Model List of Essential Medicines

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Miltefosine Paromomycin Sodium stibogluconate Amodiaquine Artemether Artemether/lumefantrine (artemether + lumefantrine) Artesunate Artesunate/amodiaquine (artesunate...

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Primaquine

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Hemozoin inhibitors Antifolates Sesquiterpene lactones artemether# artemisinin artemotil artesunate# dihydroartemisinin Other atovaquone (+ proguanil)...

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International nonproprietary name

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inhibitors (e.g. darunavir) arte- for artemisinin antimalarials (e.g. artemether) cef- for cephalosporins (e.g. cefalexin) io- for iodine-containing radiopharmaceuticals...

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Novartis

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Co-Diovan (Valsartan/hydrochlorothiazide) Hypertension Coartem/Riamet (artemether/lumefantrine) Malaria (uncomplicated) Comtan (entacapone) Parkinson's...

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Plasmodium falciparum

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malaria caused by P. falciparum. WHO recommends combinations such as artemether/lumefantrine, artesunate/amodiaquine, artesunate/mefloquine,...

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Artesunate

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consistent across all trials. Artesunate's efficacy is comparable to that of artemether, another artemisinin derivative, in treating adults for severe malaria...

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Piperaquine

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Hemozoin inhibitors Antifolates Sesquiterpene lactones artemether# artemisinin artemotil artesunate# dihydroartemisinin Other atovaquone (+ proguanil)...

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Schistosoma japonicum

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found that artemether prevents the development of adult worms, thus decreasing egg production in the host. If both praziquantel and artemether can be used...

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Zhou Yiqing

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annua. Zhou specifically worked on artemether, one of the derivatives of artemisinin. In 1985 he combined artemether with another drug lumefantrine into...

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History of malaria

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essential for its anti-malarial activity. Its derivatives, artesunate and artemether, have been used in clinics since 1987 for the treatment of drug-resistant...

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Schedule H

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APRACLONIDINE 34. APROTININ 35. ORGANIC COMPOUND OF ARSENIC 36. ARTEETHER 37. ARTEMETHER 38. ARTESUNATE 39. ARTICAINE HYDROCHLORIDE 40. ATENOLOL 41. ATRACURIUM...

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Dapsone

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Phase III trial of chlorproguanil-dapsone-artesunate (Dacart™) versus artemether-lumefantrine (Coartem®) and confirmation of findings in a comparative...

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Semisynthesis

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ergot,[citation needed] and the semisynthesis of the antimalarial drug artemether from naturally-occurring artemisinin.[non-primary source needed][non-primary...

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Fasciola gigantica

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fasciolosis, as it is highly effective against both mature and immature flukes. Artemether has been demonstrated in vitro to be equally effective. Though slightly...

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