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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 9, 2024 | 12:40 PM IST
Bitaquine DS 500mg Tablet is used to treat malaria. It gives a degree of protection against malaria when people travel to areas where malaria cases exist. It is effective against Plasmodium vivax, Plasmodium ovale, and Plasmodium malariae. It is not effective against Plasmodium falciparum. Besides this, it also treats amoebiasis (intestinal dysentery) and rheumatic disease (arthritis). It contains Chloroquine, which kills the organisms causing malaria and amoebiasis. It may cause common side effects such as vomiting, nausea, hair loss and itchy skin. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Prescription drug

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Manufacturer/Marketer

Bombay Tablet Mfg Co Pvt Ltd

Consume Type

ORAL

Return Policy

Not Returnable

for this medicine

About Bitaquine DS 500mg Tablet

Bitaquine DS 500mg Tablet belongs to the class of medications called 'quinoline' primarily used to treat malaria. Bitaquine DS 500mg Tablet gives a degree of protection (prophylaxis) against malaria when people travel to areas where malarial cases exist. It is effective against Plasmodium vivax, Plasmodium ovale, and Plasmodium malariae. Bitaquine DS 500mg Tablet is not effective against Plasmodium falciparum. Besides this, it also treats amoebiasis (intestinal dysentery) and rheumatic disease (arthritis). 

Bitaquine DS 500mg Tablet contains 'chloroquine' which acts by killing the malarial parasites, i.e. Plasmodium and stops the formation of the nontoxic heme metabolite hemozoin by the parasite. Heme part of the red blood cells is broken by the malarial, causing parasites. Bitaquine DS 500mg Tablet prevents the breakdown of heme part and is actually toxic to the parasite. It kills the parasitic form living in red blood cells that resides in the liver.

Bitaquine DS 500mg Tablet should be taken as prescribed by your doctor. The dose of Bitaquine DS 500mg Tablet can vary depending upon your condition and the severity of the infection. The common side effects of Bitaquine DS 500mg Tablet include vomiting, nausea, hair loss and itchy skin. Everyone need not experience the above side effects. In case of any discomfort, speak with a doctor.

Before starting Bitaquine DS 500mg Tablet, please inform your doctor if you are allergic to chloroquine or have kidney or liver problems. Do not take Bitaquine DS 500mg Tablet on your own. Bitaquine DS 500mg Tablet is safe to use during pregnancy and breastfeeding. Prolonged use of Bitaquine DS 500mg Tablet may have a severe risk on the heart and retina of the eyes leading to pounding heartbeats and permanent vision problems. 

Uses of Bitaquine DS 500mg Tablet

Treatment of Malaria, Intestinal amoebiasis, Rheumatoid arthritis.

Medicinal Benefits

Bitaquine DS 500mg Tablet falls into a group of medicines known as antimalarials, indicated for treating or preventing malaria. Bitaquine DS 500mg Tablet contains chloroquine, which belongs to quinoline. It works by preventing the formation of the nontoxic heme metabolite hemozoin by the parasite. Due to this, the parasite dies from its own toxic by-products released due to haemoglobin's metabolism. Bitaquine DS 500mg Tablet is also indicated for the treatment of rheumatoid arthritis and autoimmune diseases like lupus and intestinal infection caused by amoeba (amoebiasis).

Directions for Use

Tablet/Capsule: Swallow it as a whole with water; do not crush, break or chew it.Syrup/Suspension: Shake the bottle well before use. Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Bitaquine DS 500mg Tablet

  • Abnormal heart rhythm
  • Stomach pain
  • Nausea (being sick)
  • Diarrhoea
  • Loss of appetite
  • Headache
  • Skin rash
  • Liver problems

Drug Warnings

Bitaquine DS 500mg Tablet does not respond well against all malaria strains, so consult with your doctor if you do not respond well to Bitaquine DS 500mg Tablet. This medicine can affect heart health, especially if a person is taking medications, including the antibiotic azithromycin and anticancer like tamoxifen. An individual must consult with the doctor if they are noticing fast or pounding heartbeats and sudden dizziness. This medicine cannot be used for a long duration as it may cause irreversible damage to the eye that could lead to vision problems. Bitaquine DS 500mg Tablet cannot be used in persons who have heart disease, heart rhythm disorder, diabetes, a stomach disorder, an allergy to quinine, liver or kidney disease, psoriasis, alcoholism, porphyria (a genetic enzyme disorder that affects the skin or nervous system), a genetic enzyme deficiency called glucose-6-phosphate dehydrogenase (G6PD) deficiency. Consult with your doctor if you are pregnant or breastfeeding as this medicine could only be used if prescribed by the doctor. 

Drug Interactions

Drug-Drug Interaction: Bitaquine DS 500mg Tablet can interact with pain killers (aspirin), anti-allergic (hydroxyzine), anticancer (tamoxifen), antibiotics (ciprofloxacin, amoxicillin/clavulanate, azithromycin, celecoxib), immunosuppressants (mycophenolate mofetil), antimalarials (proguanil, primaquine, mefloquine, hydroxychloroquine), antianxiety medicine (pregabalin), anti-epileptic (levetiracetam), antacids (esomeprazole), proguanil, and anti-anxiety drugs (alprazolam).

Drug-Food Interaction: Limit the consumption of grapefruit or grapefruit juice with Bitaquine DS 500mg Tablet as it can significantly increase the level of this medicine in the blood. 

Drug-Disease Interaction: People affected with eye disorder (oculotoxicity), blood disease (porphyria), heart disease (arrhythmias), bone marrow suppression, ear disorder (cytotoxicity), seizures, enzyme deficiency (G-6-PD deficiency), liver disease (hepatotoxicity), muscle disorder (myasthenia gravis), skin disease (psoriasis) should not take Bitaquine DS 500mg Tablet without doctors consultation.

Drug-Drug Interactions Checker List

  • PHENYLBUTAZONE
  • NEOSTIGMINE
  • PYRIDOSTIGMINE
  • AMPICILLIN
  • CIMETIDINE
  • TAMOXIFEN

Habit Forming

No

Diet & Lifestyle Advise

  • Always take Bitaquine DS 500mg Tablet with meals for reduced gastric irritation.
  • Adequate nutrition is the key for improvement in malaria induced weakness.
  • It is important to allow the patient to eat regularly in small amounts to tolerate the food. 
  • Increase fluid and protein intake for malaria induced weight loss.
  • Proper rest and mosquito-free premises is important for the patient to recover.

Special Advise

Do not take Bitaquine DS 500mg Tablet if you have had a previous reaction to Bitaquine DS 500mg Tablet, or if you have certain eye problems involving your retina. Tell your healthcare provider about any problems you may have with your eyes.

Disease/Condition Glossary

Malaria: It is a severe & fatal parasitic infection caused by a protozoan called Plasmodium. 4 types of parasites can infect humans with malaria: Plasmodium falciparum, Plasmodium vivax, Plasmodium ovale, and Plasmodium malaria. Female anopheles mosquito bites cause it. If bitten by an infected mosquito (the Anopheles mosquito), malaria parasites are injected into the blood. These parasites then migrate to the liver where they multiply via the bloodstream. A patient doesn't feel sick at this period because the parasites are in the liver. Then the parasites leave the liver and enter the red blood cells where the parasites are developing, and then the red blood cells burst, allowing them to transfer to another blood cell. The parasites release harmful chemicals into the bloodstream at this point, and the patient begins to feel ill. Malaria leads to periodic fever-chills, anaemia, kidney failure, and jaundice due to excessive red blood cell death due to plasmodium growth inside them.

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Alcohol

Caution

No serious interaction has been reported between alcohol and Bitaquine DS 500mg Tablet yet alcohol should be avoided with Bitaquine DS 500mg Tablet as it aggravates side effects.

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Pregnancy

Caution

Bitaquine DS 500mg Tablet should be used with caution and can only be used in pregnancy if recommended by the doctor.

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Breast Feeding

Caution

It is not safe to breastfeed while taking Bitaquine DS 500mg Tablet as this medicine can pass into breast milk. A patient is advised to take this drug only on doctor's consultation.

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Driving

Caution

Bitaquine DS 500mg Tablet may cause blurred vision, so one should avoid driving or doing any activity that needs mental alertness. A patient is thus advised to take this drug only on doctor's consultation.

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Liver

Caution

Bitaquine DS 500mg Tablet therapy is unlikely to cause liver injury in normal individuals but can trigger an acute worsening of porphyria in rare cases. Thus doctor's consultation is recommended before taking Bitaquine DS 500mg Tablet.

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Kidney

Caution

Bitaquine DS 500mg Tablet administration impairs kidney function in a few cases, so a patient is recommended to consult a doctor before taking Bitaquine DS 500mg Tablet.

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Children

Safe if prescribed

Bitaquine DS 500mg Tablet is safe to use in children, yet dose adjustment by a doctor will be done on the basis of age, weight, and severity of the infection.

Country of origin

India

Manufacturer/Marketer address

The Capital, 1802, 18Th Floor , Plot No. C-70, ˜G♠Block , Bandra Kurla Complex, Bandra East , Mumbai 400051
Other Info - BI93274

Author Details

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FAQs

Bitaquine DS 500mg Tablet is used to treat malaria. Bitaquine DS 500mg Tablet gives a degree of protection against malaria when people travel to areas where malarial cases exist. It is effective against Plasmodium vivax, Plasmodium ovale, and Plasmodium malariae. Bitaquine DS 500mg Tablet is not effective against Plasmodium falciparum. Besides this, it also treats amoebiasis (intestinal dysentery) and rheumatic disease (arthritis).
Bitaquine DS 500mg Tablet works by preventing the formation of the nontoxic heme metabolite hemozoin by the parasite. Due to this, the parasite dies from its own toxic by-products released due to haemoglobin's metabolism.
The use of Bitaquine DS 500mg Tablet is not allowed in persons who are already taking any antibiotic (azithromycin) as it may cause dangerous effects on the heart.
No such effect has been reported yet. Always consult your doctor for the change of dose regimen or an alternative medicine if needed.
No such harmful interaction has been reported in patients who take this drug under strict doctors' surveillance. However, some patients might experience eye (retina) damage and cause pounding heart, so patient taking Bitaquine DS 500mg Tablet is advised to consult a doctor and have regular check-ups cyclically.
There may be a risk of hemolysis in patients with G6PD deficiency while using Bitaquine DS 500mg Tablet. Doctor's consultation is mandatory before you start this medication.

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