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Question answered:04/12/07 Warning! this question is over two years old.
We found no specific information stating that antimalarials are contraindicated (or indeed safe) in patients with Gilbert’s syndrome.
We looked at the SPCs for Mefloquine [1], Proguanil [2] and Chloroquine [3] and neither mentioned Gilbert’s syndrome. To see the specific sections on contraindications follow these links:
Mefloquine http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=1701#CONTRAINDICATIONS
Proguanil http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=756#CONTRAINDICATIONS
Chloroquine http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=2272#CONTRAINDICATIONS
For more specific advice you may want us to refer the question to a specialist medicines information unit. If you would like us to do this let us know via ‘Contact us’ (http://www.clinicalanswers.nhs.uk/index.cfm?action=contact)
References
1) http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=1701
2) http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=756
3) http://emc.medicines.org.uk/emc/assets/c/html/displaydoc.asp?documentid=2272
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