Rekmal contains Artesunate (120mg), a water-soluble hemisuccinate derivative of artemisinin. It works by rapidly releasing free radicals within the malaria parasite (Plasmodium falciparum), which react with the parasite's proteins to cause widespread cellular damage and death. Specifically, Artesunate is known for its "rapid parasite clearance," meaning it reduces the number of parasites in the blood faster than almost any other antimalarial. This makes it the gold-standard treatment for preventing organ failure and death in patients with life-threatening malaria.
In Nigeria, Rekmal 120mg is a critical clinical choice for the emergency management of severe malaria. It is available through registered hospital pharmacies like Sanlive Pharmacy to ensure medical facilities receive authentic, high-purity vials manufactured under strict sterile conditions and stored in a cool, dry environment to maintain the chemical stability of the 120mg Artesunate powder.
Important: This is a high-alert, hospital-only emergency medication. The "Whole Course" Rule: Parenteral Artesunate must be followed by a full 3-day course of an oral Artemisinin-based Combination Therapy (ACT) once the patient can swallow. The "Wait" Rule: The reconstituted solution must be used immediately; if it becomes cloudy or shows particles, it must be discarded. Do not use for the prevention (prophylaxis) of malaria; it is strictly for treatment.
Rekmal 120mg Injections are primarily used to:
Treat Severe Malaria (including Cerebral Malaria) in adults and children
Rapidly reduce parasite density in patients with high "parasitemia" levels
Prevent complications such as acute kidney injury, severe anemia, and respiratory distress
Provide a life-saving bridge until the patient is stable enough for oral medication
Treat "complicated" malaria where the patient is vomiting or unable to take pills
Effectively target malaria parasites that have developed resistance to older drugs like Quinine
This product is suitable for:
Adults and children (dose-adjusted by weight) with clinical signs of severe malaria
Patients with "uncomplicated" malaria who are unable to tolerate oral medications
Travelers or residents returning from high-risk areas with sudden, severe symptoms
Not recommended for: Routine use in simple, uncomplicated malaria where oral pills are effective. It is strictly contraindicated for patients with a known hypersensitivity to Artesunate or other artemisinins. Consult the attending physician regarding use in the first trimester of pregnancy; however, in cases of severe malaria, the life-saving benefits of Artesunate usually outweigh the risks.
Administered strictly by a healthcare professional via intravenous (IV) or intramuscular (IM) injection
Reconstitution: The 120mg powder must first be dissolved with the provided Sodium Bicarbonate ampoule and then diluted with Physiological Saline or 5% Dextrose
Standard Adult Dose: Usually 2.4mg per kg of body weight given at 0, 12, and 24 hours, and then once daily thereafter
IV Administration: Should be given as a slow bolus over 1 to 2 minutes
IM Administration: Must be injected into the large muscle of the thigh (anterolateral) or buttock
Constant monitoring of the patient's consciousness level and urine output is mandatory during the first 24 hours
Rekmal is generally very well-tolerated, but some individuals may experience:
Dizziness, headache, or a strange taste in the mouth
Nausea, vomiting, or abdominal pain (often related to the malaria itself)
A mild, temporary skin rash or itching
Rare: "Delayed Hemolysis" (a drop in red blood cell count that can occur 1 to 3 weeks after treatment)
Rare: A temporary increase in liver enzymes
Rare but serious: Severe allergic reaction (anaphylaxis)
Seek immediate medical attention if the patient develops dark urine, extreme paleness, or yellowing of the skin/eyes several days after finishing the treatment, as this may be a sign of delayed anemia.
Reputable specialized pharmaceutical firms – These manufacturers ensure the high-purity crystallization of the Artesunate powder to guarantee rapid solubility and 100% sterile delivery for emergency use.
100% authentic antimalarial medication—guaranteed original and high-potency stock
Guaranteed sterile, factory-sealed vials stored in optimal, climate-controlled conditions
Professional support for hospital procurement on managing emergency antimalarial stocks
Fast and secure delivery to your hospital, clinic, or emergency center across Nigeria
Why do I need to take pills after the injection is finished?
The injection clears the parasites very quickly, but it doesn't stay in your blood long enough to kill every single one. Taking a 3-day course of ACT pills (like Artemether/Lumefantrine) ensures the malaria does not come back a week later.
Is this better than Quinine?
Yes. Global health organizations now recommend Artesunate over Quinine for severe malaria because it works faster, is easier to administer, and has fewer dangerous side effects on the heart and blood sugar.
Can it be used for babies?
Yes, Artesunate is the preferred treatment for severe malaria in infants and children. The dose is strictly calculated based on the child's weight to ensure safety.
Where can I purchase Rekmal 120mg in Nigeria?
Hospitals and clinics can source verified Rekmal through Sanlive Pharmacy & Stores for guaranteed product integrity and professional pharmaceutical support.
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