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Rekmal 120mg is a prescription-only, high-potency antimalarial medication made by Zolon Healthcare. It contains the active ingredient Artesunate (120mg) as a dry powder in a vial, packaged alongside solutions to mix it.
It is used exclusively as an emergency treatment for severe, life-threatening malaria infections, helping to rapidly clear malaria parasites from the bloodstream.
Rekmal 120mg is an advanced artemisinin derivative engineered to act with extreme speed against malaria infections:
Generates Toxic Free Radicals: The active artesunate reacts directly with the iron-rich components (heme) inside infected red blood cells. This chemical reaction breaks open a special bond inside the medicine, creating highly destructive molecules called free radicals.
Destroys Malaria Parasites: These free radicals immediately attack and damage vital structural proteins inside the Plasmodium falciparum parasites, killing them within minutes.
Clears All Infection Stages: Unlike older antimalarials, it destroys the parasites at almost every stage of their lifecycle in the blood, quickly dropping the total parasite count to safe levels.
Severe Malaria Treatment: The primary, first-line medical intervention for complicated or severe malaria infections in both adults and children.
Emergency Initial Therapy: Used to treat patients with acute malaria who are suffering from persistent vomiting, convulsions, or unconsciousness and cannot swallow oral medications.
Post-Treatment Anemia Risks: A specific medical condition called Post-Artesunate Delayed Hemolysis (PADH) can occur. This means your red blood cells may continue to break down for up to 4 weeks after your malaria treatment is finished. Your doctor will standardly schedule follow-up blood tests to monitor your blood levels.
Pregnancy and Breastfeeding: Because severe malaria is highly dangerous to both a mother and an unborn baby, the World Health Organization (WHO) strongly recommends using injectable artesunate across all trimesters. The life-saving benefits vastly outweigh any theoretical risks.
Medical professionals follow a strict two-step protocol to activate and dilute the medicine properly right before injection:
The Activation Step: The dry artesunate powder must first be dissolved by injecting the provided 1ml ampoule of 5% Sodium Bicarbonate into the vial. The vial is shaken gently until the liquid becomes completely clear.
The Dilution Step:
For Intravenous (IV) Injection: 10ml of 0.9% Sodium Chloride (Normal Saline) is added to the vial. The required dose is then withdrawn and injected slowly into a vein over 1 to 2 minutes. It must never be given as a slow IV drip.
For Intramuscular (IM) Injection: Only 2ml of 0.9% Sodium Chloride is added to make a thicker, more concentrated liquid. This is injected deeply into a large muscle (like the thigh or buttock).
1.Administer immediately upon admission:Dose 1 (Hour 0).
The initial life-saving dose is calculated carefully based on weight (2.4 mg/kg for adults and larger children; 3.0 mg/kg for infants under 20kg) and injected right away.
2.Administer the second dose 12 hours later:Dose 2 (Hour 12).
A second matching injection is given exactly 12 hours after the first to maintain high parasite-killing levels in the blood.
3.Administer the third dose 24 hours later:Dose 3 (Hour 24).
A third injection is given exactly 24 hours after the first dose. Parenteral (injected) treatment must continue for a minimum of 24 hours, even if the patient wakes up and feels better earlier.
4.Transition to a full 3-day oral course:The Oral ACT Bridge.
Once the patient can swallow comfortably and has completed at least 3 injections, they must finish a complete 3-day course of an oral Artemisinin Combination Therapy (ACT) to ensure every single hidden parasite is cleared and prevent a relapse.
While Rekmal is highly effective and generally much gentler on the body than older options like quinine, some individuals may notice:
Temporary dizziness, mild headaches, a ringing sound in the ears (tinnitus), or a brief altered sense of taste.
Mild abdominal cramps, brief nausea, vomiting, or diarrhea.
Localized soreness, bruising, or brief burning pain at the site of the injection.
Can I buy Rekmal 120mg injection over the counter to treat regular malaria at home?
No, absolutely not. Rekmal 120mg is exclusively meant for severe, critical malaria cases managed in a hospital. Regular, uncomplicated malaria (fever, chills, body pains without severe complications) should be treated using standard oral ACT tablets at home. Self-injecting medications without proper clinical supervision is highly dangerous.
Why is it mandatory to take oral tablets after finishing the injections?
Injectable artesunate works incredibly fast to clear the massive wave of parasites threatening your life, but it leaves your bloodstream very quickly. If you stop treatment immediately after the injections, the few remaining hidden parasites will multiply, causing your severe malaria to return a week later. Finishing a full 3-day oral ACT course completely wipes out the infection.
How does this medication compare to Quinine injections?
Clinical data and international guidelines show that modern injectable artesunate reduces the risk of death from severe malaria significantly compared to old quinine injections. Furthermore, it does not cause the severe dangerous blood sugar drops (hypoglycemia) or heart rhythm changes commonly seen with quinine.
Due to the strict regulatory framework, emergency clinical nature, and necessary cold-chain distribution standards for critical care medicines, authentic Rekmal 120mg injections must be sourced exclusively through verified medical routes. Hospital procurement, clinic inventory replenishment, and batch-authenticated emergency deliveries can be coordinated via Sanlive Pharmacy & Stores for swift delivery directly to registered hospitals, medical suites, and diagnostic clinics within Lagos, Abuja, Port Harcourt, and nationwide via our trusted clinical logistics partners.
Important Notice: This information is for educational support purposes only. Rekmal 120mg is a high-potency, prescription-only emergency antimalarial. All preparation, dosing calculations, and administrations must be handled by a qualified medical practitioner. If a malaria patient develops a yellowing of the skin or eyes (jaundice), dark coca-cola colored urine, severe shortness of breath, or stops passing urine entirely, seek immediate emergency medical resuscitation.
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