Adult

Eurartesim® (Piperaquine phosphate with artenimol)

Warning

General Information

Antimalarial

Piperaquine phosphate with artenimol

Unlicensed Restricted formulary antimicrobial: Must be recommended/prescribed by a Micro/ID consultant or registrar.

For all information regarding contraindications, cautions, interactions, contraception, pregnancy and breastfeeding and additional information, see BNF and Summary of Product Characteristics (SPC).

Standard dose

Weight Oral dose
75kg and above 4 tablets* once daily for 3 days 
36-74 kg 3 tablets* once daily for 3 days 

*Each tablet contains 320mg piperaquine phosphate and 40mg artenimol.

No more than two courses of Eurartesim® should be given in a 12-month period. If a second course is required, it should be given at least 2 months after the first course due to the long elimination half-life of piperaquine.

Renal and hepatic impairment

Renal impairment

  • Caution in moderate to severe impairment (no information available) - monitor ECG and plasma potassium concentration


Hepatic impairment

  • Caution in jaundice or in moderate to severe impairment (no information available) - monitor ECG and plasma potassium concentration.

Interactions

  • Eurartesim® interacts with many drugs. Please refer to BNF and SPC for more information. 

Additional information

  • For monitoring information, including QTc, see BNF and SPC. 
  • Discharge letters to primary care should document Eurartesim® treatment, including doses and administration dates, due to its long half-life (t1/2 22 days). 

References

  1. Eurartesim 160 mg/20 mg film-coated tablets summary of product characteristics. Accessed via European Medicines Agency from https://www.ema.europa.eu/en/documents/product-information/eurartesim-epar-product-information_en.pdf Accessed 11/9/26
  2. British National Formulary. Piperaquine phosphate with artenimol. BNF online accessed via www.medicinescomplete.com  Accessed 11/9/26.

Editorial Information

Last reviewed: 16 Sept 2026

Next review date: 14 Sept 2029

Author(s): AMST.