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Malanil Tablet: Uses, Dosage & Side Effects in Pakistan

Malanil Tablet (Atovaquone + Proguanil Hydrochloride) ke quick uses, dose guide, side effects, warnings, aur buying price range.

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated:

Prescription

Form

Tablet

Strength

Atovaquone 250mg + Proguanil HCl 100mg

Manufacturer

GlaxoSmithKline Pakistan

Estimated price

Price not listed

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What is Malanil Tablet used for?

  • Prevention (chemoprophylaxis) of Plasmodium falciparum malaria
  • Treatment of uncomplicated Plasmodium falciparum malaria
  • Malaria prevention for travellers to endemic areas
Read full Uses guide →

How to take Malanil Tablet?

Adult dose: As prescribed by a doctor — treatment and prophylaxis doses differ; complete the full course

Child dose: Weight-based dose as directed by a doctor (paediatric tablet available for children)

Read full Dosage guide →

Important warnings

  • Do not use Malanil Tablet if you are allergic to atovaquone or proguanil hydrochloride
  • Not for use in severe renal impairment
  • Take with food or a milky drink to improve absorption of atovaquone

Malanil Tablet Uses, Dosage, Side Effects & Price in Pakistan

1. Quick Info (Mukhtasir Maloomat)

FieldDetails
Brand NameMalanil Tablet
Generic NameAtovaquone + Proguanil Hydrochloride
StrengthAtovaquone 250mg + Proguanil HCl 100mg
FormTablet
Drug ClassAntimalarial
ManufacturerGlaxoSmithKline Pakistan
PrescriptionRx — do not take without a doctor's advice
PriceConfirm at pharmacy
PackagingAs dispensed

2. What is Malanil Tablet? (Malanil Tablet kya hai)

Malanil Tablet is an antimalarial medication used to prevent and treat malaria. It contains two active ingredients: atovaquone and proguanil hydrochloride. Atovaquone works by blocking the electron transport chain in the malaria parasite's mitochondria, which disrupts its energy production and eventually kills the parasite. Proguanil inhibits dihydrofolate reductase, blocking the malaria parasite's ability to produce folic acid essential for its growth and DNA synthesis. This dual action covers different stages of the parasite's life cycle, making Malanil effective for both prevention in travellers and treatment of confirmed uncomplicated falciparum malaria.

Malanil Tablet stands out among antimalarials by combining two drugs that act through entirely different mechanisms, providing a dual-layer defence against the parasite. This synergy also reduces the risk of resistance that can occur with single-agent treatments. Always take Malanil Tablet as directed by your doctor or pharmacist.

3. Uses (Fayde / Kis kaam aati hai)

  • Prevention (chemoprophylaxis) of Plasmodium falciparum malaria
  • Treatment of uncomplicated Plasmodium falciparum malaria
  • Malaria prevention for travellers to endemic areas

4. Who Should Take (Kis ko leni chahiye)

  • Travellers to malaria-endemic regions requiring chemoprophylaxis
  • Patients with confirmed uncomplicated Plasmodium falciparum malaria
  • Individuals who cannot tolerate other antimalarial regimens

5. When NOT to Take (Kab nahi leni chahiye)

  • If you are allergic to atovaquone or proguanil hydrochloride
  • Severe renal impairment (creatinine clearance below 30mL/min) — avoid for prophylaxis
  • Children below 11kg body weight (use the paediatric tablet formulation)

6. Dosage (Kitni leni hai)

  • As prescribed by a doctor — dosing for prevention and treatment differs
  • As directed by your doctor; take with food or a milky drink to improve atovaquone absorption
  • Do not exceed the recommended limit
  • If you miss a dose, take it as soon as you remember. If the next dose is close, skip the missed dose. Never take a double dose.

7. How to Take (Kaise leni hai)

  • Always take Malanil Tablet with food or a milky drink — this significantly improves atovaquone absorption
  • Take at the same time each day
  • Complete the full prescribed course for both prevention and treatment — stopping early leads to treatment failure
  • If vomiting occurs within one hour of taking the dose, take a replacement dose

8. Best Time (Kab leni chahiye)

  • With a meal or milky drink at the same time each day
  • For malaria prevention, start 1-2 days before entering the endemic area and continue for 7 days after leaving

9. Empty Stomach or After Food (Khali pait ya khane ke baad)

Malanil Tablet must be taken with food or a milky drink. Taking atovaquone without food reduces its absorption significantly and can lead to treatment failure. Do not take on an empty stomach.

10. Warnings (Ihtiyat)

  • Do not use if allergic to atovaquone or proguanil hydrochloride
  • Do not use for severe renal impairment without medical advice
  • Rifampicin significantly reduces atovaquone levels — avoid concurrent use

11. Precautions (Ahm ehtiyaat)

  • Store below 30°C in the original packaging
  • Keep away from moisture and direct sunlight
  • Keep out of the reach of children

12. Side Effects (Nuksanat)

  • Headache, nausea or abdominal pain, diarrhoea or vomiting
  • Severe skin reactions (rash, blistering, peeling) — see a doctor immediately; elevated liver enzymes — liver function monitoring may be needed; severe allergic reaction (anaphylaxis) — seek emergency care

13. Drug Interactions (Dawaon ke sath reaction)

  • Rifampicin and rifabutin: significantly reduce atovaquone blood levels — avoid combination
  • Metoclopramide: reduces bioavailability of atovaquone — avoid concurrent use if possible
  • Tetracycline: reduces atovaquone levels — consult your doctor
  • Warfarin: monitor anticoagulation closely when Malanil is added or stopped

14. When to See Doctor (Kab doctor ke paas jayein)

  • Fever persists or worsens despite completing a treatment course — possible treatment failure or resistant malaria
  • Severe vomiting preventing oral medicine retention
  • Signs of allergic reaction: rash, swelling of face or throat, difficulty breathing

15. Alternatives (Sasti Dusri Dawaein)

Brand NameCompanySalt (Generic)
Chloroquine tabletsVariousChloroquine phosphate (where malaria is still sensitive)
Mefloquine tabletsVariousMefloquine hydrochloride
DoxycyclineVariousDoxycycline (prophylaxis only, Rx)

16. Price in Pakistan (Price kitni hai)

Pack SizePrice (Approx)
As dispensedConfirm at your pharmacy

(Note: Price depends on the pharmacy and pack size.)

17. FAQs (Aksar poochay jane walay sawalat)

Q: Malanil Tablet kis kaam aati hai?

A: Malanil Tablet is prescribed by a doctor based on your condition. See the uses section on PakVita for what it treats and how to take it.

Q: Kitni mg ki Malanil Tablet hoti hai?

A: The exact strength varies by brand and form. Follow the pack label and your doctor's advice.

Q: Pakistan mein price kitni hai?

A: The price can vary by pharmacy and city. Verify the current rate at a local store or online listing.

Q: Pregnancy mein safe hai?

A: Do not self-medicate during pregnancy. Always use this medicine only after consulting your doctor.

Q: Nuksanat kya hain?

A: Common side effects are usually mild, but contact your doctor immediately if severe symptoms appear.

18. Medical Review (Medical jaiza)

Compiled by the PakVita Editorial Team · AI-assisted drafting with editorial review · Sourced from DRAP, WHO, BNF · Last updated: 2026-07-09

19. Disclaimer (Zaroori tanbeeh)

The information on this page is for awareness only. It is not medical advice. Always consult your doctor or pharmacist before taking any medicine. PakVita is not responsible for any harm.

Frequently Asked Questions

Malanil Tablet kis kaam aati hai?

Malanil Tablet is prescribed by a doctor based on your condition. See the uses section on PakVita for what it treats and how to take it.

Kitni mg ki Malanil Tablet hoti hai?

The exact strength varies by brand and form. Follow the pack label and your doctor's advice.

Pakistan mein price kitni hai?

The price can vary by pharmacy and city. Verify the current rate at a local store or online listing.

Pregnancy mein safe hai?

Do not self-medicate during pregnancy. Always use this medicine only after consulting your doctor.

Nuksanat kya hain?

Common side effects are usually mild, but contact your doctor immediately if severe symptoms appear.

Sources

  1. DRAP Registered Products Database Drug Regulatory Authority of Pakistan
  2. WHO Model List of Essential Medicines, 23rd ed. (2023) World Health Organization
  3. British National Formulary (BNF) BMJ Group & Pharmaceutical Press

Medical disclaimer

This page is for educational use only and does not replace professional medical advice. Always confirm diagnosis, dose, and interactions with a qualified doctor or pharmacist before starting or changing any medicine.