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Primaquine

Published: July 26, 2026Updated: August 25, 2026

Primaquine is an antimalarial medication primarily used for the radical cure of Plasmodium vivax and P. ovale infections, eliminating the dormant liver forms (hypnozoites) to prevent malaria relapse. It is also employed as terminal prophylaxis after exposure to these malaria species and may be used for primary prophylaxis in certain situations. This medication requires careful patient selection due to its potential to cause severe hemolytic reactions in individuals with G6PD deficiency.

Quick summary

Primaquine is an antimalarial drug used to prevent malaria relapse by eliminating dormant liver-stage parasites of P. vivax and P. ovale.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ATC
P01BA03
RxNorm
8687
Generic
Primaquine
Class
atc-p01
Brands
—
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Radical cure and prevention of relapse in P. vivax and P. ovale malaria; terminal prophylaxis after exposure to these species; primary prophylaxis against malaria in certain regions or situations.

Accumulates within parasite mitochondria where it disrupts the electron transport chain and generates reactive oxygen species, leading to parasiticidal effects against liver-stage hypnozoites and gametocytes.

Screening for G6PD deficiency is essential before use due to risk of severe hemolytic anemia; contraindicated in pregnancy; may cause methemoglobinemia; must be taken with food to improve tolerability and absorption.

Official drug label

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Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy