Anti-malaria pills replaced after NS man's death
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During my time,Originally posted by whitenoise:Tekong has been declared malaria-free, so chemoprophylaxis has been stopped since April this year. I'm going back to Tekong next week, no antimalarials have been indented, so I assume chemoprophylaxis is still stopped. They did issue permethrin though.
Lariam is mefloquine, the once-a-week antimalarial drug issued to most servicemen in Tekong, not just those who have G6PD. Maybe they ordered Lariam instead of the generic, but the generic looks quite cheap.
The other drug is doxycycline, taken once every day. Mefloquine is contraindicated in epilepsy, depression, mood disorders and anxiety. Neither drug is contraindicated in G6PD.
G6PD uses Mefloquine (Lariam)
non-G6PD uses locally made Dapsone. -
Coy 2IC prepares the nominal role to be forwarded to medical centre.Originally posted by Icemoon:it is indented by company? Not the unit MO or RQ? -
.. and medical centre never ask why so many "G6PD" personnel out of a sudden?Originally posted by Ponders:Coy 2IC prepares the nominal role to be forwarded to medical centre.
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heard its a common symptom among commandosOriginally posted by Fatum:remember the rumors about maloprim causing lowered sex drive ? .... -
if it's doxycycline then I dun nid take malaria pill . ( joking )
I used doxycycline to control my ance problem . ( if it flares , my doctor told me to bring a few to tekong in case my ance flares up . )
they say cannot take accutane .
I also take another drug to control my oil secretion .
basically my whole scap is filled with tiny dots , it wont flare up if I control my oil secretion . -
my platoon mate. was a nice guy, really willing to go. we was just told its liver failure, din know its cause by dapsone....Originally posted by LoVeMeLoVeMenOt:SINGAPORE: A common anti-malaria pill given to about 30,000 servicemen every year since 1985 has been taken off the inventory following the death of a full-time national serviceman who developed complications after taking the drug.
Mr Muhammad Sufian Jamil, 18, was undergoing Basic Military Training at Pulau Tekong when a rare drug-induced disease � Dapsone Hypersensitivity Syndrome � struck him down. He died of liver and organ failure on February 1 last year.
After his enlistment on December 3, 2005, Mr Muhammad Sufian was administered the anti-malaria drug, Maloprim, on seven separate occasions. He started to develop a cough, fever, rash and headache and sought treatment at the Pulau Tekong Medical Centre on six occasions.
On January 15 last year, he sought treatment at Alexandra Hospital (AH) after developing a fever and rash.
He was then in a stable condition and was given an appointment to see a dermatologist about a week later. His condition had deteriorated further when he returned to AH on January 23.
In view of his worsening liver condition, he was admitted to the hospital and later transferred to National University Hospital (NUH) on the same day.
At NUH, dermatologists and the infectious diseases and liver transplant teams treated him. But his condition declined, developing multi-organ failure before eventually dying.
On Wednesday, State Coroner Ronald Gwee ruled a misadventure verdict on Mr Muhammad Sufian's death. Citing reports from two medical experts, the District Judge ruled out any negligence on the part of the physicians who provided "aggressive supportive treatment" to the deceased.
Consultant dermatologist Dr Lim Kah Beng's report noted that Mr Muhammad Sufian's case was "unusual", as the "complaints were more of a flu-like illness".
In an investigation report read out in court, Chief Army Medical Officer Colonel Dr Benjamin Seet said that Maloprim "had been very effective in preventing malaria amongst SAF troops training on Pulau Tekong and overseas". Prior to the incident, the drug "had a good safety profile in the SAF" and the serviceman's death was "unprecedented".
The court also heard of steps taken by the SAF to address the situation after a forensic report attributed Mr Muhammad Sufian's death to one of Maloprim's components.
SAF doctors were educated on the rare condition through a medical advisory and lecture.
An independent expert panel to review the SAF's anti-malaria policy was also convened last October. Based on its recommendations, Maloprim was replaced with two other drugs
man bro. we from G P2 miss you. -
MALOPRIM'S SAFETY PROFILE HAD BEEN GOOD: MINDEF
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Letter from Colonel Benedict Lim, Director Public Affairs, Mindef
I refer to the letter, "How Safe is Maloprim?" by Jiang Zhiwei (Sept 5).
Maloprim was first introduced in the SAF in 1985, and became the SAF's
first-line drug against malaria in 1998. Up to the unfortunate incident
involving the late REC Muhd Sufian, Maloprim had a good safety profile in
the SAF. Maloprim is also one of the drugs approved by the Health Sciences
Authority for malaria prevention in Singapore.
All hospitalisations and cases of drug-related adverse reactions involving
SAF personnel are reported and tracked. Side effects to Maloprim are rare
and only a few cases of Dapsone Hypersensitivity Syndrome have been
reported among SAF servicemen over the past 20 years. The majority of
servicemen who were affected developed either rashes or hepatitis, and
they recovered fully once Maloprim consumption was stopped.
The SAF will continue to take active steps to look after the health and
well-being of its servicemen. Working closely with the National
Environment Agency and Ministry of Health, the SAF set out to make Pulau
Tekong "malaria-free". This was achieved in March this year, and the
requirement to consume drugs to guard against malaria infection on Pulau
Tekong was lifted a month later.
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