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Shal’Artem Dry Syrup

Shal'Artem Dry Syrup
Shal 'Artem dry syrup is a combination of 2 antimalarials that is artemether and lumefantrine. It is helpful in the treatment of uncomplicated Plasmodium falciparum malaria in children weighing 5 to 14 kg.



  • Malaria Plasmodium (the parasites that cause malaria) causes symptoms that include diarrhoea.
  • It is also called loose stools, in which loose or watery stools pass three or more times a day.
  • The incidences of diarrhoea in malaria vary from 5 to 38 %.
    In malaria, diarrhoea can occur because of the malaria parasite’s injury to the liver, pancreas and intestine.
  • In addition, the development of diarrhoea in malaria may involve chemicals like prostaglandins.


  • It is the common symptom of many conditions, including malaria and can occur in the back, shoulder, legs, neck etc.
  • Malaria plasmodium (parasites) attack the body’s skeletal system, causing muscle aches, muscle contractures, muscle fatigue, muscle pain, and muscle weakness.
  • In severe malaria, death of skeletal muscle can occur due to the malaria parasite’s blockage of blood supply to skeletal muscle.

Nausea and Vomiting

  • These are the symptoms of many conditions like malaria and stomach flu.
  • Vomiting is very common in malaria and is due to high-grade fever, the disease itself (from malaria plasmodium, the parasites causing the infection, or even drugs.
  • Vomiting may pose problems in administering antimalarial treatment.


  • A pain arising from the head or upper neck of the body. It is an essential presentation in malaria.
  • The cytokine (chemicals released in the body due to infection or injury) is believed to be an essential factor leading to headaches in acute malaria.
  • Headaches in malaria can occur on one side or both sides.


  • An overall feeling of tiredness or lack of energy. It is one of the symptoms of many diseases, e.g. malaria, dengue, and flu.
  • In malaria, fatigue is one of the common symptoms. High fever and chills go hand in hand with fatigue in malaria.
  • In severe cases, fatigue can occur due to hypoglycaemia due to the utilisation of the body’s glucose by malaria plasmodium (parasites) for their multiplication and functioning.
  • Besides this, excessive bursting of red blood cells (RBCs) leads to anaemia, which also leads to fatigue in malaria.

Chills and Shivering

  • A feeling of being cold without an apparent cause
  • It may occur at the start of an infection and is commonly associated with fever.
  • It is a body’s automatic defence mechanism against cold temperature – an attempt to warm itself.
  • In malaria chills followed by fever develops when malaria parasites burst the red blood cells.
  • Fever and chills are one of the primary symptoms of malaria.


  • Body temperature that is higher (>99°F) than normal. It’s an indication that the body is trying to fight an illness or infection, such as malaria plasmodium (parasites that cause malaria)
  • Minor infections may cause mild or short-term fever
    Body temperatures of 103°F and above are considered high and can signal a potentially dangerous infection, e.g. malaria
  • In malaria patients, fever can be low grade to high grade, with or without chills, intermittent (every 48-72 h) to continuous, or prolonged

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