TY - JOUR KW - Neglected tropical diseases (NTDs) KW - Visceral Leishmaniasis KW - Amphoterecin B KW - Kala-Azar KW - Miltefosine KW - Paromomycin KW - chemotherapeutics KW - Treatment AU - Sundar S AU - Singh A AB -

Treatment of Visceral Leishmaniasis (VL), a neglected tropical disease, is very challenging with few treatment options. Long duration of treatment and drug toxicity further limit the target of achieving VL elimination. Chemotherapy remains the treatment of choice. Single dose of liposomal amphotericin B (LAmB) and multidrug therapy (LAmB + miltefosine, LAmB + paromomycin (PM), or miltefosine + PM) are recommended treatment regimen for treatment of VL in Indian sub-continent. Combination therapy of pentavalent antimonials (Sbv) and PM in East Africa and LAmB in the Mediterranean region/South America remains the treatment of choice. Various drugs having anti-leishmania properties are in preclinical phase and need further development. An effective treatment and secondary prophylaxis of HIV-VL co-infection should be developed to decrease treatment failure and drug resistance.

BT - Parasitology C1 -

http://www.ncbi.nlm.nih.gov/pubmed/29215329?dopt=Abstract

DO - 10.1017/S0031182017002116 J2 - Parasitology LA - eng N2 -

Treatment of Visceral Leishmaniasis (VL), a neglected tropical disease, is very challenging with few treatment options. Long duration of treatment and drug toxicity further limit the target of achieving VL elimination. Chemotherapy remains the treatment of choice. Single dose of liposomal amphotericin B (LAmB) and multidrug therapy (LAmB + miltefosine, LAmB + paromomycin (PM), or miltefosine + PM) are recommended treatment regimen for treatment of VL in Indian sub-continent. Combination therapy of pentavalent antimonials (Sbv) and PM in East Africa and LAmB in the Mediterranean region/South America remains the treatment of choice. Various drugs having anti-leishmania properties are in preclinical phase and need further development. An effective treatment and secondary prophylaxis of HIV-VL co-infection should be developed to decrease treatment failure and drug resistance.

PY - 2017 SP - 1 EP - 7 T2 - Parasitology TI - Chemotherapeutics of visceral leishmaniasis: present and future developments. SN - 1469-8161 ER -