Buy Aralen
Aralen

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Aralen (Chloroquine Phosphate) is an antimalarial and amebicide used to prevent and treat malaria, as well as certain types of parasitic infections. It works by interfering with the growth of parasites in the red blood cells. Aralen is also sometimes used for its anti-inflammatory properties in specific rheumatic conditions.


Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Chloroquine Phosphate
Reference Brand
Chloroquine
Manufacturer
Sanofi
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
Antimalarial, Anti-inflammatory
Product Category
Antiprotozoals, Antimalarials, Aminoquinolines
Pharmacological Class
4-aminoquinoline
Manufacturer Description
An established medication used primarily to prevent and treat malaria and certain inflammatory conditions.
Mechanism of Action
Chloroquine works by interfering with the growth of parasites in red blood cells. In autoimmune conditions, it acts by subtly modulating the immune response, helping to reduce inflammation and pain in joints.
Route of Administration
Oral
Onset Time
Varies by condition (hours for malaria, weeks for arthritis)
Duration
Long half-life (days to weeks)
Contraindications
Pre-existing vision issues, History of epilepsy, Hypersensitivity to quinolines
Severe Adverse Events
Vision loss or blurring, Hearing loss, Muscle weakness, Irregular heartbeat
Common Side Effects
Nausea, Diarrhoea, Stomach cramps, Mild itching
Uncommon Side Effects
Dizziness, Loss of appetite, Skin rash, Changes in hair colour
Drug Interactions
Antacids, Cimetidine, Digoxin, Mefloquine
Pregnancy Safety Warnings
Use with caution; consult a specialist if travelling to malaria zones.
Age Restrictions
Adults and children (dosage based on weight)
Storage Guidelines
Store at room temperature in the original packaging.
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Aralen FAQ

What should I do if I experience visual changes while taking Arilen?

Report any blurring, difficulty reading, or changes in colour perception to a healthcare professional immediately. An ophthalmologic assessment is essential, as early detection of chloroquine-related retinopathy can prevent permanent vision loss.

Can I take Arilen with my regular antihypertensive medication?

Chloroquine can interact with certain beta-blockers and calcium-channel blockers by affecting heart rhythm. It's important to inform your prescriber about all cardiovascular drugs you are using so they can assess the need for ECG monitoring.

Is it safe to travel to malaria-endemic countries while pregnant and take Arilen for prophylaxis?

Chloroquine is classified as Category B2 in pregnancy, meaning animal studies have not shown risk but human data are limited. It may be used when the benefit outweighs potential risks, but alternatives such as mefloquine or atovaquone-proguanil are often preferred. Discuss travel plans with your obstetrician.

How can I tell if a tablet I have is the 250 mg or 500 mg strength?

Arilen tablets are imprinted with distinct codes: the 250 mg tablets carry the “A-250” imprint, while the 500 mg tablets display “A-500”. Check the packaging or consult your pharmacist if you are uncertain.

Will taking Arilen affect my blood sugar control?

Chloroquine can cause hypoglycaemia by increasing insulin sensitivity. If you have diabetes, monitor your blood glucose closely, especially when starting or adjusting the dose, and inform your diabetes care team.

Can I take Arilen with a calcium supplement?

Calcium does not have a known direct interaction with chloroquine. However, taking any supplement with a large amount of minerals may interfere with drug absorption if taken simultaneously. Space the supplement at least two hours apart from the Arilen dose.

Why does my doctor order a baseline ECG before I start Arilen?

Because chloroquine can prolong the QT interval, a baseline ECG helps identify any pre-existing prolongation. This information guides safe dosing and informs the need for periodic cardiac monitoring.

Is there a generic version of Arilen available in the UK?

Yes, chloroquine phosphate is available as a generic medication marketed under various brand names. The active ingredient, dosage forms, and strengths are identical; only the packaging and manufacturer differ.

What happens to unused Arilen tablets after the expiry date?

Expired tablets should not be taken. Return them to a pharmacy participating in the NHS Drug Disposal Programme or follow local waste-management guidelines for hazardous medicines.

Can I keep Arilen in my travel bag when flying internationally?

Yes, but keep the medication in its original labelled container, carry a copy of the prescription or a doctor’s note, and be prepared to declare it at customs if requested. This helps avoid confusion with security personnel.

What Is Aralen?

Aralen is a brand-name medication that contains chloroquine phosphate as its sole active ingredient. It is supplied as oral pills in strengths of 250 mg and 500 mg. In the United Kingdom, chloroquine phosphate is classified as an antiparasitic agent and is authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) for the treatment and prophylaxis of malaria. It is also used in certain autoimmune conditions, but it has no approved indication for COVID-19 in the UK.

How Aralen Works in the Body

Chloroquine belongs to a class of drugs known as 4-aminoquinolines. After oral ingestion, the drug is absorbed from the gastrointestinal tract and distributes widely throughout body tissues, including the liver, spleen, lungs, and melanin-rich structures such as the eye.

  • Antiparasitic action: Inside the malaria parasite-infected red blood cells, chloroquine accumulates in the acidic food-vacule, raising its pH. This interferes with the parasite’s ability to detoxify haem, leading to toxic haem-chloroquine complexes that kill the parasite.
  • Immunomodulatory activity: In autoimmune disorders, chloroquine can inhibit antigen presentation and reduce the production of pro-inflammatory cytokines, contributing to disease control.

The drug’s onset of action for malaria is typically within a few hours, with peak plasma concentrations reached about 2-4 hours after a dose. Its elimination half-life ranges from 1 to 2 weeks because of extensive tissue binding, which underlies its weekly dosing schedule for malaria prophylaxis.

Conditions Treated with Arilen

  • Uncomplicated Plasmodium falciparum malaria (in regions where chloroquine-sensitive parasites predominate)
  • Plasmodium vivax, ovale and malariae infections
  • Malaria prophylaxis for travelers to endemic areas where chloroquine-sensitive strains are prevalent
  • Rheumatoid arthritis and systemic lupus erythematosus (as a disease-modifying adjunct, prescribed off-label in the UK)

COVID-19: Chloroquine was investigated early in the pandemic as a potential antiviral agent, but the MHRA has not approved Arilen for the treatment or prevention of COVID-19. Current clinical guidelines advise against its routine use for this indication.

Evidence-Based Off-Label Uses

Autoimmune Disorders

Chloroquine is sometimes prescribed off-label for rheumatoid arthritis and systemic lupus erythematosus. Small-scale studies and long-term clinical experience suggest modest reductions in disease activity and joint pain. Use for these conditions must be supervised by a rheumatologist, with regular monitoring for retinal toxicity and cardiac effects.

COVID-19 (Investigational)

Early in-vitro studies indicated that chloroquine could inhibit SARS-CoV-2 replication, leading to widespread interest. However, subsequent randomized controlled trials (RCTs) have not demonstrated a clinically meaningful benefit, and the MHRA has issued safety warnings about cardiotoxicity at doses explored for COVID-19. Off-label use for COVID-19 is not recommended outside of a controlled clinical trial setting.

All off-label applications require individualized risk assessment and close medical supervision.

Who Should (and Should Not) Use Arilen?

Ideal Candidates

  • Adults and children (≥6 months) requiring malaria treatment or prophylaxis in chloroquine-sensitive regions
  • Patients with autoimmune disease where chloroquine is part of a disease-modifying regimen, under specialist care

Absolute Contra-indications

  • Known hypersensitivity to chloroquine, hydroxychloroquine, or any tablet excipients
  • Pre-existing retinal or visual field defects
  • Severe hepatic impairment (Child-Pugh C)
  • Known G6PD deficiency with a history of hemolysis

Relative Contra-indications

  • Pregnancy and lactation: Chloroquine crosses the placenta; it is classified as Category B2 in the UK, meaning animal studies have not shown risk but adequate human data are lacking. Use only if clearly needed.
  • Renal impairment: Dose adjustment may be required for creatinine clearance <30 mL/min.
  • Cardiac disease: Patients with known QT-interval prolongation, arrhythmias, or concurrent use of other QT-prolonging drugs should be monitored closely.

Special Populations

  • Elderly: Reduced renal function is common; dose may need modification.
  • Children: Dosing is weight-based; tablets may need to be split or a pediatric suspension prepared under pharmacy guidance.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Gastrointestinal: Nausea, abdominal discomfort, and occasional vomiting (generally mild and transient).
  • Dermatologic: Pruritus or mild skin rash.
  • Central nervous system: Headache or dizziness, especially after the first dose.

Serious Adverse Events

  • Retinal toxicity: Progressive pigmentary retinopathy that can lead to irreversible vision loss; risk increases with cumulative doses >100 g of chloroquine base.
  • Cardiac toxicity: QT-interval prolongation, arrhythmias, and rare cases of cardiomyopathy.
  • Severe hypoglycaemia: Particularly in patients with diabetes on insulin or sulfonylureas.
  • Hepatotoxicity and hematologic effects (e.g., agranulocytosis) are very uncommon but reported.

Any of the following require immediate medical attention: visual changes (blurred vision, difficulty reading), palpitations, fainting, severe abdominal pain, or signs of allergic reaction such as swelling of the face or throat.

Drug Interactions

  • CYP2D6 substrates (e.g., metoprolol, tamoxifen) may have altered plasma levels.
  • QT-prolonging agents (e.g., macrolide antibiotics, fluoroquinolones, certain antipsychotics) can synergistically increase the risk of arrhythmia.
  • Antidiabetic drugs (insulin, sulfonylureas) may potentiate hypoglycaemia.
  • Antacids containing aluminum or magnesium can reduce chloroquine absorption; separate administration by at least 2 hours is advisable.

Food and Lifestyle Interactions

  • Alcohol: Excessive intake may exacerbate hepatic strain and increase dizziness.
  • Sun exposure: Chloroquine can increase photosensitivity; use sunscreen and protective clothing when outdoors.
  • Driving: If dizziness or visual disturbances occur, avoid operating machinery or driving until symptoms resolve.

Patients should disclose all current medications, supplements, and herbal products to their prescriber before initiating Arilen.

How to Take Arilen

Standard Dosing for Malaria Treatment (Adults)

  • Loading dose: 2 × 500 mg tablets (total 1 g) taken at the start of therapy.
  • Maintenance doses: 1 × 500 mg tablet at 6 hours, 24 hours, and 48 hours after the initial dose.

This regimen delivers the conventional 600 mg base loading dose followed by 300 mg base maintenance doses, matching established malaria treatment protocols.

Prophylactic Dosing (Adults)

  • Weekly dose: 1 × 500 mg tablet taken once every 7 days, beginning 1-2 weeks before travel to a chloroquine-sensitive area and continuing for 4 weeks after leaving the endemic zone.

Pediatric Dosing

  • Weight-based dosing is required; a typical regimen is 5 mg/kg of chloroquine base (approximately 8 mg/kg of chloroquine phosphate) on day 1, followed by 5 mg/kg on days 2 and 3. Tablet splitting or a pharmacy-prepared suspension should be used.

Special Populations

  • Renal impairment: Reduce dose by 50 % if creatinine clearance is <30 mL/min.
  • Hepatic impairment: No specific dose reduction is recommended, but close monitoring of liver enzymes is prudent.

Administration Tips

  • Swallow tablets whole with a full glass of water.
  • The medication can be taken with or without food; taking it with a light meal may lessen gastrointestinal upset.
  • Store tablets at room temperature, protected from moisture and direct sunlight.

Missed Dose

  • If a dose is missed, take it as soon as remembered unless the next scheduled dose is within a few hours; in that case, skip the missed dose-do not double-dose.

Overdose

  • Symptoms: Nausea, vomiting, visual disturbances, cardiac arrhythmias, seizures, and severe hypoglycaemia.
  • Emergency actions: Seek immediate medical care; supportive care (intravenous fluids, glucose, cardiac monitoring) is the mainstay. No specific antidote exists.

Discontinuation

  • For short-term malaria treatment, abrupt cessation is standard after the 3-day regimen.
  • For chronic use (e.g., autoimmune disease), tapering is advised to avoid rebound disease activity.

Monitoring and Follow-Up

  • Baseline ophthalmologic exam before initiating long-term therapy; repeat annually after 5 years of use, or sooner if visual symptoms develop.
  • Electrocardiogram (ECG) may be warranted before starting therapy in patients with known cardiac disease or when combined with other QT-prolonging drugs.
  • Blood glucose monitoring for diabetic patients, especially if using insulin or sulfonylureas.
  • Liver function tests (LFTs) and renal function should be checked periodically in patients with pre-existing organ impairment.

Storage and Handling

  • Keep tablets in the original container, tightly closed, and out of reach of children.
  • Store at 15-25 °C (room temperature) away from excess heat, moisture, and direct sunlight.
  • Do not use tablets past the expiry date printed on the packaging.
  • Dispose of unused medication according to NHS guidelines-return to a pharmacy for safe disposal if possible.

Medication-Specific Glossary

QT Prolongation
An extension of the heart’s electrical repolarisation interval, visible on an ECG, which can predispose to dangerous arrhythmias such as torsades de pointes.
Retinopathy
Damage to the retina that may manifest as visual field loss or colour vision disturbances; a recognized risk with cumulative chloroquine exposure.
Cumulative Dose
The total amount of drug received over time, often expressed in grams of chloroquine base; toxicity risk increases with higher cumulative doses.
Loading Dose
An initial higher dose designed to rapidly achieve therapeutic drug concentrations.

Medical Disclaimer

This article provides educational information about Arilen and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Aralen is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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