(50 mg/kg twice daily SC or 100 mg/kg/day)
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Inhibition of parasite phosphofructokinase metabolism
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Local pain at site of injection, pancreatitis, nephrotoxicity
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Impairment of signaling pathways and cell membrane synthesis
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Anorexia, vomiting, diarrhea
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Interference with mitochondrial pathway
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Nephrotoxicity, ototoxicity
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(10 mg/kg, PO, twice daily)
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Interference with purine metabolism
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Xanthinuria, urolithiasis, renal mineralization
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(50 mg/kg,SC, twice daily or 100 mg/kg daily) +
allopurinol (10 mg/kg, PO, twice daily)
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Inhibition of parasite phosphofructokinase metabolism and interference with purine metabolism
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4 weeks (meglumine antimoniate) and 6-12 months (allopurinol)
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Local pain at site of injection, pancreatitis, nephrotoxicity; xanthinuria, urolithiasis, renal mineralization
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Miltefosine (2 mg/kg daily) +
allopurinol (10 mg/kg, PO, twice daily)
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Impairment of signaling pathways and cell membrane synthesis and interference with purine metabolism
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4 weeks (miltefosine) and 6-12 months (allopurinol)
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Anorexia, vomiting, diarrhea, xanthinuria, urolithiasis, renal mineralization
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Marbofloxacin (2 mg/kg daily)
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Liposomal amphotericin B (3 mg/kg, IV, every 2 days)
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Inhibition of cholesterol incorporation into cell membrane.
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To total of 21 mg/kg over 2-3 weeks as tolerated
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Diarrhea, vomiting, nephrotoxicity
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