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Pyronaridine + Artesunate

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Malaria remains a major public health concern in many parts of the world, especially in sub-Saharan Africa, Southeast Asia, and Latin America. Resistance to older antimalarial medications has made combination therapies essential in effective treatment strategies. One of the most potent and WHO-endorsed Artemisinin-based Combination Therapies (ACTs) is Pyronaridine + Artesunate, known for its high efficacy against Plasmodium falciparum, including strains resistant to other antimalarials.

BluepillExpress is a globally trusted pharmaceutical manufacturing and export company specializing in high-quality antimalarial therapies. We provide third-party manufacturing services for Pyronaridine + Artesunate combinations tailored for governments, NGOs, healthcare institutions, and private label companies worldwide. Our WHO-GMP certified facilities ensure safety, efficacy, and international compliance.

Product Overview

Generic Name: Pyronaridine Tetraphosphate + Artesunate
Therapeutic Category: Antimalarial Combination Therapy
Pharmacological Class: Artemisinin-Based Combination Therapy (ACT)

Available Dosage Forms:

  • Tablets (Film-coated, immediate-release)
  • Pediatric dispersible tablets (on request)

Common Strengths Available:

  • Pyronaridine Tetraphosphate 180 mg + Artesunate 60 mg (Adult Dose)
  • Pyronaridine Tetraphosphate 60 mg + Artesunate 20 mg (Pediatric Dose)

Packaging Options:

  • Blister packs (1×3, 1×6, 1×9 tablets)
  • Strip packs for institutional supply
  • Mono-cartons with multilingual inserts
  • Child-resistant and anti-counterfeit packaging available

Pharmacopoeial Compliance: WHO PQ / IP / BP / USP (as per regulatory requirement)

Mechanism of Action

Pyronaridine:
A Mannich base antimalarial with potent schizonticidal activity against blood-stage Plasmodium falciparum. It interferes with hemozoin formation, leading to toxic accumulation of free heme within the parasite.

Artesunate:
A semi-synthetic derivative of artemisinin that generates free radicals when activated in the parasite’s food vacuole. This rapidly damages parasite proteins and membranes, leading to quick parasite clearance.

Synergistic Activity:
The combination of Pyronaridine and Artesunate offers complementary action:

  • Artesunate acts quickly, reducing parasitemia within 24–48 hours
  • Pyronaridine sustains the antimalarial effect, preventing recrudescence
    This synergy ensures high cure rates, reduced gametocyte carriage, and resistance suppression.

Indications

Pyronaridine + Artesunate is indicated for the treatment of:

  • Acute uncomplicated malaria due to Plasmodium falciparum, including multi-drug resistant strains
  • Co-infections involving P. vivax (when accompanied by appropriate follow-up therapy)
  • Treatment of malaria in adults, adolescents, and children (based on body weight)
  • Use in public health programs and government malaria control campaigns

Dosage and Administration

Adult Dosage (≥20 kg body weight):

  • Pyronaridine 180 mg + Artesunate 60 mg: One tablet once daily for 3 consecutive days

Pediatric Dosage (5 kg to <20 kg):

  • Based on weight bands; dispersible tablets available for children
Weight RangeNumber of Tablets per DayDuration
5–10 kg1 pediatric tablet3 days
10–20 kg2 pediatric tablets3 days
20–40 kg1 adult tablet3 days
>40 kg2 adult tablets3 days

Administration Guidelines:

  • Should be taken with food to enhance absorption
  • Strict adherence to 3-day regimen essential for full therapeutic benefit
  • Not recommended for severe malaria (parenteral treatment preferred)
  • Follow-up may be needed for P. vivax relapse prevention (with primaquine)

Pharmacokinetics

  • Artesunate:
    • Rapid absorption; converted to active dihydroartemisinin (DHA)
    • Half-life: ~1 hour
    • Peak effect within 1–2 hours
  • Pyronaridine:
    • Long half-life (~13–17 days), providing sustained activity
    • Slowly absorbed; peak levels in 2–4 hours
    • Lipophilic and highly protein-bound

This pharmacokinetic profile enables both rapid parasite clearance and long-term protection against recrudescence.

Advantages of Pyronaridine + Artesunate Combination

  • High cure rate (>95%) even in drug-resistant malaria
  • Short-course regimen: Only 3 days of once-daily dosing
  • Improved adherence compared to older ACTs
  • Favorable safety profile with minimal adverse effects
  • WHO-endorsed combination for national malaria programs
  • Low gametocyte carriage reduces transmission potential

Why Choose BluepillExpress for Manufacturing?

1. WHO-GMP Certified Production Units

We manufacture under strict GMP protocols, ensuring pharmaceutical excellence:

  • Controlled-environment tablet manufacturing zones
  • High-speed granulation, compression, and coating machinery
  • Cleanroom packaging and microbial control compliance
  • Separate production lines for antimalarial ACTs

2. Regulatory Documentation and Support

We provide complete regulatory support for product registration, including:

  • Certificate of Pharmaceutical Product (COPP)
  • Free Sale Certificate (FSC)
  • WHO-type Certificate of Analysis (COA)
  • Bioequivalence data (if required)
  • Stability studies under ICH conditions
  • CTD/ACTD dossiers for MOH approvals

3. Tailored Packaging and Private Labeling

We support:

  • National malaria program packaging specifications
  • QR codes, serialization, and anti-counterfeit measures
  • Multilingual inserts (French, English, Arabic, Spanish)
  • Customized artwork and branding for institutional or private markets

4. Global Export and Supply Chain Expertise

BluepillExpress supplies Pyronaridine + Artesunate to:

  • Africa: Nigeria, DR Congo, Ethiopia, Ghana, Uganda
  • Asia: Myanmar, Cambodia, India, Bangladesh
  • Middle East: Iraq, Yemen, Sudan
  • CIS and Latin America: Uzbekistan, Bolivia, Guatemala

Our efficient logistics partners ensure timely delivery for both bulk and branded shipments.

Quality Control and Assurance

All batches undergo rigorous in-house and third-party testing:

  • Active Ingredient Assay (Pyronaridine and Artesunate)
  • Dissolution Profile for consistent bioavailability
  • Microbial Testing for contamination-free assurance
  • Hardness, Friability, and Disintegration tests
  • Stability Studies under climatic zones I–IV
  • Packaging integrity and labeling accuracy checks

Our quality systems comply with IP, USP, BP, and WHO standards.

Third-Party Manufacturing Workflow at BluepillExpress

Step 1: Consultation and Product Finalization
Dosage, packaging, documentation, and market needs are discussed.

Step 2: Sample and Artwork Approval
Pilot batch and packaging samples developed and approved by client.

Step 3: Production and Quality Testing
Bulk production begins in GMP facilities, monitored with in-process QC checks.

Step 4: Packaging and Dispatch
Packed, labeled, and shipped with all necessary documentation.

Step 5: After-Sales Regulatory Support
Support provided for MOH queries, re-registration, and product variations.

Target Market and Clients

  • Government Tenders and Public Health Institutions
  • NGOs and Global Health Programs (e.g., The Global Fund, UNICEF, USAID)
  • Private-label Antimalarial Brands
  • Hospital Chains and Pharmacy Distributors
  • Exporters and Aid Agencies Serving Malaria-Endemic Regions

Our Pyronaridine + Artesunate combination aligns with public health objectives and provides a cost-effective yet premium solution for malaria control.

Global Market Demand

  • The global antimalarial drugs market is expected to cross USD 1 billion by 2028.
  • ACTs like Pyronaridine + Artesunate are being adopted in more countries due to their superior cure rates.
  • National Malaria Control Programs (NMCPs) increasingly prefer WHO-prequalified fixed-dose ACTs.
  • BluepillExpress is strategically positioned to fulfill this demand through scalable, compliant, and affordable third-party manufacturing.

Conclusion

Pyronaridine + Artesunate offers a powerful, fast-acting, and safe antimalarial combination for the treatment of uncomplicated malaria. With increasing global demand for effective ACTs, having a reliable manufacturing partner is critical for success in institutional and commercial markets.

BluepillExpress is committed to supporting global health with quality-assured, affordable antimalarial solutions. Our third-party manufacturing model is built to deliver efficiency, compliance, and innovation — from sample development to final dispatch.

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