Artemisinin
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Specification
Test Items |
Standard |
Artemisinin (CAS: 63968-64-9) |
98% by HPLC |
Loss on drying |
≤0.5% |
Total impurities |
≤1% |

Natural Source

Structural Uniqueness

Clinical Impact
1.Molecular Mechanism
2.Pharmacokinetics
Absorption
Oral bioavailability 30% (↑to 60% with fatty meals).
Distribution
100× higher in RBCs vs. plasma; 5% CSF penetration.
Metabolism
Hepatic CYP3A4/2B6 hydroxylation (forms dihydroartemisinin).
Excretion
Primarily biliary (t₁/₂=1-2h)
Clinical Applications
Indications & Protocols
Condition |
Regimen |
Efficacy |
Falciparum Malaria |
Artesunate + Amodiaquine |
95% cure rate* |
Cancer Adjuvant |
Artemisinin + Cisplatin (Phase II) |
↑3mo PFS in HCC |
Lupus Erythematosus |
Low-dose long-term oral |
↓40% disease activity |
*WHO multicenter study (n=10,000)
Special Populations
Pregnancy: Safe in 2nd/3rd trimesters (limited 1st-trimester data).
Pediatrics: Weight-based dosing (≥5kg).
Dosage and Administration
Formulations
Oral: 50 mg tablets (artemether-lumefantrine).
Injection: 60 mg artesunate powder (reconstituted).
Suppository: 40 mg (pediatric emergency).
Dosing Guidelines
Use |
Dose |
Duration |
Malaria Treatment |
4 mg/kg load, then 2 mg/kg qd×3d |
7d combo therapy |
Cancer Trials |
200 mg/day |
4 weeks |
Safety Evaluation
Adverse Reactions
System |
Incidence |
Manifestations |
Hematologic |
0.1% |
Reticulocytopenia |
Neurologic |
1% |
Mild dizziness |
Hypersensitivity |
Rare |
Rash |
Contraindications & Interactions
Absolute CI:
Artemisinin allergy.
Severe liver failure (Child-Pugh C).
Cautions:Strong CYP3A4 inducers (e.g., rifampin): ↓80% AUC.
Research Progress Green max
Novel Formulations
Nanoliposomes: Tumor-targeted delivery (preclinical).
Sustained-release Microspheres: Single injection for 3-month malaria prophylaxis.
New Indications
COVID-19: Inhibits viral replication (IC₅₀=2.5 μM).
Alzheimer’s: Reduces Tau phosphorylation (animal models).
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