Artesunate
medication Under reviewAn artemisinin derivative used primarily for the treatment of malaria.
Research summary
Human research on artesunate in healthy subjects is limited to phase 1 and pharmacology studies evaluating single and multiple dosing, bioavailability, and short‑term safety. These trials consistently show that intravenous or oral artesunate is generally well tolerated over a few days, with most adverse events being mild and reversible. However, they also document transient bone marrow suppression, including decreased reticulocyte counts and small but significant reductions in hemoglobin, as well as mild anemia and changes in white blood cell counts. Taste disturbances, dizziness, headache, nausea, fatigue, and myalgia are among the more common non‑serious adverse effects reported. Because artesunate is used acutely for severe malaria and not as a chronic supplement, there is no body of evidence supporting beneficial effects in healthy humans for domains like cognition, metabolic health, or longevity. The overall research consensus is that artesunate is an effective and relatively safe short‑course antimalarial drug when used under medical supervision, but its pharmacologic profile does not support its use for general health enhancement in healthy individuals. Safety concerns about delayed‑onset anemia and bone marrow suppression further argue against off‑label use outside of monitored clinical contexts.
Reported Side Effects
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Comparative study of dihydroartemisinin and artesunate safety in healthy Thai volunteers.
Nakornchai S, Siripong P, Leowattana W, Looareesuwan S, Na-Bangchang K
Artesunate Amivas: European public assessment report – safety data including healthy-volunteer trials
European Medicines Agency
General Pharmacology of Artesunate, a Commonly used Antimalarial Drug:Effects on Central Nervous, Cardiovascular, and Respiratory System.
Li Q, Weina PJ
No reports yet
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FDA multidisciplinary review: Intravenous artesunate for severe malaria – clinical pharmacology and safety in healthy volunteers
Center for Drug Evaluation and Research, U.S. FDA
Pharmacokinetic profiles of artesunate following multiple intravenous doses of 2, 4, and 8 mg/kg in healthy volunteers: phase 1b study.
Morris CA, Duparc S, Borghini-Fuhrer I, Jung D, Shin CS, Fleckenstein L
No reports yet
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Artesunate Amivas: European public assessment report – safety data including healthy-volunteer trials
European Medicines Agency
FDA multidisciplinary review: Intravenous artesunate for severe malaria – clinical pharmacology and safety in healthy volunteers
Center for Drug Evaluation and Research, U.S. FDA
No reports yet
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Pharmacokinetic profiles of artesunate following multiple intravenous doses of 2, 4, and 8 mg/kg in healthy volunteers: phase 1b study.
Morris CA, Duparc S, Borghini-Fuhrer I, Jung D, Shin CS, Fleckenstein L
FDA multidisciplinary review: Intravenous artesunate for severe malaria – clinical pharmacology and safety in healthy volunteers
Center for Drug Evaluation and Research, U.S. FDA
No reports yet
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Comparative study of dihydroartemisinin and artesunate safety in healthy Thai volunteers.
Nakornchai S, Siripong P, Leowattana W, Looareesuwan S, Na-Bangchang K
General Pharmacology of Artesunate, a Commonly used Antimalarial Drug:Effects on Central Nervous, Cardiovascular, and Respiratory System.
Li Q, Weina PJ
No reports yet
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FDA multidisciplinary review: Intravenous artesunate for severe malaria – clinical pharmacology and safety in healthy volunteers
Center for Drug Evaluation and Research, U.S. FDA
No reports yet
Be the first to report this effect and help the community.
Add Artesunate to your stack to report effects
FDA multidisciplinary review: Intravenous artesunate for severe malaria – clinical pharmacology and safety in healthy volunteers
Center for Drug Evaluation and Research, U.S. FDA
Research (5 studies)
Artesunate Amivas: European public assessment report – safety data including healthy-volunteer trials
European Medicines Agency
FDA multidisciplinary review: Intravenous artesunate for severe malaria – clinical pharmacology and safety in healthy volunteers
Center for Drug Evaluation and Research, U.S. FDA
Pharmacokinetic profiles of artesunate following multiple intravenous doses of 2, 4, and 8 mg/kg in healthy volunteers: phase 1b study.
Morris CA, Duparc S, Borghini-Fuhrer I, Jung D, Shin CS, Fleckenstein L
Comparative study of dihydroartemisinin and artesunate safety in healthy Thai volunteers.
Nakornchai S, Siripong P, Leowattana W, Looareesuwan S, Na-Bangchang K
General Pharmacology of Artesunate, a Commonly used Antimalarial Drug:Effects on Central Nervous, Cardiovascular, and Respiratory System.
Li Q, Weina PJ
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