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- W2970692502 abstract "Introduction: As benznidazole is the first-line treatment for patients with Chagas disease, rational chemotherapy strategies are required based on the critical analysis of the evidence on the relevance and applicability of this drug at different disease stages.Areas covered: The authors discuss the current understanding of benznidazole-based chemotherapy for Chagas disease, focusing specifically on epidemiology, pharmacokinetics, mechanism of action, clinical recommendations, cure criteria, and therapeutic efficacy in different phases of the disease.Expert opinion: Benznidazole shows high bioavailability after oral administration. Benznidazole at 5–8 mg/kg/day and 5–10 mg/kg/day for 30–60 days are consistent clinical recommendations for children and adults, respectively. A high correlation between negative parasitological, serological, and polymerase chain reaction (PCR) assays in long-term post-therapeutic follow-up has been consistently used to evaluate therapeutic efficacy. These methods support the evidence that the success of benznidazole-based chemotherapy is closely correlated with the phase of infection in which the treatment is administered. The greater therapeutic efficacy is obtained in acute infections, gradually worsening as the infection becomes chronic. When therapeutic failure is confirmed by any diagnostic assay, benznidazole treatment does not always ensure better long-term prognosis, and Chagas cardiomyopathy may develop as well as in untreated patients." @default.
- W2970692502 created "2019-09-05" @default.
- W2970692502 creator A5010215972 @default.
- W2970692502 creator A5051821820 @default.
- W2970692502 creator A5083247417 @default.
- W2970692502 date "2019-08-28" @default.
- W2970692502 modified "2023-09-25" @default.
- W2970692502 title "An evaluation of benznidazole as a Chagas disease therapeutic" @default.
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- W2970692502 doi "https://doi.org/10.1080/14656566.2019.1650915" @default.
- W2970692502 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31456439" @default.
- W2970692502 hasPublicationYear "2019" @default.
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