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Assessment of the quality of commercially available artemether-lumefantrine antimalarial tablets in the city of Yaoundé, Cameroon

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Published: 7 October 2026
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Malaria remains a major public health problem in sub-Saharan Africa. Artemether-lumefantrine (AL) combinations are the standard treatment, but their effectiveness can be compromised by the circulation of substandard medicines. The aim of this study was to assess the compliance of AL tablets marketed in Yaoundé (Cameroon) with international pharmaceutical standards. The study was conducted over 6 months at the National Laboratory for Drug Quality Control and Expertise (LANACOME) in Yaoundé. Three commercial products (Artefan® [Ajanta Pharma Ltd., Mumbai, India], Cartef® [GB Pharma Ltd., Surrey, UK], and Laritem® [Ipca Laboratories Ltd., Mumbai, India]) were analyzed. The tests performed included visual inspection, average weight, disintegration, friability, and identification of active ingredients by thin-layer chromatography (TLC). The results indicate that all samples analyzed met compliance standards for average weight, disintegration, and active-ingredient identification. Visual examinations revealed no signs of adulteration. Disintegration tests showed that all tablets disintegrated in less than 15 minutes, and friability tests were compliant, with mass losses of less than 1%. In addition, the frontal ratios (Rfs) obtained for artemether and lumefantrine were in line with international standards. The results underscore the importance of regular drug quality control to ensure efficacy and prevent the emergence of resistance. Further efforts are needed to strengthen market surveillance and ensure the availability of safe and effective malaria treatments.

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1. World Health Organization. World Malaria Report 2023. World Health Organization; 2023 [Accessed 30 October 2025]. Available from: https://www.who.int/teams/global-malariaprogramme/reports/world-malaria-report-2023
2. African Leaders Malaria Alliance (ALMA). 2023 Africa Malaria Progress Report. ALMA; 2023 [Accessed 30 October 2025]. Available from: https://alma2030.org/heads-of-stateand-government/african-union-malaria-progress-reports/2023-africa-malaria-progress-report/
3. United States Pharmacopeial Convention. United States Pharmacopeia and National Formulary (USP 44-NF 39). United States Pharmacopeial Convention; 2021. Available from: https://www.m-pharmaguide-com/2024/06/united-statepharmacopeia-2021.html
4. Nayyar GM, Breman JG, Newton PN, Herrington J. Poor-quality antimalarial drugs in Southeast Asia and sub-Saharan Africa. Lancet Infect Dis 2012;12:488-96. Erratum in: Lancet Infect Dis 2012;12:506.
5. World Health Organization. WHO global surveillance and monitoring system for substandard and falsified medical products. World Health Organization; 2017 [Accessed 1 November 2025]. Available from: https://www.who.int/publications/i/item/9789241513425
6. Ministry of Public Health, Cameroon. [Final Report of the Malaria Indicator Survey in Cameroon (EIPC 2022)]. National Malaria Control Programme; 2022 [Accessed 1 November 2025]. Available from: https://dhsprogram.com/pubs/pdf/MIS43/MIS43.pdf
7. United Nations Economic Commission for Africa (ECA). How Cameroon plans to tackle the pharmaceutical markets of ECCAS and Nigeria. ECA; 2021 [Accessed 3 November 2025]. Available from: https://www.uneca.org/stories/howcameroon-plans-conquer-eccas-and-nigerian-pharmaceuticalmarkets
8. Ngando L, Voundi-Voundi E, Taby Bidzogo CA, et al. Factors Associated with the Prevalence of Malaria in the City of Yaounde, Cameroon. Health Sci Dis 2024;25.
9. Niba PTN, Nji AM, Ali IM, et al. Effectiveness and safety of artesunate-amodiaquine versus artemether-lumefantrine for home-based treatment of uncomplicated Plasmodium falciparum malaria among children 6-120 months in Yaoundé, Cameroon: a randomized trial. BMC Infect Dis 2022;22:166.
10. Quetin-Leclercq J. Identification of active ingredients. Course on analysis and quality control of medicines, 4th-5th year, Faculty of Pharmacy/FSS/UAC; 2015.
11. United States Agency for International Development (USAID)/U.S. USAID’s Promoting the Quality of Medicines Plus Program. U.S. Pharmacopeial Convention; 2019. Available from: https://www.usp.org/sites/default/files/usp/document/our-work/global-public-health/pqm-plus-goalsand-objectives.pdf?utm_source
12. European Directorate for the Quality of Medicines & HealthCare (EDQM). [European Pharmacopoeia: an updated 10th edition to continue meeting new challenges]. Council of Europe; 2019. Available from: https://www.edqm.eu/en/d/85401
13. World Health Organization. The International Pharmacopoeia, Third edition, Vol. 5. World Health Organization; 2022 [Accessed 3 November 2025]. Available from: https://pharmanalysis.weebly.com/uploads/1/1/6/2/11625417/1._test_methods_and_general_requirements.pdf
14. Mody C, Modibo S, Moussa CS, et al. Contrôle de la Qualité des Antipaludiques à Base d’Artemether-Luméfantrine Vendus dans les Officines de Bamako. Health Sci Dis 2022;23.
15. United States Pharmacopeial Convention. 2016 Pharmacopeial Forum. United States Pharmacopeial Convention; 2016;42 [Accessed 3 November 2025]. Available from: https://www.uspnf.com/sites/default/files/usp_pdf/EN/USPNF/pf-legacy-pdf/pf-2016_vol-42.pdf
16. Ahmed F, Eticha T, Ashenef A. Quality assessment of common anti-malarial medicines marketed in Gambella, National Regional State, South Western Ethiopia. Malar J 2024;23:278.
17. Nyarko S, Ofori-Kwakye K, Johnson R, et al. Investigating the Presence of Falsified and Poor-Quality Fixed-Dose Combination Artemether-Lumefantrine Pharmaceutical Dosage Forms in Kumasi, Ghana. Adv Pharmacol Pharm Sci 2024;2024:2650540.
18. Nga EN, Moukoko ECE, Ngene JP, et al. [Pharmacotechnical Evaluation of Antimalarial Molecules on the Legal and Illegal Markets in Yaoundé: The Case of Artemether-Lumefantrine 20/120]. Health Sci Dis 2015;16.
19. Council of Europe. [European Pharmacopoeia: Published in accordance with the Convention on the Elaboration of a European Pharmacopoeia]. Council of Europe; 2007. Available from: https://books.google.cm/books?id=W-EOJQAACAAJ
20. Belew S, Suleman S, Mohammed T, et al. Quality of fixed-dose artemether/lumefantrine products in Jimma Zone, Ethiopia. Malar J 2019;18:236.
21. Ocan M, Nakalembe L, Otike C, et al. Pharmacopeial quality of artemether-lumefantrine anti-malarial agents in Uganda. Malar J 2023;22:165.
22. Prah J, Ameyaw EO, Afoakwah R, et al. Quality Assessment of Artemether-Lumefantrine Samples and Artemether Injections Sold in the Cape Coast Metropolis. J Trop Med 2016;2016:8602619.
23. World Health Organization. Tests and general requirements for dosage form pharmaceutical substances and tablets (Third edition). World Health Organization; 2004 [Accessed 7 November 2025]. Available from: https://onesearch.library.uwa.edu.au/discovery/fulldisplay?vid=61UWA_INST%3AUWA&docid=alma99784177702101&context=L

How to Cite



Assessment of the quality of commercially available artemether-lumefantrine antimalarial tablets in the city of Yaoundé, Cameroon. (2026). Sahelian Journal of Responsible One Health, 2(3). https://doi.org/10.4081/sjroh.2026.646