The safest option would be to come for a consultation in one of our clinics to discuss your trip and medical history. All of these options are available at Nomad but choosing which is the right one for you depends on a number of factors. There are other antimalarial options sold in other countries, but always be aware of the risk of counterfeit medications. Depending on the country you are travelling to, some antimalarials may not be suitable because the malaria parasite has become resistant to the medication.
Chloroquine Avloclor is only effective in a small number of countries, mainly in Central America, and should never be taken to prevent malaria in Africa, South East Asia or South America where the malaria parasite has developed resistance to Chloroquine Avloclor.
Lariam has some patches of resistance in parts of South-East Asia, so is not an ideal option there. Some malaria medications may not be suitable for you if you have pre-existing medical conditions including pregnancy.
To find out if you can take antimalarials with your medical conditions, and which ones are advised, you will need come in for a travel health consultation with one of our expert Nurses or see your GP for advice. Lariam only needs to be taken once a week, which some people find easier to stick to.
You have a little more wiggle room with these ones, you can take them a day late if you forget and still get high levels of protection against malaria. Chloroquine Avloclor is also a weekly option but is less effective in most parts of the world. You need to start taking antimalarials in advance of arriving in the malaria area.
How long before depends on which one you choose. The various antimalarials also have different lengths of time that they must be continued after you have left the malaria zone.
Adults: mg base mg salt , weekly. Begin weeks before travel, weekly during travel, and for 4 weeks after leaving. Commercial Availability of Artesunate for Injection. Contact Us. Section Navigation. Facebook Twitter LinkedIn Syndicate. Considerations when choosing a drug for malaria prophylaxis: Recommendations for drugs to prevent malaria differ by country of travel and can be found in Malaria Information by Country.
Recommended drugs for each country are listed in alphabetical order and have comparable efficacy in that country. For all medicines, also consider the possibility of drug-drug interactions with other medicines that the person might be taking as well as other medical contraindications, such as drug allergies.
When several different drugs are recommended for an area, the following table might help in the decision process. Good for last-minute travelers because the drug is started days before traveling to an area where malaria transmission occurs Some people prefer to take a daily medicine Good choice for shorter trips because you only have to take the medicine for 7 days after traveling rather than 4 weeks Very well tolerated medicine — side effects uncommon Pediatric tablets are available and may be more convenient Cannot be used by women who are pregnant or breastfeeding a child less than 5 kg Cannot be taken by people with severe renal impairment Tends to be more expensive than some of the other options especially for trips of long duration Some people including children would rather not take a medicine every day.
Areas with drug resistant Malaria: Multidrug resistant P. The antimalarial medications listed below are effective for this country. Suppressive Medication Guide All malaria infections are serious illnesses and must be treated as a medical emergency. In offering guidance on the choice of antimalarial drugs, the main concern is to provide protection against Plasmodium falciparum malaria, the most dangerous and often fatal form of the illness.
Regardless of the medication which has been taken, it is of utmost importance for travellers and their physician to consider fever and flu-like symptoms appearing 7 days up to several months after leaving a malarious area as a malaria breakthrough. Early diagnosis is essential for successful treatment. In addition to the suggested antimalarial medication, use a mosquito bed net and effective repellents to avoid the bite of the nocturnal Anopheles mosquito. Brand names: Malarone, Malanil and others; generics available.
Note: Take at the same time every day with food or milk. Brand names: Vibramycin and others; generics available. Note: When taking this drug, avoid exposure to direct sunlight and use sunscreen with protection against long range ultraviolet radiation UVA to minimize risk of photosensitive reaction. Antimalarial medication is used to prevent and treat malaria. The type of antimalarial tablets you will be prescribed is based on the following information: where you're going any relevant family medical history your medical history, including any allergies to medication any medication you're currently taking any problems you've had with antimalarial medicines in the past your age whether you're pregnant You may need to take a short trial course of antimalarial tablets before travelling.
Types of antimalarial medication The main types of antimalarials used to prevent malaria are described below. Atovaquone plus proguanil Dosage — the adult dose is 1 adult-strength tablet a day.
Child dosage is also once a day, but the amount depends on the child's weight. It should be started 1 or 2 days before your trip and taken every day you're in a risk area, and for 7 days after you return. Recommendations — a lack of clear evidence means this antimalarial shouldn't be taken by pregnant or breastfeeding women. It's also not recommended for people with severe kidney problems. Possible side effects — stomach upset, headaches , skin rash and mouth ulcers.
Other factors — it can be more expensive than other antimalarials, so may be more suitable for short trips. Doxycycline also known as Vibramycin-D Dosage — the dose is mg daily as a tablet or capsule. You should start the tablets 2 days before you travel and take them each day you're in a risk area, and for 4 weeks after you return. Recommendations — not normally recommended for pregnant or breastfeeding women, but your GP will advise. Not recommended for children under the age of 12 because of the risk of permanent tooth discolouration , people who are sensitive to tetracycline antibiotics , or people with liver problems.
Possible side effects — stomach upset, heartburn , thrush , and sunburn as a result of light sensitivity. It should always be taken with food, preferably when standing or sitting.
0コメント