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Malaria tablets..need help!

Travel Forums Africa and The Middle East Malaria tablets..need help!

1. Posted by baluba (Respected Member 407 posts) 10y

I am planning on travelling around Africa for about six months later this year, starting with an overland Cairo to Cape trip followed by Madagascar snd some of the other islands.
What does everyone else do with regards to Malarial tablets for an extended stay and what would you reccommend taking? Malarone is horrendously expensive, around £50 to £80 for two weeks worth!
Any suggestions most gratefully received!

2. Posted by road_trip (Full Member 203 posts) 10y

Hey Claire,

The best thing you can do is go and see the nurse at your GP surgery. They should be able to advise the best anti-malarial. Depending on the length of your stay you wont be able to take some types; Malarone for a maximum of 1 month, Doxycycline no longer than 3-6 months, Mefloquine up to 1 year, Chloroquine and Proguanil up to 5 years.

Other factors need to be taken into account too. ;)

3. Posted by baluba (Respected Member 407 posts) 10y

Thanks Neil, Problem is, my nurse went off with stress just dealing with the vaccinations I need! Have a really good pharmacy though, hopefully they will sort it!

4. Posted by road_trip (Full Member 203 posts) 10y

Ah right, slight problem then.
I'm using a private travel clinic at the mo; they're really helpful however they cost £££££ But I needed to start my jabs asap. Might be worth checking out if you have one local? Though being up in bonnie Scotland you may not..;)

Good luck

5. Posted by flo jo (Respected Member 414 posts) 10y

Hi clare,

I finally found the name of my malaria tablet Lariam. I was on it for nearly six months on my two previous trip. I used to it because you take it only once a week. I heard that you can get hallucinations from it but either my sister or myself got any side effect. Anyway we are a bit of lost cases so noone will have notice....

Malaria tablets are a big budget along with the vaccinations story but it´s still cheaper than to cure one of this sickness.
Neil is right try to get to a travel clinic there are really used to this time of request, mine was so much better than my local GP. Give them the country where you are going and they give you the jabs not like the Gp who has to go through books and net

Have a good trip clare
Flo

6. Posted by road_trip (Full Member 203 posts) 10y

Quoting flo jo

Hi clare,

I finally found the name of my malaria tablet Lariam. I was on it for nearly six months on my two previous trip. I used to it because you take it only once a week. I heard that you can get hallucinations from it but either my sister or myself got any side effect. Anyway we are a bit of lost cases so noone will have notice....

Now I know why you're crazy flo!
hehehehe!

At the end of the day Claire, you should see a specialist about it. I doubt the pharmacist will be able to give you detailed advice; some types of malaria are resistant to different types of anti-malarial. You need to ensure you get the most appropriate type for your trip.

But then again, you pharmacist may be on the ball!!

Good luck

7. Posted by Brance (Budding Member 15 posts) 10y

Make sure when you get to africa you also buy a treatment course for malaria, (buy it at a local pharmacy cause its cheap, somewhere around $3 USD and its the best stuff to fight the type of malaria in that area) i forget the name of it but its 3 pills that you take at the onset of symptoms. I always kept a few extra packs of it in my bag, not only for myself but other backpackers who may not have it. Malaria can be fatal if not treated early, so if you feel the symptoms just take the treatment and don't delay. I spent 8 months in zambia with 10 other people who all took different types of preventative medicine and all of us got malaria! Larium really does have a bad reputation though, and i've heard some stories of it leading to really lucid dreams and some cases of depression as a result of it. The thing i would suggest to do is pick a med. that will last you until you get to africa (since many of them you have to start taking a few weeks before departure) and then buy them locally, most are manufactured in Brazil or India and are good quality meds, but because of drug patent laws are impossible to get in many western countries. And be smart about your clothing, wear long sleeves and pants at dusk. Make sure to have a good mosquito net that is treated and use it every night. Also if you do get malaria a simple and cheap oral rehydration solution is 1 litre water to 2 tablespoons salt and 8 tablespoons sugar, this is a necessity because food is almost impossible to keep down when you get malaria and it will prevent dehydration.

Hope this helps
enjoy Africa!

8. Posted by Mkia (Budding Member 3 posts) 10y

guess it depends of the country...
i've been living in western africa for a year and there lariam is not recomended (has many side effects and it's not working on p.falciparum )...
check on who website what type of parasite is dominant in the countries u want 2 go 2..
me and my boyfriend had savarine (about 10 €)...and no malaria..:))
though he became a bit allergic to it so he had to switch to doxycyclin which is an antibiotc and that's not good but it was working...

but...even if u do catch malaria it's not so bad...if u notice it on time...a bit lighter then a flu (we stopped drinking savarine during hot season cause there're no mosquitos..but somehow they found us so we both caught the malaria)...if u notice something strange like high T just go and do the blood test...they'll give u medicine (common one in Burkina was arinate) and everything will be fine...

problem with great mortality is that they don't have enough money to pay the medicaments..:((

sorry 4 long post and bad english...

9. Posted by globalgirl (Full Member 64 posts) 10y

I would definitely recommend NOT taking lariam, especially for long term (i took it for 7 months, not a good idea). Anything you're taking for longer term is not that good for you...I would probably have skipped the malaria meds if I did it over again, but I agree with what someone said...buy it locally once you get there! It's really cheap.

10. Posted by Alf (Budding Member 3 posts) 10y


  1. 7 gives solid advise.


First line of defence is not getting bitten as no preventive medicine is 100% effective. Mosquito nets and covered limbs are a good policy.
Lariam is IMHO a very good choice despite the negative publicity.
Coartem containing Artemisin is the name of medicine to treat malaria and do buy it from Africa.