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Which anti-Malarials? Japanese B Encephalitis risk? HELP!!!

Travel Forums Asia Which anti-Malarials? Japanese B Encephalitis risk? HELP!!!

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1. Posted by stowaway (Budding Member 28 posts) 9y

Hi,

I'm in the midst of a serious panic so if anyone can help me, I'll be your best friend

First of all, I'm going to the North of India for a month before going on to Thailand, Malaysia and Indonesia. The nurse at my local G.P surgery told me I'd need Proguanil and Choloquine. Went to Boots to get this and the pharmacist wouldn't sell it to me as apparently it is not going to cover me for all places I'm travelling. Went back to the nurse and, basically, she didn't have a clue.

That nurse has also screwed me over with my jabs. I saw her 2 months ago to find out what jabs I'd need for my trip and she didn't say anything about Japanese B Encephalitis, which I've only just found out I actually need This is a huge problem for me as I'm leaving in 2 weeks time and it's a month-long course. Am I right to be panicking about this or was the nurse right and I don't need this jab at all?

I'm never trusting the NHS again!!!

2. Posted by wouterrr (Travel Guru 3379 posts) 9y

Encephilitis is only appearing in rural areas outside cities. So if you are going for some trekking it could be recommendable. I took Paludrine as anti-malaria...

[ Edit: Edited on Feb 9, 2007, at 11:13 AM by Wﺭﺍﺪﻤﺎﮐﺭ ]

3. Posted by wouterrr (Travel Guru 3379 posts) 9y

there also needs to be a so called official epidemic for Japanese B Encephaliti in that area, otherwise its not necessary

4. Posted by claireh (Respected Member 318 posts) 9y

Hi...there does seem to be some confusion about anti-malarials for India (as I've recently found out!!). From what I understand...some of India has resistence to choloroquine, so this drug will not work against malaria in some parts. You could try Malerone, Larium or Doxycyline instead. I got my anti-malarials for India from a specialist travellers clinic in Singapore and they prescribed me doxy... Don't panic as you can take Malerone one day before you travel....

I haven't had the Jap B jab...I wasn't recommended it from UK or Singapore...

5. Posted by wouterrr (Travel Guru 3379 posts) 9y

don't get lariam if possible. i heard a lot of bad things about it. it has some nasty side effects.

6. Posted by wouterrr (Travel Guru 3379 posts) 9y

Quoting stowaway

Hi,

The nurse at my local G.P surgery told me I'd need Proguanil and Choloquine

btw, Paludrine = Proguanil 100mg = 2 tablets a day. this is good for India. I don't understand why you also need chloroquine?

7. Posted by stowaway (Budding Member 28 posts) 9y

Wow, thanks for getting back to me - feeling much calmer now!

Apparently you take the Cholorquine once a week and the Proguanil daily, they come in a pack numbered days 1-7 and day 1 you get 4 tablets and 2 the rest of the week. I have no idea why this is.

I think I'm going to ask for doxycyline - apparently malarone is not suitable for over 3 months.

As far as the Jap B Ence. goes, going to see if somewhere can give me a quick course - if I can get it I'd rather be safe than sorry... but in the words of my nurse (I can't believe she actually said this to me):

'With malaria and japanese encephalitis the best thing to do is just not get bitten'

8. Posted by Mel. (Travel Guru 4567 posts) 9y

Hello Stowaway.

I read, that Proguanil and Choloquine are no longer effective for many strains of Malaria. So, the pharmacist was probably right, not to sell them to u.
Ask the pharmacist, if they have one of the following
Doxycycline
Larium
Malarone
U can start taking them, on the first day of your trip, but many people start a couple of weeks, before the trip.
This is because there are side effects, that often stop after 2 weeks.

Mel

9. Posted by Mel. (Travel Guru 4567 posts) 9y

How long are u travelling for?
Japanese B Encephalitis vaccination is recommended for people travelling long term(more than a month)

Mel

10. Posted by stowaway (Budding Member 28 posts) 9y

I'm going to be travelling for at least 12 weeks, which unfortunatley means that I should have had it. This leads me on to my next question... does anyone know of a decent travel clinic in London where I can get jabs (preferably then and there)?