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I got spare Malarone tablets

Travel Forums General Talk I got spare Malarone tablets

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

Yeah, keep them for giving away, until they reach their expiry date.
That is what I would do.;)

12. Posted by Isadora (Travel Guru 13926 posts) 9y

Quoting Nicip

To be comletely honest with you i would send them in the post without hesitation. If there is a law like that in the UK then i dont think it is as strict as the US law. I send prescription pills through the post every 3 months (the contraceptive pill to my good friend in london). When u go 2 send something as what we call ''recorded delivery'' over here, the post office always ask whats in the package/letter...but they never look!

I know we are definitely more strict about what goes through the mail system and I'm sure people send all sorts of prescribed meds to someone else daily without incidence. But, our pharmaceutical companies wield an enormous amount of power which flows over into our postal service. It does come down to "protecting" our citizens from all those "less-than-standard" drugs coming from Canada and Mexico. (The ones we made, shipped across the borders and don't want back saying they are inferior in quality.) But, I digress and that's another whole story not meant for this thread.

The way i see it is that i would be sending them completely at my own risk and the person would be consuming the Malarones completely at their own risk.

But Isadora......I completely understand everything u are saying

This part would be my biggest concern, personally. Yes, both parties would be entering into the agreement at their own risk. The chances of problems arising are small, but all it takes is the recipient having a bad reaction and they will forget all about "thier own risk taking" and it falls back on you. Again, I'll stop now as I know you see my concerns. (I worked in the industry for many years so I like these discussions...)

just thought...

i dont call myself ''mad,bad and dangerous to know'' in my profile for no reason!

haha im only joking

;)

Just checked your profile to see the hat (mentioned in another thread). Bungy-jumping??? Okay - that alone covers the above statement.

[ Edit: Edited on Jul 20, 2007, at 5:37 AM by Isadora ]

13. Posted by Nicip (Full Member 112 posts) 9y

I like these kind of discussions to.........

Haha take it ure not a fan of bungee jumpng then?

I love it....what an adreniline rush

14. Posted by Isadora (Travel Guru 13926 posts) 9y

Quoting Nicip

I like these kind of discussions to.........

Haha take it ure not a fan of bungee jumpng then?

I love it....what an adreniline rush

I don't care for heights. Even step ladders scare me!

15. Posted by Taffski (Travel Guru 182 posts) 9y

Hi Nici...

I'm curious... were you on the Malarone Tablets when you got Malaria ???

If so.... what part of Africa were you in (Specifically) so we then have a better idea of where the little Mossie buggers are now tolerant to the Tabs.

Just helpful info for me as we and a friend of ours might be there soon

cheers

Taffski

16. Posted by Nicip (Full Member 112 posts) 9y

Hi Taff

Yes i was taking Malarone when i got it, i followed all the instructions and took one tablet at the same time each day (starting 2 days before i left).

I covered myself from head to toe with mosquito repellant, and i only got bit THREE times during a two week period and one of them three bites gave me malaria.

I actually caught it in kenya....to be more specific at lake Nakaru (sat outside the hotel having a drink at night). As that was the night i got bitten those 3 times.

I actually fell ill in Tanzania....on the Island of Zanzibar.

In 2005 when i was travelling parts of Asia where Malaria is just as much of an epidemic...........i didn't take ANY anti malarials and i didnt once use any repellants. i got bit loads.....and i was fine!.

Typical isnt it!?

17. Posted by Isadora (Travel Guru 13926 posts) 9y

I was going to quote both Nicip and Taffski but that would make this way to long... So, I will just make my comments and hope it works...

Though Malarone itself is a fairly new anti-malarial treatment (a combination of two drugs that have been used for years individually with much success), there is only one case of Malarone resistance reported. (That doesn't mean there aren't more cases.) The patient was a Nigerian man who had become infected and his malaria was treated with Malarone. It was unsuccessful. He had not been taking anti-malarials prior to infection.

With that said, no anti-malarial prophylaxis is 100% effective and this is why. Anti-malarials do not prevent the disease which is basically a parasitic infection. The mosquito bites a human and "injects" the parasite into the bloodstream. The anti-malarial compounds in the blood kill the parasite or prevent it from reproducing while the body's immune systen destroys the adults (depends on the drug). But, many factors play a part in whether the parasite is destroyed or not. Was the medication taken as prescribed or days missed (Nicip - just a general comment and not one aimed at you), does this person metabolize the drug(s) more quickly than the majority, how many bites by infected mosquitoes occurred and which strain of malaria was transmitted. In Nicip's case, all three bites could have infected her and overloaded her system with the parasite. Basically, the levels of Malarone in her body were not able to destroy all of the parasites in her blood.

There are four different strains of malaria. Plasmodium malariae, P. ovale, P. vivax, and P. falciparum. P. vivax and P. falciparum are the two most common strains. Asia sees a higher level of P. vivax while Africa sees higher levels of P. falciparum. P. falciparum is considered the most fatal of the group. Even though malaria is endemic in parts of Asia, the number of infections are lower than that of Africa.

Taffski, if you and your friend are traveling throughout Africa, Malarone will still be the most effective prophylaxis. Most of Africa is Chloroquine-reisitant. Doxycycline and the others will work. I do not recommend Larium to anyone. Malarone does do a great job at "prevention". Just remember, nothing is 100% and use your netting, etc. enhance your protection.

18. Posted by CanadaGuy (Respected Member 199 posts) 9y

As someone in the medical field, I would say it is probably not a great idea for someone who does not know you to accept your extra medications. Your intentions are obviously great- to save a fellow poor traveler a few bucks, but there are just so many scenarios that I could come up with where bad things could result- it just is not worth it to save a couple bucks..... especially these days....

As for Malarone failure - I agree that no anti-malarials are 100%. True resistance is thought to be rare, but even with a susceptible organism, there is still a small chance of developing disease. The biggest reason for failure is generally poor compliance or improperly taking the medication.

One other thing to remember-- I don't know all the details about your illness but it actually may NOT have been malaria- Often in Africa , especially in clinics and hospitals that do not have state of the art diagnostics, any time someone presents with a febrile illness they say it is malaria and treat it as such, because this is the most fatal potentially. Unless you actually had someone do a blood film and told you they saw malaria parasites in you bllod, it could have been something else- like typhoid or a viral illness which may just run its course. I would recommend seeing a travel medicine doctor if you are back home to have follow up bloodwork, including a blood film for malaria to make sure your are OK now...

19. Posted by Nicip (Full Member 112 posts) 9y

haha i can tell you now it was Malaria, why would i go round saying i had malaria if i never even had it diagnosed? I nearly died from the god damn thing. I had blood taken immediatly and tested and hospitalised.

Sorry if im coming across a bit touchy,but it is a touchy subject as it ruined my life. I know you know nothing about my illness and meaning well by offerring advice.

Just as i was meaning well by offering my Malarone but oooooooooh well nevermind.....can we let the thread die now......

Sorry again Canadaguy!

[ Edit: Edited on Jul 22, 2007, at 4:19 AM by Nicip ]

20. Posted by CanadaGuy (Respected Member 199 posts) 9y

Yes Nicip-
That does come across as far more than a bit "touchy"-

I think you misunderstood my comments- I did not say that you were making up being diagnosed with malaria- I wrote that you potentially could have been misdiagnosed if the proper diagnostic tests and interpretations were not done- Trust me I have seen it, even though malaria is certainly very common in Africa. And again, without my knowing more specifics this is all pure conjecture on my part

At this point it makes no difference, and I agree with letting this thread drop.

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