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Which Malaria Tablets!!!

Travel Forums Asia Which Malaria Tablets!!!

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1. Posted by dan_so (Budding Member 56 posts) 9y

hi
im wanting to get some malaria tablets for going to thailand but not really wanting to spend alot on them as im going for a long time. ive heard about Larium that you have once a week which seems the cheepest but heard you can get side affects.Malarone is the other one ive looked at, that seems safer, but there took daylie and they work out way more expensive . i am thinking of taking the risk on Larium for the budget but how likely are they to give you side affects and what side affects?
any info will be appreciated thanks

Dan

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

Hello Dan:)

Make sure u need the pills, at all, before u get them.
Not all parts of Thailand are malaria risk areas.
If u know where u will be going, in Thailand, then check the world health organisation(WHO) website, to find out if u will be visiting any risky areas.

Mel

3. Posted by clarife (Respected Member 294 posts) 9y

I'm currently having this problem too - we were advised towards malarone (which i really want cos of the little side effects) and docyciline(?) but because you have to take the malarone a week after you leave an infected zone and we will be moving in and out of infected areas I don't think we can because I heard you cant take malarone for more than 28 days - has anybody taken either of these, any info would be great, I have all my injections and am heading in 6 weeks so need to start deciding

not too pushed on price either(within reason) if there are no side-effects, I would much rather shell out a little more than have bad side effects ruin my travelling.

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

Clare- you can certainly take Malarone longer than 28 days- there is actually no set limit.

Malarone is generally well tolerated, with minor GI side effects but needs to be taken a couple days before entering the malaria zone, daily while there and 1 week after leaving.
Mefloquine (Lariam) is indeed weekly, and continued for 4 weeks after leaving the malaria zone, and has rare side effects including dizziness, confusion, sleeping difficulties, "vivid dreams", depression etc. While this actually is not very common ( I personally have taken Lariam for about 4 months strait once without any problems), generally Malarone is used more often due to the improved overall safety. The other thing to be aware is there are a few areas in SE Asia -including in Thailand, Laos and Myanmar that now have mefloquine- resistant malaria.
The other option is doxycycline- generally well tolerated , if you don't have photosensitivity, and very cheap- but also needs to be taken 1 month after leaving the malaria zone.

I would recommend talking to a physician in a travel clinic about which is best best on your history and your itinerary- and honesty I don't think this is the place to try to save a few dollars--- malaria prevention is important.
Message me if you have further questions.

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

Quoting clarife

not too pushed on price either(within reason) if there are no side-effects, I would much rather shell out a little more than have bad side effects ruin my travelling.

Good luck, with having no side effects. Those malaria pills are harsh on the body. The last time I took them, the pharmacy recommended that I start taking them, a week before I started travelling, to allow my body to get used to them. I felt sick for the entire week, and then puked, at the airport, on the day I was flying. After that they did not effect me in any way that I noticed.

Mel

6. Posted by clarife (Respected Member 294 posts) 9y

:(:(

Im so bad with feeling sick, Im like a baby! But I could do with a couple of days before I go rather than while im over there.

CanadaGuy, It was actually the doctor that told me about the 28 days and when I got on the net it mentioned that south america and somewere elso had no time restraint so it didnt make sense, I thought it was probably the european laws just being stricter. I have another appointment with the doctor and Im just gonna tell her to pick

Decisions decisions, Id rather just be told what to do!

7. Posted by bex76 (Moderator 3719 posts) 9y

Hi dan_so,

I was told that there are only a couple of malaria-risk areas in Thailand, so as Mel says, its worth checking if you are going to actually need to take tablets. I took doxycycline for the rest of SE Asia and had no side effects; it was also very cheap compared to malerone.

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

Quoting clarife

Im so bad with feeling sick, Im like a baby!

That is a good reason to do everything Canadaguy says, to avoid getting Malaria;)
It probably feels worse than the side effects of the Malaria prevention pills.

[ Edit: Edited on Aug 17, 2007, at 4:45 AM by Mel. ]

9. Posted by dan_so (Budding Member 56 posts) 9y

hi Bex

im actually going to thailand then laos, vietnam, cambodia, malysia, singapor and australia are all them countrys malaria country, i wouldent have thought australia was! theink im going to go for larium for the cheapness now.

dan

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

Clare -
If your doctor told you there was a 28 day max to taking Malarone, that just further brings up a very important point that I have made on other similar threads- it is really important to get pretravel advice from a travel clinic, a travel doctor, or an infectious diseases doctor.

What you were told is just not true, and no physician who is familiar with these medications would say that- Sorry to say your doctor may well be good in other areas, he just doesn't know about malaria prophylaxis.... (and trust me I know what I am talking about)

Now if you want my advice I would go with either Malarone or doxy-- Both are fine choices. I personally recently took doxy for about 4 months on another trip to SEA that I just got back from- and again did fine-- cheap, easy and usually well tolerated.