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.
very few parts of thailand are as we've said, and Singapore, Malaysia and Australia are fine but parts of Vietnam, Laos and Cambodia are malarial. is Doxy much more expensive than lariam? I have heard some bad things about lariam and thought it was only taken in the higher risk places such as west africa.
I've taken Malerone & Doxy before and would recommend Malerone all the way. You only need to take it a few days before entering a risk area and for a week after. Doxy you have to take about a week before and for a month afterwards, so if you are moving in and out of risk areas, you could end up taking it continuously.
I didn't get many side effects with Doxy but my skin was slightly more sensitive to the sun. Malerone I had no side effects from. Larium - I've heard too many stories about changing personality and moodiness, bad dreams and depression (especially if you have a history of this) to even consider using it myself. I'd say health is one thing you do not want to risk on your journey of a lifetime, no matter what the cost financially.
FYI there is a website called travelpharm where you can get cut price malaria pills. I bought my Malerone from them and found them good. Do speak to a specialist travel health clinic, they can give good advice as to the best one to suit you. They can also speak to you about risk areas. When I went last yr, Laos and Cambodia were considered very malarial, Vietnam malarial in the mountains but lower risk along the coast and Thailand only close to the borders of Burma and Laos. Peninsular Malaysia and Singapore were considered low risk so I did not take pills there-do check this as it changes all the time, but it will give you an initial indication.
I believe you can now take Malerone for up to 12 weeks - I got a prescription for 10. It is tricky business swapping them around too....I looked into it when on Doxy but decided against it. Remember also that Doxy is an antibiotic, so affects the contraceptive pill (for any ladies out there reading this!!!)
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) quote]
Hi Canada Guy,
The advice I was given was actually by the leading medical beaurea in Ireland that only deals with Travel medicine, vaccintations etc. I have the same opinion, I think you should be going to a specialist in travel medicine but I have also seen on the internet that it is really only recommended for 28 days. This obviously seems to be a difference in the european guidelines. Most european countries will only prescribe for a maximum of 28 days, as the link below shows.
I will have to try TravelPharm as the UK will prescribe 3 months whereas Ireland only 28 days I think we are going to go with the Malarone - side effects free sounds too good to be true
Thanks a lot for that link Clare-- I learnt something new-- European countries may have 1-6 month recommended limits, but none exist in N America and I am not familiar with any strong data that would lead to any absolute contraindication for longer term use...
But I do stand corrected in questioning the recommendations you received....
HI Canada Guy,
Do you know of any different types of Malarone available? I have another appointment with a different doctor in the medical beaurea but I think I am going to go with the malarone, particularly as so many countries have different opinions and don't seem to give a reason for the short time frame. Technicall you could only be in a malaria region using these for just under 3 weeks in all and we will be in & out of malarial areas but I think I can risk it if most other countries can
As I noted above if you are going to SE Asia I think Malarone is just fine-- and again I have no concerns about time limits- (having personally prescibed it for far longer than 1 month on many occasions). If you can tolerate it for a few days, you likely will tolerate for as long as you need- nothing new is likely to develop late into therapy. And yes, if your doctor will only give you 28 days that should only theoretically cover you for 19 days in a malaria zone.
The other rational choice , one that I personally have used, is doxycycline- also without any time limits.
Mail me if you have further questions and have a great trip.
I just read briefly there that you need anti-malarials for Oz - is that true? We're just doing the usual route down the east coast from cairns to melbourne [with maybe a detour to alice springs/uluru] - are they still needed for such a route?
For most of our trip we're on the usual tourist trail, but just incase we take a detour at any time during out SEAsia leg we're just gona take doxy. for the two months we're there. After that, i thought we didn't need them!
we're heading to oz-nz-fiji & nrth America after - surely we don't need them there do we?
Ive never been told about malaria anywhere in Aus. If you are planning much time in far north QLD.
(Like much MUCH further north that Cairns) Then sure research it a bit more because i am certainly not a medical professional.
But otherwise you will be fine as far as I know.