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malaria tablets - India and south asia road trip January 08

Travel Forums Asia malaria tablets - India and south asia road trip January 08

1. Posted by leopard (Full Member 8 posts) 7y

HI,

I am leaving to India, Thailand, Nepal, Vietnam, Laos and Banglades this January and planing to stay in the area for a year... What antimalaric pills would you recomend..? Lariam vs Malaron..? Does anyone used doxycicline and had no problem with sunshine sensitivity..? any info might be helpful..

thank you

leopard

2. Posted by Mel. (Travel Guru 4567 posts) 7y

Hello Leopard:)

The world health organisation(WHO), gives good information about Malaria regions.
U could check their website.

Mel

3. Posted by Beckiboo (Respected Member 134 posts) 7y

Hi there

You will need two different types of Malaria tablets for India/Nepal.. and for SE Asia. I got one type of Malaria tablets for India from my doctor, can't remember the name of them though. Malaria isn't rife in India so it's more as a precaution than a necessity.
To be honest you probably wont need them in Nepal at all as it's I'd imagine most of it is based above 2000m, where mosquitos can't live anyway so it's probably not a Malarial area.

For SE Asia I bought Doxycycline in Thailand and took it throughout most of SE Asia. It worked fine for me, no side effects really, maybe slightly more sensitive to the sun, but I burn anyway so I just made sure I was extra covered up.
Oh and if you're a girl it interferes with the contraceptive pill so take extra precautions on that side of things too!

I'd recommend Doxycycline over other Malarial tablets, I had friends who took Larium and said it made them go crazy

I actually gave up taking my Malaria tablets when I had about two months left of my trip. I met so many people who weren't taking any tablets and they said it's actually worse for you taking so many tablets over such a long period of time (I went for six months) and even if you do get Malaria you still need treatment. The tablets just give you extra time to get that treatment.

So weigh it up yourself. I'd say definately take them in Bangladesh and Laos, and if you go into any rural areas in Vietnam. Anywhere else there is probably only a very low Malarial risk.

4. Posted by CanadaGuy (Respected Member 199 posts) 7y

Becky-- sorry what you said was both partially wrong and potentially dangerous to downplay this issue --I've posted this before, but it is always worth repeating. Malaria is a potentially fatal disease and proper precautions are extremely important. Trust me- I have seen people die from malaria that could have been prevented!

Prevention involves both using proper mosquito repellents, and medications. The medications do prevent malaria, not just "give you extrra time" as you imply. Particularly western travelers who do not have any immunity can get very sick very fast. It is very important to go to a travel clinic to get proper advice on the best medications based on your trip.

All the countries you listed do have malaria( including parts of Nepal). You can certainly take prophylaxis for the entire duration of your travels ( Most military service give malaria pills for up to a couple years).

Nepal:Malaria risk area in Nepal: Risk in rural areas at altitudes below 1,200 m (<3,937 ft) in the Tarai and Hill districts bordering India and in the areas of the inner Tarai valley areas of Udaypur Sindhupalchowk, Makwanpur, Chitwan, and Dang. No risk in Kathmandu or on typical Himalayan treks.

India. Malaria risk area in India: Risk in all areas throughout country except no risk in areas above 2,000 m (>6,561 ft) in Himachal Pradesh, Jammu, Kashmir, and Sikkim. Risk also exists in urban areas below 2000 m, including Delhi and Mumbai (Bombay).

Personally I have been to 2 long trips each over 3 months in SEA- one I took doxy, and one mefloquine- and tolerated both well. You doctor can discuss which is better but I would strongly advise you take something ( in addition to other vaccines you will need).

The cdc website with travel information is at :
http://wwwn.cdc.gov/travel/default.aspx

5. Posted by kir19 (Inactive 55 posts) 7y

i've hear bad stuff about lariam. my boyfriend took them and he said they gave him nightmares. in the past i have taken both chloroclorine (sp?) and doxycycline and have been fine. i used spf 15 and the sun didnt give me too many problems. as long as you wear sunscreen i think you'll be okay. it made my tummy hurt a bit though.

6. Posted by leopard (Full Member 8 posts) 7y

I am thinking about Lariam, because of Doxyciclin's and sun reactions...
Thank you for yours info guys... enjoy the time out there
leopard;)

7. Posted by Beckiboo (Respected Member 134 posts) 7y

I'd rather have a bit of sunburn than develop psychotic tendencies though!