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Malaria Tablets!

Travel Forums Asia Malaria Tablets!

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1. Posted by james1988 (Budding Member 25 posts) 7y

Hi

Im going to Thailand (ALl over), Malaysia, Borneo and Bali in July/August and have mixed views on whether i need malaria tablets. Id rather be safe that sorry, and am therefore going to take them....but which ones.

I was quoted £100+ by the doctors for malarone, which i dont want to pay. The other option is Lariam, which is cheaper but has mixed side effects. What can people recommened, as i am going to take them.

Any information would be great, and if your going to any them places at same time get in touch :)

2. Posted by trainrider (Full Member 95 posts) 7y

I just had a consultation with a travel doctor in New Zealand. Malarone was the most expensive, but you pay for what you get and malarone has minimal side effects. I was told that Larium can make you hallucinate so unless you're into that sort of thing I should give it a miss. In the end I went for doxycycline which was really cheap ( NZ$4/£1.50) per week. And has little to no side effects. I dont know if it is available in the UK. Ask your GP about it.

3. Posted by trainrider (Full Member 95 posts) 7y

Also check out traveldoctor.co.uk.......Lots of useful info on Malaria and other vaccination requirements. If you are exploring all over thailand then the north bordering on Myanmar & Cambodia are high risk & are cloroquine resistant. I wont start taking malaria tablets in Thailand until 2 days before I enter this area. You will need Malaria tablets in Borneo. Bali has very low Malaria risk.

4. Posted by mikeuk20 (Budding Member 25 posts) 7y

Hey!

I have had the exact same problem however have gone with Doxycycline as the nurse told me that it was one of the cheapest and wasnt that different to malarone except some people more sensitive to the sun! She told me to just always wear sun screen which I will be doing anyway!

I got 66 of those tablets for £14!

thats 3 days before I go
5 weeks there
and a month after!

Enjoy your trip!
Mike :)

5. Posted by karazyal (Travel Guru 1596 posts) 7y

Quoting james1988

Hi

Im going to Thailand (ALl over), Malaysia, Borneo and Bali in July/August and have mixed views on whether i need malaria tablets. Id rather be safe that sorry, and am therefore going to take them....but which ones.

I was quoted £100+ by the doctors for malarone, which i dont want to pay. The other option is Lariam, which is cheaper but has mixed side effects. What can people recommened, as i am going to take them.

Any information would be great, and if your going to any them places at same time get in touch :)

You can pick up doxycycline in pharmacies in Thailand pretty cheap. Depending on where it is made the price will be between 3.5 baht per capsule to around 7 or 8 per capsule if it is imported. Check the expiration date that is with the capsules and also probably better to stick with a big pharmacy like Boots and Watsons where they get a good turnover. Read the instruction sheet that is in pharmacy.

Just because you may not be directly in a malarial zone doesn't mean you won't get malaria even in Bangkok or another large city. I have been on planes where there were mosquitoes and flies hitching rides so it is not far-fetched to think that a railroad car, ship, long distance truck or even a car could possibly have a lot of mosquitoes trapped in it.

I think dengue fever might be a problem in some areas. I always get a JEV shot too for travel in Asia.

Good luck.

6. Posted by murphc09 (Budding Member 57 posts) 7y

Hi all,

Just had a look on the web for that doxycycline and it seems it should be taken with Quinine?

"It is used in prophylaxis against malaria. It should not be used alone for initial treatment of malaria, even when the parasite is doxycyline-sensitive, because the antimalarial effect of doxycyline is delayed. This delay is related to its mechanism of action. Its mechanism of action against malaria is to specifically impair the progeny of the apicoplast genes resulting in their abnormal cell division.It can be used in a treatment plan in combination with other agents, such as quinine."

Does anyone know which Anti malarials contain penicillin?

7. Posted by pPamela (Full Member 158 posts) 7y

Hi,
You do not need any antimalarials on Bali.
However, you need to cover up and use insect repellant because there is dengue fever outbreaks on Bali from time to time and not tablets you can take for dengue prevention.
and the Dengue fever mosquito bites during the day.
Pamela.

8. Posted by pPamela (Full Member 158 posts) 7y

Hi,
Doxycycline is quite different to Malarone. The person who said they were similiar is wrong.
And another thing I would not be buying doxycycline in any Asian countries- buy it in a western country preferably your home country.
Pamela.

[ Edit: Edited on 02-Jun-2009, at 23:12 by pPamela ]

9. Posted by karazyal (Travel Guru 1596 posts) 7y

Quoting pPamela

Hi,
Doxycycline is quite different to Malarone. The person who said they were similiar is wrong.
And another thing I would not be buying doxycycline in any Asian countries- buy it in a western country preferably your home country.
Pamela.

Guess I have been lucky, I have at times made purchases of doxy and other meds in Thailand off and on for maybe 10 years and never had any problems. I do inspect the container that the caps come in, I check for expiration dates, I read the data sheet and I purchase meds from a large pharmacy chain. Even in Thailand you can purchase medicine that is made overseas in Germany, Australia and the US. Doxy is what my doctors used to give me when I was in the military in South East Asia. Doxy is recommended by my doctors in the US for South East Asia as recently as last year. I guess there is the possibility of getting counterfeit drugs but that also happens in Europe and America too!

http://www.cababstractsplus.org/abstracts/Abstract.aspx?AcNo=19892066098

http://www.traveldoctor.co.uk/asia.htm#3rdb

Different countries different regimens. In some countries you may need different preventatives or combinations.

For Thailand:

Regimen 1
Mefloquine one 250mg tablet weekly.
OR
Doxycycline one 100mg capsule daily.
OR
Malarone one tablet daily.

Do what your own doctor recommends. A lot of the medicine sold in Europe and America is made in China anyway!

http://www1.cei.gov.cn/ce/doc/ceng/200508182044.htm

Good luck.

10. Posted by james1988 (Budding Member 25 posts) 7y

Hi Folks

Thanks for the reply. I went to the doctors and got doxycycline. The doctor said this is fine, although had to get it on the private prescription as its unavailable on the NHS. Prescription cost £15 and the tablets cost £15, so not to bad really.

....better than Malaria though i suppose :)