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Antimalarials

Antimalarials

Please note: Malaria is a serious tropical disease spread by mosquitos and if not diagnosed and treated promptly can be fatal. No antimalarial tablet provides 100% protection from malaria and should be taken in addition to preventative measures such as repellents, long sleeved clothing/trouser and mosquito nets to minimise risk.

There are a number of antimalarial tablets available, and the correct one for you will depend on the place(s) being visited. Certain antimalarial tablets are not effective in certain areas due to resistance, and it is therefore important you first check which ones are recommended for your travel destination. We recommend using the NHS Fit For Travel website to do this. If you are unsure, please contact us using the Ask A Pharmacist chat facility.

Please note, where more than one antimalarial tablet is recommended, choice will be dependant upon price, duration of treatment and suitability. No one antimalarial medication is superior to the other.

How to take

All antimalarial tablets are required to be started before travelling, either a few days or a few weeks depending on the product and continued for a period of time afterwards when returning. Starting before travelling gives time for the drug to build up in the body, but also allows for detection of troublesome side effects early on, so they can be addressed prior to travel. Some products need to be taken daily at the same time, while other products have the benefit of only having to be taken once a week. The table below compares the different products available and will help you decide which antimalarial to take, after having determined which is suitable for your destination (NHS Fit For Travel).

 

Product

Weekly/Daily products

How to take

Price

Low/Medium/High

How to calculate tablets required

Malarone

1 Daily

Start 2 days before travelling and continue for 7 days after

High

Days in malarious area + 9

Lariam

1 Weekly

Start 2-3 weeks before travelling and continue for 4 weeks after

High

Weeks in malarious area + 7

Doxycycline

1 Daily

Start 2 days before travelling and continue for 4 weeks after

Medium

Days in malarious area + 30

Avloclor (Chloroquine)

2 Weekly

Start 1 week before travelling and continue for 4 weeks after

Medium

(Weeks in malarious area x 2) + 10

Paludrine

(Proguanil)

2 Daily

Start 1 week before travelling and continue for 4 weeks after

Medium

(Days in malarious area x 2) + 70

 

For more details, please read the medical information for each product by choosing from the product list.

Prior to purchasing any antimalarial medication, please ensure you have read the product information leaflet. Links to this can be found at the bottom of each product description. You will be required to answer a suitability questionnaire prior to placing your order. Our prescribers will review your answers and issue a prescription in your name which will be dispensed by our pharmacy team and dispatched to you.

 

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