THE TRAVEL DOCTOR
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Do you know which medicines you should take with you on your travels?

By accessing the interactive part of this web site you can obtain a list of all the medicines necessary for your trip.

Whether you are going on a holiday to a beach resort or a full blown expedition to some remote location.

However long you will be away or however many people will be in your group, wherever you are going and whatever you are doing, you can obtain your own customised list.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 
 
 
 

Do you know which medicines you should take with you on your travels?

By accessing the interactive part of this web site you can obtain a list of all the medicines necessary for your trip.

Whether you are going on a holiday to a beach resort or a full blown expedition to some remote location.

However long you will be away or however many people will be in your group, wherever you are going and whatever you are doing, you can obtain your own customised list.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 

Do you know which medicines you should take with you on your travels?

By accessing the interactive part of this web site you can obtain a list of all the medicines necessary for your trip.

Whether you are going on a holiday to a beach resort or a full blown expedition to some remote location.

However long you will be away or however many people will be in your group, wherever you are going and whatever you are doing, you can obtain your own customised list.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 
Member of the
British Travel Health
Association

 
Home Introduction Information Main Page About Us Links
Tables of Malaria Prophylaxis Tablets
& Vaccination Requirements - (Tabs & Jabs)
Click on the required region of the map below for a list of countries in that region

The countries in the data tables are divided into their respective continents.

There are six continental tables altogether: Europe, Africa, Asia & the Middle East, Oceania (Australasia & Pacific Islands), North America & the Caribbean, and South & Central America.

Each list of countries is then arranged in alphabetical order for ease of use.

To access the data, click on the continent in which the country you require is found on the above world map and you will be taken to the appropriate page.

The information contained
in the tables is regularly updated using a number of relable reference sources and is compared and compiled into the alphabetical lists for each continental group.

The data in the tables
only applies to healthy adults who are not taking any other medications.

The information supplied is not designed for use by pregnant women, nursing mothers, children or persons suffering from epilepsy or any other chronic condition. Those people should consult with their doctor before taking malaria tablets.

Notes on Malaria Prophylaxis

Countries requiring malaria prophylaxis should be regarded as being at risk all year round and you should also assume that the whole country is at risk unless otherwise indicated.

When two or more different
regimens appear together in the same country, they are area specific and more information about the region can be found in the text.

Remember:- No prophylaxis is 100% effective but not taking anti-malarials where they are indicated will put you at greater risk should you get the disease.
Remember - Malaria is a killer!

 
Travellers will need to consult their own doctor or a travel clinic to arrange to have the relevant vaccinations.

The advice
on malaria prophylaxis is primarily designed for short visits (three months or less) to a particular region. The lists are by no means exhaustive and are for quick reference purposes.

Where a country
is shown as requiring anti-malarial prophylaxis it should be noted that a specific area may be at risk and not the whole region.

Many urban areas in otherwise malarious zones have little or no risk e.g. Bangkok city is regarded as a no risk area but is surrounded by rural areas of high risk.

There is generally little risk in rural areas above an altitude of 1500 metres.


Malarone has recently become licensed in the UK for malaria prophylaxis and is now recommended for use in those countries where Doxycycline and Mefloquine are currently indicated. It is licensed for stays of up to 28 days but can be used for stays of up to three months. It should be started one or two days before departure and continued for one week after return.

The tables below are reproduced on each of the regional pages and include
a key to the abbreviations used and information on the different anti-malarial drug regimens.

 

Malaria Information
Diseases of potential
risk to travellers
Vaccines and Vaccination
Country list of malaria risk
and vaccinations
click for larger map


The information supplied is derived from a number of reliable sources and is compared and compiled into the alphabetical lists found on this web site.

Countries requiring malaria prophylaxis
should be regarded as being at risk all year round and you should also assume that the whole country is at risk unless otherwise indicated. The malaria regimen is the recommended regimen for a country. Use of the incorrect regimen may not provide adequate cover.

When there are two different regimens for the same country, they are area specific. Read the text to find out which regimen is suitable for the area you require.

Where regimen 1 is indicated there is Chloroquine resistance in that region and it is very likely to be the Falciparum malaria which is the most serious form of the disease. In this instance it is vitally important that travellers take adequate prophylaxis.

Remember:- No prophylaxis is 100% effective but not taking anti-malarials where they are indicated will put you at greater risk should you get the disease. Remember - Malaria is a killer!

 
1. Europe & Russia 2. North America & Australasia 2. North America & Australasia 3. Central America 4. The Caribbean 5. Tropical South America 6. Temperate South America 7. North Africa & Middle East 8. Sub-Saharan & Southern Africa 9. Indian Subcontinent 10. South East Asia & the Far East 11. Pacific Islands 11. Pacific Islands
 
The Different Drug Regimens
Regimen 1 Mefloquine one 250mg tablet weekly. OR
Doxycycline
one 100mg capsule
daily. OR
Malarone
one tablet daily.
Regimen 2 Chloroquine 300mg weekly (2x150mg tablets). PLUS
Proguanil 200mg daily (2x100mg tablets).
Regimen 3 Chloroquine 300mg weekly (2x150mg tablets) OR
Proguanil 200mg daily (2x100mg tablets).
Regimen 4 No prophylactic tablets required but anti mosquito measures should be strictly observed: Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.
.
 
Proguanil 100mg tablets are supplied as Paludrine Tablets
Chloroquine 150mg tablets are supplied as Nivaquine or Avloclor Tablets
Mefloquine 250mg tablets are supplied as Lariam Tablets  
Malarone is a combination of Atovaquone 250mg and Proguanil 100mg
 
Length of Prophylaxis
Chloroquine, Proguanil & Maloprim Start one week before travel, throughout your stay in an endemic area and continue for four weeks after return.
Mefloquine (Lariam) Start two and a half weeks before travel, throughout your stay in an endemic area and continue for four weeks after return.
Doxycycline Start two days before travel, throughout your stay in an endemic area and continue for four weeks after return.
Malarone Start two days before travel, throughout your stay in an endemic area and continue for one week after return.
IMPORTANT!
Take the tablets absolutely regularly, preferably with or after a meal.
 

Long Term Use of Anti-Malaria Drugs
Chloroquine May be taken for periods exceeding five years.
Paludrine May be taken for periods exceeding five years.
Maloprim Can be taken for periods up to one year.
Mefloquine Can be taken for periods up to one year.
Doxycycline Can be taken for periods up to six months.
Malarone Can be used for travel periods up to one year.
 

Compatibility of Anti-Malaria Drugs
 

Pregnancy

Breast Feeding

Epilepsy

Psoriasis

Altitude

Scuba Diving
Chloroquine

OK

OK

NO

NO

OK

OK
Paludrine

OK

OK

OK

OK

OK

OK
Mefloquine

OK*

NO

NO

OK

NO

NO
Doxycycline

NO

NO

OK

OK

OK

OK
Malarone
NO
NO
OK
OK
OK
OK
* These drugs are not suitable during the first trimester of pregnancy.
 
Childrens' Dosages:
Calculate the dose by weight rather than by age if possible
Age/Weight
Chloroquine
(once weekly)
Proguanil
(once daily)
Mefloquine
(once weekly)
Doxycycline
(once daily)
Malarone
(once daily)
0 - 12 weeks
under 6kg
1/4 tablet
1/4 tablet
-
-
-
3 - 12 months
6 - 10kg
1/2 tablet
1/2 tablet
1/4 tablet
-
-
1 - 3 years
10 - 16kg
3/4 tablet
3/4 tablet
1/4 tablet
-
1 child's
tablet
4 - 7 years
16 - 25kg
1 tablet
1 tablet
1/2 tablet
-
1 child's
tablet
8 - 12 years
25 - 45 Kg
11/2 tablets
11/2 tablets
3/4 tablet
-
2 child's
tablets
13 years and over
45kg and over
2 tablets
2 tablets
1 tablet
1 capsule
1 adult
tablet
The above dosages are based upon the guidelines issued by
the Advisory Committee on Malaria Prevention.
 
Adult Dosages
Regimen

Dose for
Chemoprophylaxis

Usual amount
per tablet (mg)
Areas without drug resistance:

Chloroquine

Proguanil

2 tablets weekly

2 tablets daily

150mg (base)

100mg

Areas of little chloroquine resistance (poorly effective where marked resistance):
Chloroquine plus
Proguanil
2 tablets weekly
2 tablets daily
150mg (base)
100mg
Areas of chloroquine resistant P. falciparum:

Mefloquine

Doxycycline

Malarone
(atovaquone & proguanil)

1 tablet weekly

1 tablet/capsule daily

1 tablet daily

250mg (228 in USA)

100mg

250mg atovaquone &
100mg proguanil


Click on the required region of the map below for a list of countries in that region
 
Please read the Malaria Page for more information
 

     
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