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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:-
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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:-
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Tables
of Malaria Prophylaxis Tablets
& Vaccination Requirements - (Tabs &
Jabs) |
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on the required region of the map below for
a list of countries in that region |
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 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.
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Notes
on Malaria Prophylaxis
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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
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Malaria is a killer!
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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.
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The Different Drug Regimens
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| 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).
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| 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. |
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| Proguanil
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100mg tablets are
supplied as Paludrine Tablets
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| 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 |
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Length of Prophylaxis
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| 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. |
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IMPORTANT!
Take
the tablets absolutely regularly,
preferably with or after a meal.
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Long
Term Use of Anti-Malaria Drugs
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| 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.
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Compatibility of Anti-Malaria Drugs
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Pregnancy
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Breast
Feeding
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Epilepsy
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Psoriasis
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Altitude
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Scuba
Diving
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| Chloroquine |
OK
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OK
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NO
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NO
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OK
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OK
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| Paludrine |
OK
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OK
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OK
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OK
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OK
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OK
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| Mefloquine |
OK*
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NO
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NO
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OK
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NO
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NO
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| Doxycycline |
NO
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NO
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OK
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OK
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OK
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OK
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| Malarone |
NO
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NO
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OK
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OK
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OK
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OK
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*
These drugs are not suitable during
the first trimester of pregnancy.
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Childrens' Dosages:
Calculate
the dose by weight rather than by
age if possible
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Age/Weight
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Chloroquine
(once weekly)
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Proguanil
(once daily)
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Mefloquine
(once weekly)
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Doxycycline
(once daily)
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Malarone
(once daily)
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0
- 12 weeks
under 6kg
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1/4
tablet
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1/4
tablet
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-
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-
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-
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3
- 12 months
6 - 10kg
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1/2
tablet
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1/2
tablet
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1/4
tablet
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-
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1
- 3 years
10 - 16kg
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3/4
tablet
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3/4
tablet
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1/4
tablet
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1
child's
tablet
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4
- 7 years
16 - 25kg
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1
tablet
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1
tablet
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1/2
tablet
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-
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1
child's
tablet
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8
- 12 years
25 - 45 Kg
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11/2
tablets
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11/2
tablets
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3/4
tablet
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-
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2
child's
tablets
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13
years and over
45kg and over
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2
tablets
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2
tablets
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1
tablet
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1
capsule
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1
adult
tablet
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The
above dosages are based upon the guidelines
issued by
the Advisory Committee on Malaria
Prevention.
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Adult
Dosages
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Regimen
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Dose
for
Chemoprophylaxis
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Usual
amount
per tablet (mg)
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| Areas
without drug resistance: |
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Chloroquine
Proguanil
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2
tablets weekly
2
tablets daily
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150mg
(base)
100mg
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| 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: |
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Mefloquine
Doxycycline
Malarone
(atovaquone & proguanil)
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1
tablet weekly
1
tablet/capsule daily
1
tablet daily
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250mg
(228 in USA)
100mg
250mg
atovaquone &
100mg proguanil
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