I am going out to Cambodia in January 14 to the end of feb, my doctor is recommending Prqguanil ? i will be going to the main tourist places and maybe Rattan Akiri, Ive read a lot on the forum, not sure what to do ? can anybody advise,can you buy these tablets in Bangkok ?
#1 craigcraig has been a member since 8/10/2013. Posts: 14
Never heard of the tablets you mention.
You can buy Doxycycline over the counter in bangkok very cheaply (2-5 baht a tablet) which my doctor (UK) recommends
Much debate on to take or not to take but given that they cost so little ...
I will check the name but she told me that these were the best for Cambodia, she did mention Doxycycline but said you would have to stay out of the sun and that it didnt give you the best cover ?
Thanks for the reply
#3 craigcraig has been a member since 8/10/2013. Posts: 14
Personally, I don't like the idea of taking anti-malarials. I've carried doxy on 2 different trips (6 weeks and 6 months) but could never bring myself to take them, even when entering the higher risk areas. Admittedly, it was generally pretty dry and there were few mosquitoes around both times. My view is that you still need repellent and/or to cover up to minimise the risk of dengue fever for which there is nothing you can take to prevent it.
On my current extended trip, I have opted to carry around Malarone as a treatment rather than preventative (12 tablets) on the suggestion of my doctor. I'm much happier with that although it's annoying to know so much $ is tied up in something I probably won't need.
Also, I was given Doxy earlier this year as an antibiotic. Without thinking about it, I was doing some gardening on a cloudy day and got a bit sunburned (unusually so). Not everyone experiences that side-effect but I now know for me that Doxy would never be an option in SEA.
I understand what you are saying about Doxycycline and yes it does have some possible side effects. I have taken them both in Asia and Africa during the hot and dry seasons without negative side effects but I do not spend my time on the beach or sunbathing but I know others who have and also did not suffer
At the end of the day you need to take a decision on whether to follow your doctors advise or take another course of action. Remember if you do decide to search out the tablets abroad make sure you have the correct details
Hi thanks for the info, the doctors i am at had someone die from Malaria, the name of the tablet is a mixture of Atovaquone/Proguanil which is the one they recommend for high risk areas & Doxycycline for lower risk areas, i am going in January/February from Bangkok to Battambang ,Siem Reap, Kompong Cham, Phnom Penh, over the boarder to Vietnam then back up the west coast, can anyone tell if there are any high risk areas where I'm going
#6 craigcraig has been a member since 8/10/2013. Posts: 14
I've used Malarone a few times, as it has the least negative side-effects of anti-malarials; for me, anyway. As Busylizzy said, using repellant and covering up is the best policy, as nothing you take can prevent dengue infection if you're bitten by one of the little striped buggars. Using doxycycline is a terrible idea. There's enough over-use of antibiotics and concomitant rise of drug-resistant illnesses as it is, without contributing to it in this way.
If you are going to use antimalarials do it right and take Malarone.
Antimalarials are in no way a substitute for not covering up and using bug spray though. Dengue fever is much more prevalent, is untreatable/preventable and can be just as dangerous depending on the strain. I was unlucky enough to get Dengue fever while travelling in Laos and would not recommend it.
The only way I would take malaria pills is if I knew there was an epidemic going through the area at the time. Otherwise I think just common sense, good mosquito net at night etc is good enough. If you want to be a little more on the safe side you can take 12 malarone pills and use them as "treatment" if you get sick. Note malarone treatment isn't a true treatment and you still have to get to a hospital asap but at least it fights the affects off for a while.