Are these readily available in Thailand an if so how much should I be looking to pay for a 3 month dose?
GF an I are off to Thailand, Laos, Cambodia, Vietnam, Malaysia and Singapore, we know that the majority of countries are low risk if any at all, but thought we better be prepared.
We have a 4 months supply, would this be suitable for a Three month trip for us both?
Any advice is greatly appreciated
#1 C3DRFC has been a member since 7/12/2011. Posts: 12
My advice is save your money & stop putting useless drugs in your system. These tabs aren't 100% effective and you can still get Dengue fever from mosquito bites. Use Deet or citronella - mosquito nets... eat spicy food (it keeps them away too)
I'm on my 3rd month in SEA and I don't take that crap. HEP A+B, Tetanus & typhoid shots are good ideas however.
If you decide to take the anti-malarials then you should continue to take them for another 6 weeks after you leave a high risk zone or go home. They are readily available all over SEA.
You'll find mixed reviews from people here...some take them, some don't. It is a personal decision. But getting medical advice from a travel forum as opposed to your doctor might not be the best thing.
Describing anti-malarials as useless might be a bit strong :) , I am into my 3rd month in SEA, presently in East Java, I am taking doxy (have for the past five years here) and have not contracted malaria...yet!
I also meet many people who do not take them and travel here repeatedly without incident. It is your call.
Have a great trip.
mixed reports ha ha
thank you for taking the time to reply.
#4 C3DRFC has been a member since 7/12/2011. Posts: 12
That was great news. I have heard that Malaria is spreading in that country. It is better to drink a medicine and maintain a clean surroundings as well as health lifestyle to prevent such diseases.
#5 jennilynB has been a member since 21/3/2012. Posts: 4
"I am into my 3rd month in SEA, presently in East Java, I am taking doxy (have for the past five years here) and have not contracted malaria...yet!"
And what are the chances that you'd have contacted malaria if you hadn't been taking the doxy? Approximately zero! Expats who live in SE Asia all year round don't take prophylaxis, even in rainy season.
Consult a doctor yes, but make sure it's a specialist in tropical medicine who actually knows something about the subject. Your family doctor at home has probably never even seen a case of malaria and is not up to date with the latest research. His/Her knowledge of risk areas and drug resistance is likely to be no better than anyone else with access to the internet.
The department of tropical medicine at Mahidol University is one of the top malaria research faculties in the world. Check out what they say about anti-malarial prophylaxis in the FAQ section of their site.
Can I buy Lariam in Bangkok? To buy it in my home country, I need a doctors' prescription (which is actually written by a nurse, but still expensive), and the pharamacy performs thorough checking (which is not necessary because I don't use other medicines). And they register prescription drug purchase, which is really a privacy risk imho (elder man, traveling regularly alone to the Far East - I am almost automatically a suspect, although I do *NOT* go there for sex!)
I know where and how to use Lariam, and fortunately experience has shown that I am not susceptible to side effects like mental effects (depression).
I know in Thailand malaria prophylaxis is needed almost nowhere, but I am planning to travel on to rural areas in Laos and Cambodia. I know that the actual risk is minimal, and that Asian malaria is not as dangerous as African malaria. Still I have heard stories from people who became suddenly very ill months after return from holiday to tropical destinations, and having one pill a week is not a big deal - unless I have to go all the red tape at home.
#8 rbakels has been a member since 17/11/2010. Posts: 16
There are some areas in Laos and Cambodia where malaria is resistant to Mefloquine (Lariam).
A travel doctor will be in a better position to advise you.
I accept heard that Malaria is overextension in that country. It is bigger to alcohol a anesthetic and advance a apple-pie ambience as able-bodied as bloom affairs to anticipate such diseases.
#11 mariajames has been a member since 29/9/2012. Posts: 57