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doubts about Malarone and ideal treatment

Posted by sofiamacedo on 22/6/2012 at 07:24

Hello all,

i am with a big doubt about Malaria.

Next week i will go to Thailand and also Cambodia, Vietnam and maybe Indonesia.
On the hospital they only give me the Malarone to take just in case the syhtonms appear and i have no doctor around.

But my friend who will go with me, in other hospital (and country) was recommended to start to take the Malarone and do the treatment, before she lives.

Malarone is so toxic and expensive that i really need an advice and opinions about that question.
Do you think that i should buy and start the treatment?
Because even with other doctors, i get different opinions.

Thanks a lot

Sofia

#1 sofiamacedo has been a member since 22/6/2012. Posts: 2

Posted by savorygal on 22/6/2012 at 08:23

I have travelled extensively through out SE Asia & Indonesia & never taken anti malarials. and unless you are going to be in remote areas I don't think it's necessary. That being said, Malaria prophylaxis is a personal choice. check out the World health organization & make your own decision.
http://www.who.int/en/

happy travels

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Posted by busylizzy on 22/6/2012 at 17:02

Good advice from savorygal with respect to it being personal choice. Many come on here asking for 'medical advice' which most of us are not qualified to give. Best thing is to be informed about the risks - do your research. Consider the areas that you are visiting, and the season (rainy = more mosquitoes), and the type of travelling. Generally speaking, if you are keeping to the main tourist trail, you probably don't need it. If you are going to go bush-whacking in some remote regions of Indonesia, for example, you will want to look into things more closely.

Whether or not you decide to take malarials, you are still potentially at risk of dengue fever, also carried by mosquitos. It's pretty nasty if you get it. There is no preventative medicine/vaccinations so sensible advice is to avoid mosquito bites regardless - cover up, insect repellant, etc.

I traveled for 6 months through SEA, and whilst I carried around doxycycline with me, I could never bring myself to take it. I made the choice to do my best to avoid mozzie bites in the first place.

With respect to malarone, it was my understanding that you only take it while in the areas of concern - no need to take it ahead of time, I thought. Again, do your research on that.

#3 busylizzy has been a member since 31/12/2007. Location: New Zealand. Posts: 2,153
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Posted by goonistik on 23/6/2012 at 00:13

lThe reason you get varying opinions is that the risk varies even within a country. In general, risks are higher near the rainforest/rural areas. It also depends on your activities and length of stay.

There is a country table here:
http://www.cdc.gov/malaria/travelers/country_table/a.htm

And some guidelines to help you understand.
http://www.cdc.gov/malaria/travelers/risk_assessment.html

There is a more concise table here:
http://www.netdoctor.co.uk/travel/malaria_prevention/south_east_asia.htm

The advise of a travel doctor or a tropical disease specialist is best.

Malarone must be taken 1-2 days before entering a risk area and for 7 days after leaving the risk area.

#4 goonistik has been a member since 7/1/2010. Location: Philippines. Posts: 563
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Posted by altmtl on 23/6/2012 at 06:13

I don't take anti-malaria meds when I travel to SEA anymore.

#5 altmtl has been a member since 18/5/2009. Location: Canada. Posts: 996
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Posted by sofiamacedo on 23/6/2012 at 11:01

Thanks a lot =)
I know it's a personal choice, that's whay i'm trying to get all th info that i can and decide =)

Because is not even the money, Malarone is soooo toxic - and malarone is th only option that they give to me in the hospital!
And i want to go to chiang mai and chiang rai (in the north, close to Birmania) and because is next week (i can't wait) will be in the rain season...
... i really need to take a decision.

But one more time thanks all for the info =)
xxx
Sofia

#6 sofiamacedo has been a member since 22/6/2012. Posts: 2

Posted by goonistik on 23/6/2012 at 20:00

CDC tables says there is no risk in Chiang Mai and Chiang Rai (which means malaria is rare). There are large areas of South-East Asia where the risk is low and mosquito avoidance is enough.

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Posted by sitata on 5/7/2012 at 16:07

goonistik has provided excellent advice. Generally, we recommend Malarone for short trips and doxycyline for longer trips, but only if the person is going to be visiting a malaria containing area. If you do decide to take Malarone, the recommended adult dosage is usually one tablet daily, starting one or two days before travelling into an area containing malaria. The dose should continue throughout the stay and then for another 7 days after leaving the malaria containing area.

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Posted by SaltwaterGem on 19/2/2013 at 11:32

To reiterate what someone else said...

Anti-malarials are a personal choice but dengue is just as common without a preventative medicine... focus on preventing mosquito bites as much as anything else.

#9 SaltwaterGem has been a member since 4/1/2013. Posts: 22


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