Malaria Medication

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rlarosa

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Hi All,

Off to India (Chennai/Goa/Mumbai) in a few weeks and wondering if anyone has any experience with anti-malarial medication? Some friends that I am meeting there aren't taking any as they are concerned about the side effects. I'd have thought the medication was pretty straight forward ...

Thanks!
RL
 
I was prescribed doxycycline for my travel to India. It's pretty straight forward, but does increase your photosensitivity (the most common side effect), so it's better if you can stay in the shade as much as possible. Obviously being a tropical disease you probably won't avoid the sun entirely, but it's a known side effect. Very mild for most people though.
 
When I was in India i took the daily tablet instead of the weekly one and didn't notice and side effects. Someone else took the weekly one and they went a bit weird for about 24 hours after taking it then was fine for the rest of that week. the same thing happened the following weeks!
 
I was prescribed doxycycline for my travel to India. It's pretty straight forward, but does increase your photosensitivity (the most common side effect), so it's better if you can stay in the shade as much as possible. Obviously being a tropical disease you probably won't avoid the sun entirely, but it's a known side effect. Very mild for most people though.

All very good advice. If using Doxycycline it is important to remember that photosensitivity (getting sunburnt easily) is easily solved by wearing sunscreen, which would be a logical precaution in India regardless. Also, bear in mind that Doxycycline is an antibiotic.

The best advice I can offer is to bring quality tropical grade insect repellent. The best treatment is prevention! I can recommended Aerogard 'Tropical Strength' though RID and Bushmans are popular too. Finding quality insect repellent can be an issue when travelling so I suggest bringing enough to cover your entire trip.
 
Hi I'm a doctor and I've personally taken anti-malarial medications (doxycycline). I'm pretty sure you should take them if you're going to India, but not every malaria-prone country is 100% malaria prone- it depends on which area you're travelling to. If you want to be sure, go to Destinations - Fit For Travel. We use this website a lot when advising people whether they need prophylaxis.

Doxycycline is cheap and very straightforward- just a tablet a day. It does, however, in certain people (and I was one of them!) produce a horrible, red, blotchy, itchy sun-sensitive rash on your face. Given that it's India, it's pretty hard to avoid sun. Yes, the rash comes up even if you've slapped on layers on sunscreen. It varies in individual people, though- some are lucky. The other side effect is heartburn/indigestion. To avoid it, you should take it while sitting up and avoid lying down afterwards- but even so, my travelling companion still got heartburn from doxy :(

The other option is Malarone. I've never taken this, but it's also once a day. it's more expensive but you don't need to start as early. It also has much fewer side effects, according to some people.

But you should really speak to your doctor, because there are quite a few other vaccinations etc. that you may need eg. hepatitis A, typhoid, and probably cholera. The cholera vaccine (a fizzy drink) is pretty awesome- it also protects you against traveller's diarrhea and food poisoning of most sorts. It was the best investment I've ever made before going to SE Asia... I ate all sorts of random stuff off the street without getting sick once!
 
The G&T advice sounds like the way to go!

Doc prescribed Mefloquine/Lariam - but reading about the potential mental health side effects is really putting me off.....
 
The G&T advice sounds like the way to go!

Doc prescribed Mefloquine/Lariam - but reading about the potential mental health side effects is really putting me off.....

:) That's Malarone. Don't get too put off by the side effects- they're extremely rare. And use this as a comparison- if anyone's ever read the leaflet for Panadol or Nurofen, no one would ever take it! Panadol is one of the potentially deadliest drugs known to mankind!
 
Take your medication if it is advised.The side effects of malaria are much worse.
I do post sometimes on Trip Advisor and there are 2 resident experts on the Cambodia and Laos forums who always advise against malaria rophylaxis.I vainly tried to advise otherwise.When working in North QLD I had a patient admitted who took their advice and didn't take anti-malarials.He developed Cerebral Malaria and spent 2 weeks in an ICU and 6 weeks on dialysis.
For an intersting report see here-
http://www.racgp.org.au/afp/200712/200712massey.pdf

A group of 38 Australians on the Kokoda track.None who took their medication as advised got malaria.Those who took none all got malaria.Those that stopped early 1 in 6 got malaria.
 
Much worse than what?

And drron, what about dengue fever...I understand there's no medication for that. Is that right?

Much worse than drug side effects.

Dengue is present in Nortern Australia.Have seen a couple of cases in Mackay-so do you use your mosquito repellant there?However with proper supportive care death should not occur.That of course may not neccessarily be present in less developed countries.
QIMR though are working on a Dengue vaccine and progress I believe is good.
 
I bought in Cairns yesterday Rid repellent tropical strength spray which states protection against malaria, Ross River virus and dengue fever. Will be using on my trip to subcontinent tomorrow.
 
Bushmans is also very good. But AFAIK they don't protect against the virus, rather attempt to protect you from getting bitten.
 
I have taken anti malaria and although I didnt like it that much the side effects were minimal. The alternative is much worse. As other have said you are unlikely to be effected to any significant extent and its a great excuse for a G&T if you need an excuse.

Another side effect, if you donate blood you will be excused for about 4-6 months but you can still donate plasma i beleive.
 
Best bet pick a travel doctor who knows the areas you are travelling to.

There are pros and cons, then the locals will have their own views.

Make an informed decision from all aspects and then make the call.

Myviews from living and working in malerial areas for years, are just that, my views!! And do not substitute for good advice with all the facts presented and a balanced decision weighing these points judiciously.

Enjoy the journey!
 
I bought in Cairns yesterday Rid repellent tropical strength spray which states protection against malaria, Ross River virus and dengue fever. Will be using on my trip to subcontinent tomorrow.
Just read my quote.1 fellow who did not take antimalarials used mosquito repellant,long sleeve shirts and gloves.long pants and a hat with mosquito netting.Also slept under mosquito netting.Yet he still got malaria.Unlike the song it only takes one.
On the other hand most who go to malaria areas not taking medication will not get malaria.But are you willing to take the risk?Cant revert to Plan 2 if the worst happens.
 
Hi All,

Off to India (Chennai/Goa/Mumbai) in a few weeks and wondering if anyone has any experience with anti-malarial medication? Some friends that I am meeting there aren't taking any as they are concerned about the side effects. I'd have thought the medication was pretty straight forward ...

Thanks!
RL

I would advise a proper medical consultation (there are travel clinics in pretty much every capital in Australia, in regional areas there's either a local GP with an interest or someone at the hospital who can advise). You need to consider more than just malaria.


There's also useful travel advice on multiple websites - one of the best is Centers for Disease Control and Prevention
 
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