Should note though that malaria transmission is limited to specific, fotreasted areas in SE Asia. There is NO malaria transmission in the cities nor in most rural towns and villages. You pretty well have to spend the night in the jungle to be exposed, not something most people do. Unless your itinerary is quite unusual, you are unlikely to be in an endemic area, and prophylaxis is thus probably not needed.
If for some reason you are going to be after dark in remote forests, then as FBN said, doxycline.
And for treatment of malaria, if falciparum malaria, it is currently artemisine or an artemisinin/mefloquine combo.
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Anti Malaria Drugs
Started by crudy21, 2009-07-04 14:39
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29 replies to this topic
#27
Chaimai
a slightly wrinkly member Posted 2010-02-18 06:49:48
I have been recommended LARIAM as a Malaria preventative and also as a deterrent to mozzies.
Whilst I do not feel particularly exposed to Malaria (living in a town 50km from Cambodia) the little buggers do seem to take a liking to me. I am just seeking to prevent this discomfort. The friend who had a similar problem now claims to be bite-free. I am concerned by some reports of extreme side-effects. Is the risk of side effects worth taking for the benefit of perhaps deterring the mosquitos ? #28
bumrungrad
Advanced Member Posted 2010-02-18 11:34:27
To the OP:
We have launched a new Travel Medicine Center here at the hospital which is specifically geared to give you the right medicines and advice for the right locations. Unfortunately, the Center is so new that we don't have the page up - it should be posted by middle of next week. Contact details: Location Bumrungrad International Clinic building, 15 Floor, station A, C Contact Us Phone 66 (0) 2667-1555 #29
Sheryl
Titanium Member Posted 2010-02-18 20:14:57
I have been recommended LARIAM as a Malaria preventative and also as a deterrent to mozzies. Whilst I do not feel particularly exposed to Malaria (living in a town 50km from Cambodia) the little buggers do seem to take a liking to me. I am just seeking to prevent this discomfort. The friend who had a similar problem now claims to be bite-free. I am concerned by some reports of extreme side-effects. Is the risk of side effects worth taking for the benefit of perhaps deterring the mosquitos ? Lariam does not work by reducing ir discouraging mosquito bites. Its action is on the replication of the malaria parasite within the body after being bitten by a mosquito carrying the parasite. So it will have no effect at all on the problem of being bitten. And as noted earlier in this thread, (1) malaria prophylaxis not indicated for most people living or traveling in Thailand and (2) when prophylaxis is used, lariam not the best choice. So as we say in my home town, fuhggedaboutit. For the annoying mosquitos, lots of topical repellents available including some natural products, the latter being citronella based. And some people report that B6 supplements seem to help Frequent bathing helps a lot, to reduce scent which attracts them. #30
Chaimai
a slightly wrinkly member Posted 2010-02-19 05:25:57
I have been recommended LARIAM as a Malaria preventative and also as a deterrent to mozzies. Whilst I do not feel particularly exposed to Malaria (living in a town 50km from Cambodia) the little buggers do seem to take a liking to me. I am just seeking to prevent this discomfort. The friend who had a similar problem now claims to be bite-free. I am concerned by some reports of extreme side-effects. Is the risk of side effects worth taking for the benefit of perhaps deterring the mosquitos ? Lariam does not work by reducing ir discouraging mosquito bites. Its action is on the replication of the malaria parasite within the body after being bitten by a mosquito carrying the parasite. So it will have no effect at all on the problem of being bitten. And as noted earlier in this thread, (1) malaria prophylaxis not indicated for most people living or traveling in Thailand and (2) when prophylaxis is used, lariam not the best choice. So as we say in my home town, fuhggedaboutit. For the annoying mosquitos, lots of topical repellents available including some natural products, the latter being citronella based. And some people report that B6 supplements seem to help Frequent bathing helps a lot, to reduce scent which attracts them. Thanks Sheryl. We are coming up to the 4 showers a day season so that should help with odours. I usually carry a lemongrass spray but I think I may have a try at the B6 supplements. |
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