TRAVEL MEDICINE

Malaria Prevention

Malaria is an important cause of fever and serious illness in returned travelers.  In general, most chemoprophylaxis regimens are designed to prevent primary attacks of malaria. 

MALARIA ($39.99)

JET LAG

Jet lag is impaired alertness during the desired wake time and/or difficulty sleeping during the allotted time for sleep at the destination.

JET LAG ($29.99)

About Malaria Chemoprophylaxis

  • For pregnant women who cannot defer travel to regions where chloroquine-sensitive malaria is present, mosquito avoidance measures should be used in conjunction with chemoprophylaxis with  chloroquine or Mefloquine 
  • For pregnant women who cannot defer travel to regions where chloroquine-resistant malaria is present, mosquito avoidance measures should be used in conjunction with chemoprophylaxis using  Mefloquine 
  • Mefloquine may be safely administered during all trimesters. Safety data on 
  • Atovaquone-proguanil, Primaquine  and Doxycycline should be avoided in pregnancy. 
  • All children traveling to malaria-endemic areas should take antimalarial prophylaxis. 
  • Mefloquine is contraindicated in known hypersensitivity to the drug, history of bradycardia and QT interval prolongation, a history of seizures, or major psychiatric disorder and a history of depression or anxiety. It is advisable to stop the drug immediately if you develop psychiatric symptoms (such as depression, anxiety, restlessness, or confusion) and switch to a different prophylaxis agent. 
  • Atovaquone-proguanil is contraindicated in patients with poor kidney function  


Side Effects

1. Atovaquone-proguanil: may include gastrointestinal upset, insomnia, headache, rash, and mouth ulcers 


2. Chloroquine: bitter taste, with minor gastrointestinal disturbances, dizziness, blurred vision, and headache


3.  Primaquine can cause hemolytic anemia in those with G6PD deficiency. Primaquine may also cause gastrointestinal upset that can be minimized if taken with food.