Anti-malaria drugs
Mefloquine (brand name
Lariam®) Not directly available from the surgery. A private prescription can be issued and the tablets purchased from a pharmacy. Used in areas of high chloroquine resistance ie Sub-Saharan Africa and parts of the amazon basinDirections for use:
- The adult dosage is 250 mg (one tablet) once a
week.
- Take the first dose of mefloquine 2 to 3 weeks before arrival
in the malaria-risk area.
- Take mefloquine once a week, on the same day of the
week, while in the malaria-risk area.
- Take mefloquine once a week for 4 weeks after leaving
the malaria-risk area.
- Mefloquine should be taken on a full stomach, for
example, after dinner.
Mefloquine side effects Most travelers who take
mefloquine have few, if any, side effects. The most commonly
reported minor side effects include
- nausea, dizziness,
difficulty sleeping, and vivid dreams.
- Mefloquine has very
rarely been reported to cause serious side effects, such as :
-
seizures
- hallucinations
- and severe anxiety.
Minor side
effects usually do not require stopping the drug. Travellers
who have serious side effects should seek medical advice.
Do NOT take mefloquine if you have
- Ever had an allergic reaction to mefloquine;
- Epilepsy or other seizure disorders;
- A history of severe mental illness or other psychiatric
disorders;
- Been diagnosed or treated for an irregular heartbeat.
- You are in the first 3 months of pregnancy or you are planning to
become pregnant within 3 months of stopping mefloquine.
- You will be undertaking activities which require precision (for
example piloting a plane, scuba diving etc.) as mefloquine can cause
dizziness.
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