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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 basin

Directions 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.