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Selecting your Malaria Tablets

Advice on how to choose the right malaria pills

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Choosing Your Malaria Tablets

To select which type of antimalarial tablet you should take, first make a note of which antimalarial tablets are recommended for your area of travel. After your medical consultation a doctor will recommend the antimalarials which are safe for you take. If all three prescription-only medicines are recommended your choice comes down to personal preference such as cost and the number of tablets you need to take for your trip. We have provided a detailed summary to aid your decision below:

1. Find out which antimalarials are recommended for your area of travel

Content Supplied by NHS

Please visit the NHS Fit for Travel website which lists the recommended antimalarials for every country in the World. Click on the countries you intend on visiting and make a note of the recommended antimalarial tablets.

2. Submit your medical consultation for antimalarial medicine

Click here Start Your Free Malaria Pill Consultation.

Register for free and submit a medical consultation questionnaire for malaria tablets. It is very important that you accurately complete your questionnaire in full. A doctor will then assess your medical questionnaire and may approve you to order.

3. Choosing between the three types of antimalarial drugs for next day delivery?

If a doctor approves you more for more than one type of prescription-only antimalarial drug they will have made their decision by assessing the suitability of each antimalarial drug depending on how you would tolerate the drug and whether you have any contraindications to it.

To help you choose which antimalarial drug you would like to order please use the table below. You are strongly encouraged to read through the reported side-effects of each drug in addition to considering other factors such as cost and the number of tablets you would need to take.

Doxycycline (also known as Vibramycin-D) Atovaquone plus proguanil (also known as Malarone)
When to start taking your tablets 2 days before entering a malaria area 2 days before entering a malaria area
When to stop taking your tablets 4 weeks after leaving malaria area 1 week after leaving malaria area
Number of tablets you need to take 1 week trip: 37
2 week trip: 44
3 week trip: 51
4 week trip: 58
8 week trip: 86
12 week trip: 114
1 week trip: 16
2 week trip: 23
3 week trip: 30
4 week trip: 37
8 week trip: 65
12 week trip: 93
Reported side effects Sunburn due to light sensitivity, stomach upset, heartburn and thrush. Reduces the effectiveness of some oral contraceptives. Intestinal upset, headaches, skin rash and mouth ulcers.
Advantages Cheap. Effective in most areas of the world. Generally well tolerated. Effective in most areas of the world. Generally well tolerated. Tablets continued for only one week after leaving a malarial region.
Disadvantages May cause photosensitivity and predispose to vaginal candidal infections in women. Expensive.
Patient information leaflet (PIL) Doxycycline - (0.47MB) Malarone - (2.42MB)

There are other antimalarial medicines such as Chloroquine (also known as Avloclor tablets or Nivaquine syrup) and Proguanil (also known as Paludrine). The major disadvantage of these two medicines is that many strains of malaria are now resistant, so the drugs are no longer effective. Chloroquine and Proguanil are not provided through Anytime Doctor's antimalarial service. We also do not offer Lariam (mefloquine) through Anytime Doctor.

Taking antimalarials during pregnancy

If you are pregnant, avoid travelling to areas where there is a risk of malaria. Pregnant women have an increased risk of developing severe malaria and it is more dangerous for them and their baby.

If you feel you must travel to malaria risk areas while pregnant, it is important to take the right antimalarial medicine. Some of the drugs used to prevent and treat malaria are unsuitable as they may cause side effects for you and your baby.

  • Doxycycline is never recommended for pregnant or breastfeeding women in the UK as it could harm the baby.
  • Atovaquone and proguanil (Malarone) is generally not recommended as there is only limited research on use of this drug in pregnancy. If the risk of malaria is high, it can be taken if mefloquine is not suitable.

Long-term travel

If you are planning to go away for more than six months, you are considered a long-term traveller. When travelling to areas where there is a risk of malaria, always consider taking antimalarial medicine. If you are travelling to different places, you may only need to take antimalarials for part of your trip.

Long-term travellers' should discuss their options at a specialist travel health clinic or with their GP.

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