Malaria Info

General

There's no vaccine for malaria, but you should probably get a prescription for a malaria prophylactic. I have used Malarone, which is supposed to have the fewest side effects and be pretty good; it is also the most expensive (maybe $3-$5 per day). I think most of the others are probably also fine.

Malarone

See http://us.gsk.com/products/assets/us_malarone.pdf for lots of info. Some of it is summarized here:

  • Prophylactic treatment with MALARONE should be started 1 or 2 days before entering a malaria-endemic area and continued daily during the stay and for 7 days after return.
  • take MALARONE tablets at the same time each day with food or a milky drink.
  • take a repeat dose of MALARONE if vomiting occurs within 1 hour after dosing.
  • take a dose as soon as possible if a dose is missed, then return to their normal dosing schedule. However, if a dose is skipped, the patient should not double the next dose.
  • rare serious adverse events such as hepatitis, severe skin reactions, neurological, and hematological events have been reported when MALARONE was used for the prophylaxis or treatment of malaria.
  • consult a healthcare professional regarding alternative forms of prophylaxis if prophylaxis with MALARONE is prematurely discontinued for any reason.
  • protective clothing, insect repellents, and bednets are important components of malaria prophylaxis.
  • no chemoprophylactic regimen is 100% effective; therefore, patients should seek medical attention for any febrile illness that occurs during or after return from a malaria-endemic area and inform their healthcare professional that they may have been exposed to malaria.
  • falciparum malaria carries a higher risk of death and serious complications in pregnant women than in the general population. Pregnant women anticipating travel to malarious areas should discuss the risks and benefits of such travel with their physicians (see Pregnancy section).