We noticed that you're using an unsupported browser. The TripAdvisor website may not display properly.
We support the following browsers:
Windows: Internet Explorer, Mozilla Firefox, Google Chrome. Mac: Safari.

Scared to take Malarone

London, United...
Level Contributor
5 posts
2 reviews
Save Topic
Scared to take Malarone

I am 3 weeks away from leaving for my round the world trip. I am very excited but am very nervous of taking malaria tablets. I have emetophobia which is a fear of vomiting and although I would never enter a malaria area without taking tablets, I am wondering if I should avoid these areas altogether (which would be such a disappointment!!) I have heard that malarone have the least side effects but I can’t seem to find out whether they have the least nausea/vomiting side effects or just the least side effects in general such as bad dreams/sun sensitivity etc. I have googled endlessly but can’t seem to find an answer. Any advice would be enormously appreciated.

8 posts
1 review
Save Reply
1. Re: Scared to take Malarone

Oh tough call! Its really hard to say wat wud be d best thing to take as everyone is soo different and we all react differently to drugs. Doxycycline is d drug of choice in d area at d mo. Its readily available dere so if u loose any ur fine. I have only come across one person who was sick on dese and although sun sensitivity is a prob its just means wearing a higher sun factor. My advise is to go have a good chat wit ur pharmacist who can help u weigh up d pros and cons. U can also take d tables before u go to see how dey effect u. Hope dis helps. Btw im a pharmacist!!

sydney
Destination Expert
for Cambodia
Level Contributor
17,425 posts
81 reviews
Save Reply
2. Re: Scared to take Malarone

Talk to a proper trpoical/travel medicine specialist (not a pharmacist)- asking here is silly - we are not experts -

I don't take them - I had a very nasty reaction to lariam in vietnam a few years ago (sorry - but THE worst nausia and vimiting I've ever had in my life, my daughter reacted the same so give Lariam a big miss) but do get specialist advice - and now being picky - classie-birdie - needs to write like a pharmacist not like a 15 yr old from the 'hood! - no idea if he/she has ever been to laos - nothing in his/her post to indicate either way.

In any case make sure you have a good DEET repellant because there are no preventative meds for dengue fever.

cheers

helen

Edited: 31 January 2011, 12:48
London, United...
Level Contributor
5 posts
2 reviews
Save Reply
3. Re: Scared to take Malarone

I'm only on here for advice...I have already spoken to my doctor and nurse but I am looking for personal experiences.

thanks for your thoughts

Kirsty

8 posts
1 review
Save Reply
4. Re: Scared to take Malarone

Unfortunately no ones individual experience will be of any use to u cos like I say were all soo different u just dont how a drug will effect u till u take it. Im inclined to say u've less chance of being sick on doxycycline and its dirt cheap but will have to take it for 4 weeks after u leave d malaria area, whereas malarone only has to be taken for a week after u leave. Btw im going to laos in a few weeks so have done my research and im typing dis on my phone so im being a lazy cow and using txt talk

8 posts
1 review
Save Reply
5. Re: Scared to take Malarone

Unfortunately no ones individual experience will be of any use to u cos like I say were all soo different u just dont how a drug will effect u till u take it. Im inclined to say u've less chance of being sick on doxycycline and its dirt cheap but will have to take it for 4 weeks after u leave d malaria area, whereas malarone only has to be taken for a week after u leave. Btw im going to laos in a few weeks so have done my research and im typing dis on my phone so im being a lazy cow and using txt talk

Vientiane
Level Contributor
6,124 posts
82 reviews
Save Reply
6. Re: Scared to take Malarone

Malarone nor any malaria prophylactic will not guard you against dengue fever. Noone I knows takes them, whether they be tourist or expat. Just cover up at night and use deet.

Personally I would not put poison into my body.

Vientiane, Laos
Destination Expert
for Vientiane
Level Contributor
3,135 posts
276 reviews
Save Reply
7. Re: Scared to take Malarone

My experience of these drugs which I took whilst in melanesia & africa years ago are:

chloroquinine - no side effects except some acid indigestion if not taken with a meal.

malarone - no side effects other than vivid dreams

My parents visited me in Laos and chose to take malarone as we were travelling in rural laos and cambodia, and they experienced no side effects at all, other than the pain caused by the price.

Agree with thmoore on larium - all the peace corps volunteers I knew had to take larium as a condition of their contracts, and most complained of nausea.

Vientiane
Level Contributor
6,124 posts
82 reviews
Save Reply
8. Re: Scared to take Malarone

Some do have side effects - 5% see below.:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Malarone:

Cough; diarrhea; dizziness; headache; loss of appetite; mouth sores; nausea; stomach pain; vomiting; weakness.

Seek medical attention right away if any of these SEVERE side effects occur when using Malarone:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest or throat; swelling of the mouth, face, lips, or tongue; unusual hoarseness); dark urine; fever, chills, or persistent sore throat; mood or mental changes; muscle or back pain; pale stools; red, blistered, swollen, or peeling skin; ringing in the ears; seizures; severe or persistent vomiting, diarrhea, or stomach pain; shortness of breath; unusual fatigue or weakness; weight loss; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

Top

Malarone Side Effects - for the Professional

Malarone

Because Malarone contains atovaquone and proguanil hydrochloride, the type and severity of adverse reactions associated with each of the compounds may be expected. The higher treatment doses of Malarone were less well tolerated than the lower prophylactic doses.

Among adults who received Malarone for treatment of malaria, attributable adverse experiences that occurred in ≥5% of patients were abdominal pain (17%), nausea (12%), vomiting (12%), headache (10%), diarrhea (8%), asthenia (8%), anorexia (5%), and dizziness (5%).

From

www.drugs.com/sfx/malarone-side-effects.html

Belgium
Level Contributor
10 posts
16 reviews
Save Reply
9. Re: Scared to take Malarone

Hi I can understand your concern, if it helps we took Malarone 2 years agon during a 5 week trip to India without any side effects and we are going to be taking them again in April/May this year for Laos and Cambodia, I just would not consider traveling in a malaria zone without some protection.

Kurashiki, Japan
Destination Expert
for Kurashiki, Cambodia, Myanmar
Level Contributor
16,066 posts
92 reviews
Save Reply
10. Re: Scared to take Malarone

I agree wiht Rufus. I have been traveling frequently for extended periods in rural areas around Southeast Asia for more than 20 years, and would never even consider ingesting those drugs. Where you will be going you probably won't need it anyhow, and dengue will be more of a concern (no pill will protect you from that). Use the mosquito nets if they are provided (in A/C rooms you will not tneed them) and use a good DEET-based insect repellent. Modest clothing works well to keep the bugs off, too. Safe travels!