Anti-Malaria

ANTI-MALARIA

Malaria Prevention
Every year many hundreds of travellers from the UK catch malaria and in tens of cases it is fatal. Symptoms can start rapidly. The right anti-malaria medication is essential. Avoiding mosquito bites and seeking early medical advice for symptoms are also essential. medication for your trip. Your Pharmacists will check the medication is suitable for you, and help you decide which medication you should take. You MUST medication.


Duration of Treatment
Malarone and Doxycycline can be supplied for persons 16 years and over for up to 12 weeks at a time. Your Pharmacist cannot supply anti-malaria tablets to under 16s for more than 4 weeks. Doctors will sometime prescribe more tablets for longer trips. Your Pharmacist will ensure you have the right number of tablets for the length of your trip, including the tablets to take before entering a malaria area and after leaving the area.


Medication for Children
Pharmacists can supply Malarone Paediatric (low does tablets for children). These tablets can be given to children from 11kg to 40kg, which includes children who may be as young as 12 months. Children over 40kg take an adult dose. Doxycycline cannot be supplied to under 16s.


Taking anti-malaria tablets

  • Read the patient information supplied with medication – Important
  • Start your medication (doxycycline or Malarone) 2 days before entering the malaria area.
  • Take the medication regularly at the same time each day, preferably with or after a meal or a milky drink.
  • Low dose Malarone Paediatric tablets for children can, if necessary, be crushed and mixed with food or drinks. Mixing should occur just
    before eating or drinking.
  • Continue Doxycycline for 4 week after leaving the malaria area
  • Continue Malarone for 1 week after leaving the malaria area
  • Stop taking medication if a rash appears
  • Repeat dose if vomiting occurs within one hour taking tablets
 

Symptoms of Malaria
No Anti-malarial tablet is 100% effective.Malarial symptoms start as flu includes fever ,shivers, sweating, backache, joint pains, headache, vomiting, diarrhoea & sometimes delirium. Most cases of malaria start within 3 months although there can be a delay of up to 12 months.

  • Seek medical advice for malaria symptoms; even if you have been taking anti-malarial tablets.
  • Delays in seeking advice can be fatal
 

Avoiding bites

Mosquitoes can bite at any time of day, although they most often bite in the evenings

  • Wear long-sleeved clothing and long trousers if you are out at night.
  • Use insect repellent on exposed skin and under thin clothing.
  • Insecticide sprays, mosquito coils and heating insecticide impregnate tablets all reduce the risk of bites.
  • Where possible sleep in screened rooms and use a mosquito net, preferably one impregnated with insecticide (Permethrin)
  • Ultrasound devices, garlic and Vitamin B do not prevent bites.
 

Patient Information Leaflets

All medications supplied by Pharmacists come with a Patient Information These are essential reading. They list All medications supplied by Pharmacists come with a Patient Information These are essential reading. They list People travelling in remote areas for prolonged periods may need to carry a malaria treatment with them. This is best discussed with a doctor. Up-to-date information about malaria, and malaria prevention, can be found at the NHS Choices website and the NHS Fit for Travel website:www.nhs.uk/conditions/malaria