Regarding malaria, prophylaxis and treatment:
Susan has mentioned Malarone (atovakvon/proguanil) from the pharma-company GlaxoSmithKline. This one is more effective against so-called uncomplicated falciparum malaria, which (despite the ”uncomplicated” designation) is the most aggressive one of the four malaria types that attacks humans. Malarone is for both prophylaxis and treatment after being infected with malaria. Malarone can be used in chloroquine-resistant areas, and is as such an alternative to Lariam with reportedly fewer and milder sideeffects. Drawbacks are the relatively high cost per daily pill, and the fact that Malarone is recommended to be used in a maximum of only 28 days. For longer stays in areas with chloroquine-resistant parasites (for instance Africa south of Sahara), Lariam is still the medicine of choice.
The Swiss company Novartis has introduced a medicine called Riamet (artemeter/lumefantrine), or Coartem in some countries. This one is also against falciparum malaria, but as treatment only – not prophylaxis, and is supposed to be more effective against the multiresistant parasites, especially in South East Asia. Both can be used by self medication.
Also, be aware of the self testing kits that are available. These might be nice to have if you`re passing through infected areas. If you experience fever, it may have other reasons than malaria, but before starting using antimalaria-medicine, one might want to test if one actually has contracted malaria. Using the kits correctly, however, needs some training.
Source: Prof. Bjørn Myrvang, department of infectious diseases, Ullevål hospital, Norway (of all places...)
Safe journey, and best regards from
Indu
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