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Anti-Malarial Tablet Patient Advice

This patient advice leaflet provides information on preventing malaria while traveling, including awareness, bite avoidance, and the use of antimalarial tablets. It also includes details on symptoms and recommended medications.

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Anti-Malarial Tablet Patient Advice

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  1. Patient Advice Leaflet for taking Anti-MalarialTablets Sheffield University Health Service. Created by RH 13 April 2017.

  2. To the traveller: • Your Doctor or Nurse has recommended that you take anti-malarial tablets for some or all of your trip.

  3. Please read the following information carefully, together with the patient information leaflets that are provided with your medication.

  4. Malaria is a serious disease, transmitted by the bite of an infected mosquito.

  5. Travellers are advised to follow an ABCD approach to preventing malaria (Awareness, Bite avoidance, Chemoprophylaxis (antimalarial tablets) – if appropriate, and Diagnosis). • Prevent yourself from being bitten day and night as there are many mosquitoes, flies and insects that carry diseases. Use DEET 50% insect repellent. Put it ON TOP of sunscreen so that the mosquito can smell the repellent in order to be repelled. • Malaria begins with non-specific symptoms characterised by fever, headache, fatigue, abdominal discomfort and muscle aches. Cough and diarrhoea can also be seen. Symptoms can progress to high fever and severe muscle aches and pains. • All travellers should be aware of the signs and symptoms of malaria and should be advised to seek immediate medical attention if these occur either whilst abroad or up to a year after their return.

  6. The more you know about malaria, the better you can protect yourself. • Please take some time to read about protecting yourself on the following links: • http://www.fitfortravel.nhs.uk/advice/malaria.aspx • http://travelhealthpro.org.uk/factsheet/52/malaria

  7. Homeopathic remedies are NOT recommended by Public Health England, see why on the following link: • https://www.gov.uk/government/publications/malaria-homeopathic-remedies/malaria-homeopathic-remedies

  8. PPM’s: Personal Protective Measures • Wear long loose clothing, particularly dusk til dawn • Use 30-50% DEET insect repellent on all exposed skin. • Put it on frequently as you’ll sweat it off • Put it ON TOP of sunscreen so that the insect can smell the repellent in order to be repelled • Sleep under a mosquito net that has been treated with an insecticide. Check for any holes & repair with duct tape. • If there is air conditioning – use it! It lowers the temperature of your room and deters and disorientates the mosquitoes • Use a knock down insect repellent spray in your room • If you have electricity, use mosquito plug-ins but DO NOT rely on these as the electricity may fail

  9. Failure to take the right medicine or to take it at the right dose for long enough is the most common reason for people developing malaria after returning to the UK.

  10. Chloroquine (available over the counter) • A weekly medication • Take on same day each week • Start taking weekly at least 1 week before entering the malarious area • Take weekly for the whole time you are in the malarious area • Take weekly for another 4 weeks AFTER leaving the malarious area

  11. Proguanil (available over the counter) • A daily medication • Start taking daily at least 1 week before entering the malarious area • Take daily for the whole time you are in the malarious area • Take daily for another 4 weeks AFTER leaving the malarious area

  12. Malarone (prescription only medicine) • A daily medication • Start taking daily at least 1- 2 days before entering the malarious area • Take daily for the whole time you are in the malarious area • Take daily for another 7 days AFTER leaving the malarious area

  13. Doxycycline (prescription only medicine) • A daily medication • Start taking daily at least 1- 2 days before entering the malarious area • Take daily for the whole time you are in the malarious area • Take daily for another 4 weeks AFTER leaving the malarious area

  14. Mefloquine (prescription only medicine) • A weekly medication • Take on same day each week • Start taking weekly at least 2-3 weeks before entering the malarious area • Take weekly for the whole time you are in the malarious area • Take weekly for another 4 weeks AFTER leaving the malarious area

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