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  About the Service


There are four simple things you need to do to place an order:

          1) Read all the information below including the Patient Information Leaflet.
          2) Select the medicine you want to try.
          3) Create an account and checkout.
          4) Answer all medical questions during checkout before paying and then a doctor will inform you of his decision.

Please read all the information below (sections 1 to 5) before placing an order, it is very important and you must not skip this step.

Malaria

Malaria is a serious and sometimes fatal disease which is widespread in many tropical and subtropical countries. It is caught by being bitten by an infected mosquito that is carrying the Malaria parasites in its saliva.

The Malaria parasite is a microscopic organism called a Plasmodium and it belongs to the group of tiny organisms known as protozoans. There are four types of plasmodium: P. falciparum (the most dangerous), P. vivax, P. ovale and P. malariae. The species of mosquito that carries the malaria parasites is the Anopheles mosquito.

Doctor Consultation

Our online doctors offer an online assessment to see whether you are likely to benefit from treatment.

Delivery options for the medicines your order

We post using Royal Mail Recorded or Special Delivery throughout the UK to your chosen address. If your order is rejected, we will give you a full refund.

Doctor support & Advice

Our doctors will be available for aftercare if you need.

Cost of Medicine

Once you finish reading all the information on this page, you will find the choices of medicine and prices we charge at the bottom of this page under step 5.
 
  About the condition


Malaria


Malaria is a mosquito-borne infectious disease caused by a eukaryotic protist of the genus Plasmodium. It is widespread in tropical and subtropical regions, including parts of the Americas (22 countries), Asia, and Africa. Each year, there are approximately 350–500 million cases of Malaria, killing between one and three million people, the majority of whom are young children in sub-Saharan Africa. Ninety percent of Malaria-related deaths occur in sub-Saharan Africa. Malaria is commonly associated with poverty, but is also a cause of poverty and a major hindrance to economic development.

Five species of the plasmodium parasite can infect humans; the most serious forms of the disease are caused by Plasmodium falciparum. Malaria caused by Plasmodium vivax, Plasmodium ovale and Plasmodium malariae causes milder disease in humans that is not generally fatal. A fifth species, Plasmodium knowlesi, is a zoonosis that causes malaria in macaques but can also infect humans.

The Causes of Malaria

Malaria is naturally transmitted by the bite of a female Anopheles mosquito. When a mosquito bites an infected person, a small amount of blood is taken, which contains malaria parasites. These develop within the mosquito, and about one week later, when the mosquito takes its next blood meal, the parasites are injected with the mosquito's saliva into the person being bitten. After a period of between two weeks and several months (occasionally years) spent in the liver, the malaria parasites start to multiply within red blood cells, causing symptoms that include fever, and headache. In severe cases the disease worsens leading to hallucinations, coma, and death.

Prevention of Malaria

The key to preventing malaria is to avoid getting bitten by mosquitoes. You're at higher risk of being bitten when:

           * you're on a long visit - the longer you stay, the more likely you'll be bitten
           * you're in a rural area or village
           * it's rainy season time of year - mosquitos breed in water, so there are more around when it's wet
           * you're staying in hostels rather than air-conditioned hotels
           * you're outside between dusk and dawn - peak biting time is 2 am

You should take precautions to avoid mosquito bites and reduce your risk of getting malaria.

           * Use a mosquito net impregnated with a pyrethroid insecticide such as permethrin over your bed at night.
           * Spray rooms at dusk with an insecticide and vaporise insecticides during the night.
           * After sunset, wear long sleeves, trousers and socks - ankles are a particular target for mosquitos.
           * Apply an insect repellent containing diethyltoluamide (DEET) to your skin and clothes. If you are allergic to DEET, lemon eucalyptus oil is an alternative, although it's not as effective.
           * Cover bedroom doors and windows with fine mesh netting.

Symptoms of Malaria

Symptoms of malaria usually appear 10-15 days after you are bitten. However, depending on the type of parasite you are infected with, it can take a year for symptoms to show.

Symptoms of malaria are similar to flu symptoms and include:
           * a high temperature (fever) of 38°C (100.4F) or above
           * sweats and chills
           * generally feeling unwell
           * muscle pains
           * headaches
           * cough
           * diarrhoea

With some types of Malaria, fevers occur in 48-hour cycles. You feel cold at first with shivering that lasts up to an hour. You then develop a fever that lasts for two to six hours, followed by extreme sweating.

Malaria and pregnancy

Ideally, you shouldn't travel to an area where there is a risk of malaria if you're pregnant. The same applies to babies and young children. Pregnant women and babies are at greater risk of severe malaria.

If you have to travel, it's essential that you take care to avoid mosquito bites and take malaria prevention medicines. Ask your GP or travel health advisor for advice about which medicines to take, because not all are suitable if you are pregnant or planning to conceive.
 
  About the Medicine


Anti Malaria Medicine

There are medicines that help to prevent malaria, although you still need to follow the advice for preventing mosquito bites. No antimalarial medicine is totally effective, but your risk of malaria will be greatly reduced if you take the right medicine for your destination. Some of the common medicines are listed below.

Chloroquine (eg Avloclor, Malarivon, Nivaquine)
This medicine has often been used in the past, but in most parts of the world Malaria has become resistant to it. This means that it will not protect you from Malaria in most regions.

Side Effects:
The side-effects of chloroquine can include stomach pains, diarrhoea or sickness, and headache. If you are of African descent it may make your skin itchy. Occasionally, chloroquine causes hair loss and temporary blurred vision. You shouldn't take this medicine if you have epilepsy, and it can make psoriasis worse.

Proguanil (Paludrine)
Proguanil isn't usually used on its own because there is also widespread resistance to it. However, proguanil may be an option if you're visiting an area where malaria isn't resistant to chloroquine (ie certain parts of Central and South America and the Caribbean) but there is a medical reason why you can't have chloroquine.

Side Effects:
Common side-effects of proguanil include stomach pains, diarrhoea or constipation, and mouth ulcers.

Chloroquine with proguanil
You can take both medicines together to help protect you in areas where some Malaria is resistant to chloroquine. Mouth ulcers are more common with this combination than if you take proguanil alone.

Mefloquine (Lariam)
This is an effective antimalarial for areas where malaria is resistant to chloroquine.

Side Effects:
Some people taking mefloquine have emotional side-effects such as anxiety and depression. You should contact your doctor straight away if you start to feel unusually anxious, depressed, tearful or aggressive. You shouldn't take it if you've had a mental illness in the past or you have epilepsy. Other side-effects can include dizziness, headache, stomach pains, diarrhoea and sickness, and sleep disorders. It's recommended that mefloquine be taken two weeks before departure so that possible side-effects are identified. You shouldn't take mefloquine if you're pregnant and you should avoid becoming pregnant for three months after stopping the medicine.

Doxycycline (Vibramycin)
This is an alternative to mefloquine or atovaquone with proguanil (see below) for areas where Malaria is resistant to chloroquine.

Side Effects:
Side-effects can include diarrhoea, thrush and heartburn. Doxycycline may also make your skin more sensitive to the sun so it's important that you use high-factor sunscreens. It can reduce the effectiveness of combined oral contraceptives so you should take extra contraceptive precautions. Children under 12 years shouldn't take doxycycline.

Proguanil with atovaquone (Malarone)
You can take this combination instead of mefloquine and doxycycline for areas where Malaria is resistant to chloroquine (eg much of sub-Saharan Africa).

Side Effects:
Side-effects can include headaches and tummy upsets.

Taking antimalarial medicines
It's important to ask your GP or pharmacist which antimalarial medicine you should take. He or she will ask you about your health and any other medicines you're taking, as well as where you plan to travel and how long you'll be staying.

You can buy some AntiMalarial medicines at pharmacies without a prescription, but most need a prescription from your GP or a travel clinic doctor. For some antimalarial medicines you may need to pay for a prescription.

You will usually start a course of antimalarial tablets a few days or a week before your trip and keep taking them during your visit. Treatment should be continued for four weeks after leaving (except for proguanil with atovaquone (Malarone), which should be stopped one week after leaving). Children may need a lower dose than adults, and you will need to know how much they weigh to find out the correct dose from your pharmacist.

Dosage

Atovaquone plus proguanil (also known as Malarone)
Prevention: the adult dose is one adult-strength tablet a day. Child dosage is also once a day, but the amount depends on the child’s weight. It should be started just one or two days before your trip, taken all the time that you are in a risk area and for seven days after you get back.

Chloroquine (also known as Avloclor tablets and Nivaquine syrup)
Prevention: the adult dosage is two tablets taken once a week. Child dosage is also once a week but the amount depends on the child’s weight. Nivaquine is available in a syrup for small children. It must be started one week before you travel, taken all the time you are in a risk area and for four weeks after you return.

Doxycycline (also known as Vibramycin-D)

Prevention: the dose is 100mg daily as a tablet or capsule. You should start the tablets two days before you travel, and take them all the time you are in a risk region and for four weeks after you return.

Mefloquine (also known as Lariam)

Prevention: the adult dose is one tablet weekly. Child dosage is also once a week but the amount will depend on the child’s weight. It should be started three weeks before you go and taken all the time you are in the risk region and for four weeks after you get back.

Proguanil (also known as Paludrine)

Prevention: the adult dosage is two proguanil tablets each day (usually taken with two tablets of chloroquine once a week, on the same day each week). Child dosage is also proguanil daily and chloroquine once a week, but the amount will depend on the child’s weight. You should start taking it one week before travel and continue all the time you are in a risk area and for four weeks after you return.

Important

If you have any of the symptoms of Malaria within the first year of your return, see a doctor immediately even if you took Anti-malarials on your trip.
Chloroquine Proguanil Chloroquine/Proguanil combined tablet Mefloquine Doxycycline Atovaquone/
Proguanil
Brand name Many different Paludrine Many different Lariam Many different Malarone
Dosage 150mg (base)
Two tablets weekly
100mg tab Two tablets daily Proguanil Two tablets daily plus chloroquine Two weekly 250mg tab One tablet weekly 100mg tab
One tablet daily
250mg Atovaquone/
100mg Proguanil. One tablet daily
When to start 1 week before entering malaria area 1 week before entering malaria area 1 week before entering malaria area 2-3 weeks before entering malaria area 2 days before entering malaria area 2 days before entering malaria area
When to stop 4 weeks after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area 1 week after leaving malaria area
Side effects and cautions Intestinal upset, headache, possible rash Intestinal upset, rashes Intestinal upset, headache, rash Intestinal upset, Sleep and mental disturbance. Caution operating machinery. Indigestion/heart burn. Increase sensitivity to bright sun. Reduced effectiveness of contraceptive pill. Intestinal upsets and headache
Number of tablets for 1 week 12 tablets 84 tablets 12 chloroquine 84 proguanil 8 tablets 37 tablets 16 tablets




Medicines for your destination.

Please click on this link to find out what medicine is the recommended medicine for your destination:

NHS FitForTravel   Select your country:
  


Recommendations are based on malaria parasite drug resistance.Please only buy the medicine recommended for your destination.



Manufacturers and Brands


"We discover new medicines that are designed to improve the health and quality of life of patients around the world - medicines which are innovative, effective and which offer added benefits such as reduced side effects or better ways of taking the treatment. We also focus on getting the best from every medicine we make by exploring all the ways it can be used or improved."


"We have a challenging and inspiring mission: to improve the quality of human life by enabling people to do more, feel better and live longer. This mission gives us the purpose to develop innovative medicines and products that help millions of people around the world."



Roche aims to improve the health, quality of life and well-being of people in the UK. We do this through our innovative range of diagnostic and pharmaceutical products that focus on the needs of individuals.


Actavis is one of the world's leading players in the development, manufacture, and sale of first-class generic pharmaceuticals.
Actavis has one of the broadest product portfolios and pipelines in the industry, with over 350 medicines available in the United Kingdom and more than 350 in development.

 
  Product information leaflet
Click on the button below to read the Information Leaflet. Do not exceed the stated dose.
PDF Datasheet Word file
Atovaquone/Proguanil (Malarone)   
Chloroquine (Avloclor)   
Proguanil (Paludrine)   
Mefloquine (Lariam)   
Doxycycline   
Chloroquine/Proguanil combined tablet   
Download Adobe Reader

These leaflets are provided for information only and should not be used for treatment or in contradiction with your Doctor or Pharmacist's advice. DoctorJeeves will do its best to keep these leaflets up-to-date but will not accept liability for out of date leaflets. You need to refer to the leaflets in the packaging for the latest manufacturer's information.
 
  Choose your preferred medicine (Please pick one option only!)
Displaying 1 to 28 (of 28 products) Result Pages:  1 
Atovaquone/Proguanil (Malarone) - 1 week trip - 16 tablets
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Atovaquone/Proguanil (Malarone) - 1 week trip - 16 tablets 
Malarone contains a combination of atovaquone and proguanil. Atovaquone and proguanil are medications used to treat malaria, a disease caused by parasites. Malarone works by int...Read more...

Size: 16
Max Quantity allowed to purchase:  1         
        
£45.00
RRP: £69.00
Save: £24.00  (35% OFF)


Atovaquone/Proguanil (Malarone) - 12 weeks trip - 93 tablets
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Atovaquone/Proguanil (Malarone) - 12 weeks trip - 93 tablets 
Malarone contains a combination of atovaquone and proguanil. Atovaquone and proguanil are medications used to treat malaria, a disease caused by parasites. Malarone works by i...Read more...

Size: 93
Max Quantity allowed to purchase:  1         
        
£216.00
RRP: £279.00
Save: £63.00  (23% OFF)


Atovaquone/Proguanil (Malarone) - 2 weeks trip - 23 tablets
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Atovaquone/Proguanil (Malarone) - 2 weeks trip - 23 tablets 
Malarone contains a combination of atovaquone and proguanil. Atovaquone and proguanil are medications used to treat malaria, a disease caused by parasites. Malarone works by i...Read more...

Size: 23
Max Quantity allowed to purchase:  1         
        
£62.00
RRP: £99.00
Save: £37.00  (37% OFF)


Atovaquone/Proguanil (Malarone) - 3 weeks trip - 30 tablets
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Atovaquone/Proguanil (Malarone) - 3 weeks trip - 30 tablets 
Malarone contains a combination of atovaquone and proguanil. Atovaquone and proguanil are medications used to treat malaria, a disease caused by parasites. Malarone works by i...Read more...

Size: 30
Max Quantity allowed to purchase:  1         
        
£78.00
RRP: £119.00
Save: £41.00  (34% OFF)


Atovaquone/Proguanil (Malarone) - 4 weeks trip - 37 tablets
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Atovaquone/Proguanil (Malarone) - 4 weeks trip - 37 tablets 
Malarone contains a combination of atovaquone and proguanil. Atovaquone and proguanil are medications used to treat malaria, a disease caused by parasites. Malarone works by i...Read more...

Size: 37
Max Quantity allowed to purchase:  1         
        
£94.00
RRP: £169.00
Save: £75.00  (44% OFF)


Atovaquone/Proguanil (Malarone) - 8 weeks trip - 65 tablets
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Atovaquone/Proguanil (Malarone) - 8 weeks trip - 65 tablets 
Malarone contains a combination of atovaquone and proguanil. Atovaquone and proguanil are medications used to treat malaria, a disease caused by parasites. Malarone works by i...Read more...

Size: 65
Max Quantity allowed to purchase:  1         
        
£169.00
RRP: £229.00
Save: £60.00  (26% OFF)


Doxycycline 100mg - 1 week trip - 37 capsules
Doxycycline 100mg - 1 week trip - 37 capsules 
Doxycycline belongs to a group of medicines called tetracycline antibiotics. It is also known as a broadspectrum antibiotic and may be used to treat a wide range of infections cau...Read more...

Size: 37
Max Quantity allowed to purchase:  1         
        
£11.00
RRP: £15.00
Save: £4.00  (27% OFF)


Doxycycline 100mg - 12 weeks trip - 114 capsules
Doxycycline 100mg - 12 weeks trip - 114 capsules 
Doxycycline belongs to a group of medicines called tetracycline antibiotics. It is also known as a broadspectrum antibiotic and may be used to treat a wide range of infections c...Read more...

Size: 114
Max Quantity allowed to purchase:  1         
        
£23.00
RRP: £39.00
Save: £16.00  (41% OFF)


Doxycycline 100mg - 2 weeks trip - 44 capsules
Doxycycline 100mg - 2 weeks trip - 44 capsules 
Doxycycline belongs to a group of medicines called tetracycline antibiotics. It is also known as a broadspectrum antibiotic and may be used to treat a wide range of infections c...Read more...

Size: 44
Max Quantity allowed to purchase:  1         
        
£12.00
RRP: £16.00
Save: £4.00  (25% OFF)


Doxycycline 100mg - 3 weeks trip - 51 capsules
Doxycycline 100mg - 3 weeks trip - 51 capsules 
Doxycycline belongs to a group of medicines called tetracycline antibiotics. It is also known as a broadspectrum antibiotic and may be used to treat a wide range of infections c...Read more...

Size: 51
Max Quantity allowed to purchase:  1         
        
£13.00
RRP: £17.00
Save: £4.00  (24% OFF)


Doxycycline 100mg - 4 weeks trip - 58 capsules
Doxycycline 100mg - 4 weeks trip - 58 capsules 
Doxycycline belongs to a group of medicines called tetracycline antibiotics. It is also known as a broadspectrum antibiotic and may be used to treat a wide range of infections c...Read more...

Size: 58
Max Quantity allowed to purchase:  1         
        
£14.00
RRP: £19.00
Save: £5.00  (26% OFF)


Doxycycline 100mg - 8 weeks trip - 86 capsules
Doxycycline 100mg - 8 weeks trip - 86 capsules 
Doxycycline belongs to a group of medicines called tetracycline antibiotics. It is also known as a broadspectrum antibiotic and may be used to treat a wide range of infections c...Read more...

Size: 86
Max Quantity allowed to purchase:  1         
        
£19.00
RRP: £25.00
Save: £6.00  (24% OFF)


Mefloquine (Lariam) 250mg - 1 week trip - 8 tablets
Mefloquine (Lariam) 250mg - 1 week trip - 8 tablets 
Mefloquine is a medication to treat malaria, a disease caused by parasites. This medicine works by interfering with the growth of parasites in the red blood cells of the human b...Read more...

Size: 8
Max Quantity allowed to purchase:  1         
        
£24.00
RRP: £29.00
Save: £5.00  (17% OFF)


Mefloquine (Lariam) 250mg - 12 weeks trip - 19 tablets
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Mefloquine (Lariam) 250mg - 12 weeks trip - 19 tablets 
Mefloquine is a medication to treat malaria, a disease caused by parasites. This medicine works by interfering with the growth of parasites in the red blood cells of the human...Read more...

Size: 19
Max Quantity allowed to purchase:  1         
        
£46.00
RRP: £79.00
Save: £33.00  (42% OFF)


Mefloquine (Lariam) 250mg - 2 weeks trip - 9 tablets
Mefloquine (Lariam) 250mg - 2 weeks trip - 9 tablets 
Mefloquine is a medication to treat malaria, a disease caused by parasites. This medicine works by interfering with the growth of parasites in the red blood cells of the human...Read more...

Size: 9
Max Quantity allowed to purchase:  1         
        
£25.00
RRP: £33.00
Save: £8.00  (24% OFF)


Mefloquine (Lariam) 250mg - 3 weeks trip - 10 tablets
Mefloquine (Lariam) 250mg - 3 weeks trip - 10 tablets 
Mefloquine is a medication to treat malaria, a disease caused by parasites. This medicine works by interfering with the growth of parasites in the red blood cells of the human...Read more...

Size: 10
Max Quantity allowed to purchase:  1         
        
£27.00
RRP: £39.00
Save: £12.00  (31% OFF)


Mefloquine (Lariam) 250mg - 4 weeks trip - 11 tablets
Mefloquine (Lariam) 250mg - 4 weeks trip - 11 tablets 
Mefloquine is a medication to treat malaria, a disease caused by parasites. This medicine works by interfering with the growth of parasites in the red blood cells of the human...Read more...

Size: 11
Max Quantity allowed to purchase:  1         
        
£28.00
RRP: £41.00
Save: £13.00  (32% OFF)


Mefloquine (Lariam) 250mg - 8 weeks trip - 15 tablets
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Mefloquine (Lariam) 250mg - 8 weeks trip - 15 tablets 
Mefloquine is a medication to treat malaria, a disease caused by parasites. This medicine works by interfering with the growth of parasites in the red blood cells of the human...Read more...

Size: 15
Max Quantity allowed to purchase:  1         
        
£38.00
RRP: £59.00
Save: £21.00  (36% OFF)


 
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