South Africa & Egypt Trip - April '05


Mar 18th, 2005, 01:36 AM
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South Africa & Egypt Trip - April '05

Hello fellow travellers

My wife and I are soon to travel to South Africa and Egypt. In South Africa we will be doing a tour in the Kruger National Park and then visiting Capetown whilst in Egypt we will be doing a 12 day tour of all the sights. We hope to get some advice from the forum on what anti-malria tablets we should take. We have visited two doctors who have given different advice. One doctor says that Larium based tablets taken weekly can have quite severe pyschological side effects and that we should take a non-larium based tablet, Doxycycline ( a daily tablet ). The other doc says for the areas we are going to we need to take a larium based one. I donít like the sound of pyschological side effects but I also donít want us to take a tablet that leaves us more open to getting malaria. Has anyone any advice for us ?
SteveandEdie is offline  
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Mar 18th, 2005, 03:37 AM
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Lariam is rarely prescribed these days because of the side effects and has also lost it's effect in certain parts of the world. However, Africa is not one of those places.

But what is being recommended by specialists in Tropical Deseases is Malarone. This has been available for about 4-5 years now with little, if any, side effects.

Check the US Govt site: for recommended meds for malaria prevention.

Unlike Lariam which is taken one pill, once a week, for about total 7-8 weeks; Malarone is take daily (morning with food, preferalbly diary - milk, yogurt) starting two days prior entering infected area, during time in the area, then seven (7) days after leaving the area. Price-wise these can run about $90-$120 depending on where purchased; whether you have a drug plan; or you can try a public clinic.

As to the Doxycycline - this is a generic antibiotic, not specific for malaria, but recommended if for some reason due to your personal health situation, cannot take Malarone. These too are taken daily, but on departing infected area for 30-days once you leave. Also doxycycline causes many women to have discharge problems - not pleasant.

One also has to remember to use insect repellent during mossie biting time - dusk to dawn, on exposed skin, but washed off prior retiring for the evening. Wear long pants, long sleeves, socks also during this time. And do sleep under mosquito nets if provided, or spray your room before retiring.

The CDC site also recommends travelers, regardless destination, be current on certain inoculations Tetanus, Hep-A, Typhoid, and a Polio booter...

Read and print out the CDC site info, and in consultation with a "specialist" decide which is appropriate for you and your wife.
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Mar 19th, 2005, 07:39 PM
Join Date: Jan 2004
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The healthcare professionals prescribed our meds for us and we took them as scheduled while we were gone. I did have an alergic reaction to the meds while overseas.
The lesson we learned is: take a test doses at home befor you leave. Because one in Africa - you either suffer with the side effects or risk malaria.
JackieSun is offline  
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