Trip Report Kenya and Tanzania Safari

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Jul 27th, 2004, 12:19 PM
  #21
 
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Cronen-
Try this link:
http://www.fodors.com/forums/smileys/
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Jul 27th, 2004, 03:57 PM
  #22
 
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Liz:

I too am so glad to see you back on the forum. I hope you are nearly back to your "old self" again.

I didn't think you could stay away from Africa!! Once smitten you can't stay away.

Just so glad you're still with us here.

Jan
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Jul 27th, 2004, 05:06 PM
  #23
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Thanks Liz! Let's try it OK, let's see Great ! I think I've got it. \/
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Jul 27th, 2004, 06:56 PM
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Mama Tembo-
You are in my heart and I love you!
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Jul 27th, 2004, 06:57 PM
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You put me to shame. Its fun, isn't it? Hey, you're GOOD!
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Jul 27th, 2004, 07:26 PM
  #26
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Awwhh, thanks It is fun, >-, can you tell I just watch the democratic convention!
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Jul 28th, 2004, 09:13 AM
  #27
 
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You are sooooo funny.
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Jul 28th, 2004, 02:33 PM
  #28
 
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Sandi-
Something in one of your previous posts caught my attention regarding Lariam (mefloquine) vs. Malarone (atovaquone and proguanil). I was under the impression that you cannot donate blood for one year regardless of the anti-malaria medication. It was explained to me that the one year has to do with the risk of the malaria parasite remaining in your system for that duration.
It was not very pleasant to hear, but a doctor told me that if you get bitten by a malaria-carrying mosquito, there is a 100% chance you too will get the malaria parasite in your system. You just hope that the ant-malarial you are taking will break the cycle.
Lastly, to answer your question, one of my local pharmacies quotes $92 for 9 generic mefloquine tabs versus $199 for 37 Malarone tabs. This is assuming a 4 week trip and you start the mefloquine 1 week before and then 4 weeks after. Or... the Malarone 2 days before and 7 days after. Don't forget, different travel clinic and infectious disease doctors may have some variations on the pre and post durations and I definitely do not advocate medical advice via the internet. I'm just trying to justify the quantities.
I am actually a HUGE proponent of generic medication usage when there is an equivalent to a brand name product but due to the side effect profile this does not appear to be the case here. It's too bad some insurances will not cover the Malarone.
Please let me know if anyone has heard different information on malaria or the anti-malarials.
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Jul 29th, 2004, 04:04 AM
  #29
sandi
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jeorgiagirl -

Definitely one cannot donate blood for 1-yr (minimum) after having taken Lariam (mefloquine) or Malarone and also the possibility that an individual might actually have the parasite in their body even if not a breakout of the disease. In this latter case, malaria has been known to stay in the body for up to 3-yrs.

While I'm not a regular blood donor, I learned this after my first trip to Africa having taken Lariam; and in subsequent requests for blood (I'm a universal O donor) had to turn down the blood bank as I had taken one of these meds and was eliminated for about 5-years. When I finally was able to donate, I happened to pass-out after doing my good deed, and have since taken my name off the list, except for having to donate my own pint for a surgical procedure - I passed out again.

Since our original purchase of Lariam ran $9/tab, I was curious whether the price had come down for the generic mefloquine - doesn't look like it did. But it was interesting that our insurance drug plan only permitted the patient to get half of the 7 or 8 tabs prior the trip, then get the remaining tabs upon return home. To me this was ridiculous as most patients weren't likely to pick up the remaining tabs defeating the purpose of taking all tabs required. And in actuality there was no savings thru the insurance company versus purchasing on ones own.

When the Malarone became available, the insurance company paid for the entire script at a price of $50 total as per my drug plan. So this was a better deal moneywise, as well as, the Malarone having no side-effects.

Poster should take advise from participants on this board or others, regarding side-effects, if any, and average prices paid for these meds. It is important that only a traveler's own physician or a tropical deseases specialist who knows the patient's medical history, can write the appropriate script.

I am, however, surprised to see that even tropical desease specialists aren't up on that latest as to which of these meds to prescribe specific to areas in the world - i.e., prescribing Lariam or mefloquine for SEAsia where it is no longer effective. This is where the cdc site is an invaluable resource; a copy of which a patient can discuss the issue in detail with the physician or specialist.

And only if a patient cannot take any of the known meds, might a patient be prescribed doxycyclin (a generic antibiotic) which unfortunately has its' own set of side-effects - sun sensitivity, yeast infections, and has to be taken longer than the other meds (up to 30-days).

Overall, these boards are only a resource of participants' individual experiences - the final decision has to be made between the professional and patient.

 
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