There were 71 cases of malaria in Ireland in 2013, the third highest incidence rate of imported malaria in Europe. The right anti-malaria tablet provides good protection.

Please read the important information below before ordering

There are a number of different anti-malaria tablets on the market, at MyClinic Online Doctors, we prescribe Malarone (atovaquone/proguanil) and Doxycycline.

  • Malarone (atovaquone/proguanil)
    • Dosage: 250mg atovaquone/100mg proguanil, one tablet daily. Commence 2 days before entering malaria area. Discontinue 1 week after leaving malaria area. For full side-effect details please see the Malarone patient information leaftet.
  • Doxycycline
    • Dosage: 100mg tablet once daily. Commence 2 days before entering malaria area. Discontinue 4 weeks after leaving malaria area. For full side-effect details please see the Doxycycline patient information leaftet.

Please note you may also need vaccines and other health advice from a GP or travel clinic before you go.

Symptoms of malaria

Malaria symptoms usually begin one to four weeks after the infected mosquito bite. Symptoms include high fever, chills, sweating, backache, joint pains, headache, vomiting, diarrhoea and sometimes delirium.

You should seek medical advice if you get malaria symptoms for up to a year after exposure, even after taking anti-malarial tablets.

Malarone or ‘generic malarone’
A lower cost generic version of Malarone became available in Ireland in 2013. This is non-branded atovaquone/proguanil, also known as 'generic malarone', and is medically identical to Malarone. Your anti-malarial tablets will be valid for both branded Malarone and the generic form.

Bite prevention
It is not possible to avoid mosquito bites completely but the less you are bitten, the less likely you are to get malaria.

Simple precautions to avoid being bitten include:

  • Ensuring screening on doors and windows and that doors and windows close properly.
  • Sleeping under an intact mosquito net that has been treated with insecticide.
  • Using insect repellent re-applied frequently. The most effective repellents contain diethyltoluamide (DEET), available in sprays, roll-ons, sticks and creams.
  • Wearing light, loose-fitting trousers, rather than shorts, and shirts with long sleeves. This is particularly important at dusk and at night when mosquitoes prefer to feed.
  • Garlic, vitamin B and ultrasound devices do not prevent mosquito bites.

The Region You Are Travelling To

Please consult the NHS Fit For Travel website to make sure that your choice of Malarone (Atovaquone/proguanil) or Doxycycline is the best treatment for the country you are travelling to:

Thailand
Atovaquone/proguanil or doxycycline is usually advised for those visiting the borders with Cambodia and Myanmar. For all other border areas, Atovaquone/proguanil or doxycycline is advised throughout the year.

Cambodia
Malaria risk is present throughout the year in all forested, rural areas including coastal areas except Phnom Penh and close to Tonle Sap. The risk in Angkor Wat is negligible. Malaria precautions are essential. Atovaquone/proguanil or doxycycline is advised throughout the year in western areas. Atovaquone/proguanil or doxycycline is advised for all other risk areas.

Laos
Risk of malaria is present throughout the year in the whole country apart from the capital Vientiane. Atovaquone/proguanil OR doxycycline is usually recommended for those visiting risk areas.

China
Risk of malaria occurs in Yunnan Province and to a lesser extent Hainan Island throughout the year. There is a limited risk of the less serious form of malaria in Anhui, Ghuizhou, Henen, Hubei and Jiangsu Provinces. There is a very low to no risk of malaria on Yellow and Yangtze River cruises and in urban areas. Atovaquone/proguanil or doxycycline is recommended for Hainan Island and Yunnan Province.

India
Risk is highest in north-eastern states including Assam and Orissa. In the Andaman and Nicobar islands, Andhra Pradesh, Chhattisgarh, Goa, Gujarat, Madhya Pradesh, Maharashtra and West Bengal risk is not high enough to warrant antimalarial tablets for most travellers, however, it may be considered for certain groups who may be at higher risk e.g. longer stay in rural areas, visiting friends or relatives, those with medical conditions, immunosuppression or those without a spleen. There is low to no risk in parts of the states of Himachel Pradesh, Jammu and Kashmir and Sikkim, and also in the cities of Bangalore, Kolkata, Mumbai, Nagpur, Nasik and Pune. Atovaquone/proguanil or doxycycline are first choice.

Useful Information:

HSE Malaria Information Site

NHS Fit For Travel website

Start Malarone (atovaquone/proguanil) Consultation or Start Doxycycline Consultation

Dr Terry Deeny

Consult with our doctor online

How to use this service?

Fill out a questionnaire

A member of our medical team will then review your answers and if suitable send you a prescription by post.

Take your prescription to any Irish pharmacy to pay for the medication.

Your prescribing doctor's name and IMC registration number will be included on all prescriptions. 

 

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