Travel health protection

Malaria Prevention

Essential medication for travel to malaria-endemic regions

About Malaria Prevention

Malaria is a life-threatening disease transmitted by mosquitoes in tropical regions. While no vaccine exists, antimalarial medications significantly reduce risk when combined with bite prevention measures.

Who Needs Malaria Prophylaxis?

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High-risk destinations

Sub-Saharan Africa, parts of South Asia (e.g., India), Southeast Asia (e.g., Cambodia), Latin America (e.g., Amazon basin), and Oceania (e.g., Papua New Guinea). Risk varies by season and altitude.

High-risk travellers

All travellers to endemic areas – especially rural overnight stays. Higher risk for pregnant women, children, and those without prior malaria exposure.

Medication Options & Schedule

  • Atovaquone-Proguanil (Malarone): Daily pills starting 1-2 days before travel, during, and for 7 days after. Few side effects.
  • Doxycycline: Daily pills starting 1-2 days before, during, and for 4 weeks after. May cause sun sensitivity.
  • Mefloquine (Lariam): Weekly pills starting 2-3 weeks before, during, and for 4 weeks after. Requires early start to assess tolerance.

Bite Prevention (Critical alongside medication):

DEET repellents, permethrin-treated clothing, mosquito nets, and avoiding dusk/dawn outdoor activity.

Who cannot take antimalarials?

  • Certain medications may interact (e.g., warfarin, SSRIs).
  • Pregnant women (some options unsafe – consult specialist).
  • Those with severe kidney/liver conditions (dose adjustments needed).

Malaria risk varies by region and season

Our travel health experts will recommend the right prophylaxis for your itinerary.

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