You've just added:


View Basket Checkout
0 Items £0.00 Basket
x (Close)

Malaria Prevention Tablets (Antimalarials)

Enlarge
Atovaquone/Proguanil 250mg/100mg Tablets (Generic Malarone)
Pack Size: All treatments are complete courses that include tablets for before and after your trip.
Order in for Next Day Delivery
Our Price: £37.50
Total trip duration in weeks: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

  • You should take one tablet every day at roughly the same time each day.
  • Atovaquone/Proguanil tablets need to be taken 2 – 3 days before entering an area where malaria is present and continued until 7 days after leaving the malaria area.
  • You should take Atovaquone/Proguanil tablets with or after food or milk
  • Atovaquone/Proguanil remains effective with a moderate alcohol intake.

How and when do I take Generic Malarone?

Generic Malarone is a one-a-day dose that you need to start taking 1-2 days before you travel. It is continued every day during your stay and also for an additional week after you return to a Malaria-free area. For example if you were travelling for 2 weeks you would need 23 tablets. That’s 2 (before you travel) + 14 (during your stay) + 7 (upon your return) =23 tablets.

It is important to complete the course as it can take 7 days to ensure any parasites that remain in your blood are effectively killed.

It is advised to take Atovaquone/Progunail tablets with food and drink where possible. This can increase the absorption in the body, increasing its effectiveness and possibly reducing side-effects.

Atovaquone/Proguanil Tablets (Generic Malarone) are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help prevent malaria. To find out more about malaria and see all the available treatments, see our Online Doctor Malaria page.

Atovaqoune and proguanil are now available as a generic alternative to Malarone. They are still manufactured to the same high standards as Malarone but are available at a lower cost because the patent on the Malarone brand has now expired. They are taken once daily, 2 - 3 days before travel and continuing 1 week after returning.

Atovaquone/Proguanil Tablets (generic Malarone) contain the active ingredients; Proguanil Hydrochloride 100mg and Atovaquone 250mg. Its main use is for the prevention of malaria. Atovaquone/Proguanil Tablets are classified as a prescription-only-medicine (POM). Each box contains 12 film-coated tablets.

Atovaquone and Proguanil are both anti-parasitic drugs, which are active against the malaria causing plasmodium (malaria) parasite. Once the plasmodium parasite enters the bloodstream it begins to reproduce, which can result in malaria. Proguanil works by inhibiting the parasite’s ability to reproduce. It does this by blocking the action of an enzyme (dihydrofolate reductase) found inside the plasmodium parasite. Dihydrofolate reductase is essential for the parasite, enabling it to reproduce. By blocking dihydrofolate reductase, Proguanil prevents the formation of any new genetic material, rendering the parasite unable to reproduce and multiply.

Atovaquone works in a similar way to Proguanil. It inhibits the production of new genetic material from inside the malaria parasite, resulting in an inability to reproduce. Both these ingredients combined work effectively together in a dual attack against malaria, helping to prevent an infection from taking hold.

Atovaquone/Proguanil are highly effective against the strains of malaria caused by the plasmodium falciparum parasite. This parasite is responsible for producing the most serious form of malaria (malignant malaria). For areas where the plasmodium falciparum parasite is predominant, Atovaquone/Proguanil will usually be the recommended choice of prevention. Atovaquone/Proguanil may also be suitable in areas where there is a known resistance to other forms of antimalarial medicines, such as Chloroquine.

Please read the Patient Information Leaflet for side effects and additional information.

Pharmacist Tip: Atovaquone and proguanil should not be taken if you are pregnant or breastfeeding. It is generally very well tolerated with only mild intestinal upsets and headaches reported. If side effects are experienced then taking the tablets with or after a meal may help to relieve them. 

If you do experience side effects from Atovaquone/Proguanil they may include coughing, diarrhea, dizziness, headache, loss of appetite, mouth sores, nausea, stomach pain, vomiting, or weakness. Atovaquone/Proguanil has a small risk of nausea, vomiting, diarrhoea, and skin rash as with all medicines. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Atovaquone/Proguanil should not cause a harmful interaction with any of your other current medicines. Please read the Patient Information Leaflet enclosed with your medicines for further information.

Unfortunately Atovaquone/Proguanil is not 100% effective at preventing malaria, however it is still very effective if taken properly and combined with bite avoidance methods. See the Pharmacist Tips for bite avoidance techniques.

Remember it is also important to get the correct vaccinations for your trip before you travel. These should be administered around 6 weeks before you leave.

Things to be aware of before considering or taking Generic Malarone.

Generic Malarone isn’t suitable for everyone. Do not take or take if:

  • You are allergic to any of the ingredients
  • You have severe Kidney disease
  • You are pregnant or breast feeding

Generic Malarone can also interact with other medicines, it may not be suitable if taking any of the following:

  • Metoclopramide (anti-emetic)
  • Tetracycline, Rifampicin & Rifabutin (antibiotics)
  • Efavirenz (protease inhibitor)
  • Warfarin (anticoagulant)
  • Etoposide (cancer treatment)

Should you be taking any of the above medication it will be necessary to seek medical advice before deciding upon the most suitable treatment. Please read the Patient Information Leaflet enclosed with your medicines for further information.

Enlarge
Avloclor 250mg tablets
Pack Size: All treatments are complete courses that include tablets for before and after your trip.
Order in for Next Day Delivery
Our Price: £9.50
Total trip duration in weeks: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

  • You should take two tablets every week on the same day each week.
  • Avloclor needs to be taken one week before entering an area where malaria is present and continued until four weeks after leaving the malaria area.
  • You should take Avloclor with or after food.
  • Avloclor remains effective with a moderate alcohol intake.

Avloclor (Chloroquine) 250mg Tablets are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help prevent malaria. To find out more about malaria and see all the available treatments, see our Online Doctor Malaria page.

Avloclor Tablets are mainly used for the prevention and the treatment of Malaria. Each tablet contains 250mg of the active ingredient Chloroquine Phosphate. Avloclor is classified as a prescription-only-medicine (POM) and is manufactured in the UK by Alliance Pharmaceuticals. Avloclor tablets are white and round. One side is scored down the middle with the letter ‘A’ marked on either side of the score-line. The other side of the tablet is plain with no markings. Avloclor are taken as a single dose of 2 tablets once weekly, started one week before travelling and continued for 4 weeks after returning.

Malaria is a serious disease that can potentially be fatal. It is caused by various types of parasites known as plasmodium. Mosquitos infected with plasmodium can pass them on to humans through bites. If bitten by an infected mosquito the plasmodium will be transferred into the human bloodstream. Once there, it will begin to reproduce and multiply, resulting in the disease malaria.

Chloroquine Phosphate belongs to a group of medicines called antimalarials. Basically, Chloroquine works by killing the plasmodium once it has entered the red blood cells. It does this by inhibiting the action of a chemical the plasmodium produces to protect themselves. Once inside the red blood cells the plasmodium starts to digest the oxygen carrying pigment haemoglobin, separating it into two parts; haem and globin. However, haem is toxic to the plasmodium. To protect themselves, the plasmodium produces a chemical that renders the haem non-toxic to them. Chloroquine blocks the action of this haem detoxifying chemical, causing a rise in toxicity that will kill the malaria parasites.

Avloclor can be taken on its own or in combination with another antimalarial medicine called Proguanil. Knowing which antimalarial treatment is right for you will depend on your destination. Different regions, countries and continents can be affected by different forms of the malaria causing parasite. Different parasites can react differently to different treatments. In some cases the plasmodium has developed a resistance to one form of treatment. For example, plasmodium falciparum is known to be resistant to Chloroquine. For areas where this plasmodium is prevalent, Chloroquine will not be an effective means of prevention. An alternate, such as Malarone, will be more suitable.

Please read the Patient Information Leaflet for side effects and additional information.

Pharmacist Tip: Chloroquine is suitable during pregnancy and breastfeeding, however it should not be taken if you suffer with epilepsy or psoriasis. The tablets should be taken with or after food to help reduce side effects.

If you do experience side effects from Avloclor they may include nausea, diarrhoea, headache, rashes, skin itch, blurred vision, hair loss, dizziness, mood change, sun sensitivity or seizures.  As such you should not take Avloclor if you or a close relative suffers with epilepsy. Avloclor can also worsen psoriasis; people who suffer with psoriasis should avoid taking Avloclor if possible. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Avloclor is not suitable to be prescribed online if:

  • You are allergic (hypersensitive) to chloroquine phosphate or any of the other ingredients of Avloclor (see Section 6: Further information).
  • You are taking a medicine called amiodarone (used to control the heart rate). Avloclor may increase the risk of uneven heart beats (cardiac arrhythmias) when it is taken at the same time as amiodarone. Check with your doctor or pharmacist if you are not sure.
  • You have ever had epilepsy, convulsions or fits.
  • You have ever had problems with your liver or kidneys.
  • You have ever been told that you have a rare disease of the blood pigment called ‘porphyria’ or anyone in your family has it. This is because Avloclor may cause severe symptoms of porphyria, particularly if you drink alcohol.
  • You have a scaly condition of the skin called psoriasis.
  • You have a muscle problem called ‘myasthenia gravis’. Avloclor can increase the symptoms of this condition. It can also reduce the effect of medicines used to treat this condition (neostigmine and pyridostigmine).
  • You have a blood problem called ‘glucose-6-phosphate dehydrogenase deficiency’. Avloclor may damage blood cells in people with this blood condition.

Avloclor may not be suitable to be prescribed online if you are taking any of the following medicines. This is because Avloclor may affect the amount of these medicines in your blood. Please ensure you let us know in your online consultation if you are taking any of the following medicines:

  • Praziquantel (used to treat infections of the bowel and bladder caused by parasites).
  • Ciclosporin (mainly used by transplant patients but also used to treat rheumatoid arthritis and psoriasis).
  • Anti-convulsant medicines (used to prevent convulsions or fits).
  • Digoxin (used to treat heart problems).
  • Other medicines used to prevent malaria, such as mefloquine. There is a risk of convulsions or fits when these medicines are taken at the same time as Avloclor.
  • Cimetidine (used to treat stomach problems). This medicine affects how Avloclor is broken down by your body and may affect the amount of Avloclor in your blood.
  • Medicines like kaolin (used for diarrhoea) which are called ‘adsorbents’.
  • Antacid medicines (aluminium, calcium and magnesium salts that are used to treat heartburn or indigestion).

You should try to avoid taking Avloclor around the same time as indigestion or heartburn remedies containing high levels of calcium, iron or magnesium as this can reduce its effectiveness. 

Avloclor is not 100% effective at preventing malaria, however it is still very effective if taken properly and combined with bite avoidance methods.

It is also important to get the correct vaccinations for your trip before you travel. These should be administered around 6 weeks before you leave.  

Enlarge
Doxycycline 100mg Capsules
Pack Size: All treatments are complete courses that include tablets for before and after your trip.
Order in for Next Day Delivery
Our Price: £14.50
Total trip duration in weeks: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

  • You should take one capsule every day at roughly the same time each day.
  • Doxycycline needs to be taken two days before entering an area where malaria is present and continued until four weeks after leaving the malaria area.
  • You should take Doxycycline with or after food and with a full glass of water.
  • Doxycycline remains effective with a small alcohol intake.

Doxycycline 100mg Capsules are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help prevent malaria. To find out more about malaria and see all the available treatments, see our Online Doctor Malaria page.

What is Doxycycline?

Doxycycline is an antibiotic. It has multiple uses as an antibiotic, ranging from chest infections to acne. However, it can also be used to prevent and treat Malaria.

Whether it’s the appropriate Malaria treatment for you will depend on various factors:

  • Is it the appropriate treatment for your destination(s)?
  • My medical history – current conditions & medicines.
  • Have you had Malaria prevention treatment in the past?

The Malaria parasite is carried by Mosquitoes and passed onto humans through their saliva when they bite. Not all Malaria parasites are the same, in fact there are four distinctive kinds. Certain drugs will be effective against one kind but ineffective against another, which is why opting for the correct treatment is imperative.

For Example, Thailand recommends ‘DOX’ (Doxycycline) or ‘AP’ (Atovaquone/Proguanil aka Malarone). This means we known the strain of Malaria present in this region isn’t resistant to Doxycycline or Malarone, making these two options the appropriate choices.

You can check the malaria requirements for your desination using our Interactive Travel Map – just select your destination to get all the travel health information you need for your trip.

How does Doxycycline work?

When it is being taken for the prevention of Malaria, Doxycycline is used in its own. Doxycycline prevents the development of the Malaria causing parasites in the blood. This means that if you are bitten by a mosquito infected with Malaria, the parasite will be destroyed before it has the chance to replicate and cause infection.

How much Doxycycline will I need?

You start taking it 2 days before you enter the malaria area. It’s then taken for the duration of your stay and continued for 4 week after departing. So, if you’re going away for 2 weeks to a country or region where Doxycycline is recommended, you’ll need 44 capsules.

  • Start taking 2 days before entering Malaria zone = 2 capsules
  • 2 weeks stay (14 days) in the Malaria zone = 14 capsules
  • Continued for 4 weeks (28 days) after leaving the Malaria zone = 28 capsules
  • Therefore, 2 + 14 + 28 = 44 capsules

When Doxycycline is purchased from The Independent Pharmacy Online Doctor, we do all the maths for you – all you need to do is select your trip length and we will do the rest!

Doxycycline is taken once daily. It needs to be started 2 days before travel and continued for 4 weeks after returning.

Please read the Patient Information Leaflet for side effects and additional information 

Pharmacist Tip: Doxycyline is not suitable during pregnancy or breastfeeding. Any side effects experienced can usually be helped by taking the capsules with or after food. Doxycycline can make your skin more sensitive to sunlight leading to sunburn and it reduces the effectiveness of contraceptives, so be sure to take adequate care during and after the course.

The most significant and noteworthy side-effect is an increased sensitivity to sunlight. Considering that Malaria risk countries tend to be tropical or hot climates then for most cases the sun’s blistering rays can easily become an issue. Using a very high factor sunscreen (Spf50+) is highly recommended. Also, be sure to pack protective sunglasses as even the eyes can suffer from this increased sensitivity.

Other common side effects include:

  • Stomach upset
  • Nausea
  • Diarrhoea
  • Vaginal yeast infection
  • Sore tongue
  • Inflammation of the liver or bowel

Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects. If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

You should try to avoid taking Doxycycline around the same time as foods or supplements containing high levels of calcium, iron or magnesium as this can reduce its effectiveness. This particularly applies to dairy products.

Doxycycline is not 100% effective at preventing malaria, however it is still very effective if taken properly and combined with bite avoidance methods.

Remember to always wear high factor sun cream or protect your skin from direct sunlight whilst taking Doxycycline. Severe sunburn can be extremely unpleasant and even dangerous.

It is also important to get the correct vaccinations for your trip before you travel. These should be administered around 6 weeks before you leave.

Malaria can take up to a year to develop after you have been bitten. If you experience symptoms including headaches, night sweats and abdominal pain any time during your trip or up to one year afterwards you must see a doctor as soon as possible.

Stop taking your medicine and tell your doctor immediately, or go to accident and emergency if you notice any of the following symptoms. Although the symptoms are very rare, they may be severe.

  • Symptoms of an allergic reaction - sudden wheeziness, difficulty in breathing, chest pain, fever, sudden swellings of the face, lips, tongue, throat, hands or feet, rash or itching (especially affecting the whole body), pericarditis (inflammation of the membrane surrounding the heart), worsening of systemic lupus erythematosus (autoimmune disease).
  • Severe skin reactions such as erythema multiforme (circular, irregular red patches), Stevens- Johnson syndrome (rash with flushing, fever, blisters or ulcers), toxic epidermal necrolysis (reddening, peeling and swelling that resembles burns).
  • Sensitivity to sunlight - you may get a skin rash, itching, redness or severe sunburn when out in sunlight or after using a sun bed Increased pressure in the skull (severe headaches, blurred and/or double vision, blind spots, permanent loss of vision)
  • Swollen tongue, severe watery or bloody diarrhoea, fever and cramps (pseudomembranous colitis)
  • Low blood pressure
  • Aches in the joints or muscles\
  • Unusual rapid heart beats (palpitations)
  • Fainting
  • Blood disorders (symptoms may include tiredness, weakness, easy bruising or susceptibility to infection)

Doxycycline may be unsuitable to be prescribed online if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Especially:

  • Penicillin antibiotics (used to treat infections) Rifampicin (used to treat tuberculosis) Anticoagulants (used to thin the blood, e.g. warfarin) Quinapril (used to lower high blood pressure) Kaolin (used to treat diarrhoea).
  • Sucralfate (used to treat and prevent stomach ulcers).
  • Oral contraceptives (“The Pill?). This medicine may make the oral contraceptive pill less effective. You should use additional contraceptive precautions whilst taking this medicine and for 7 days after stopping.
  • Barbiturates (strong sleeping tablets, e.g. phenobarbital).
  • Ergotamine or methysergide (used to treat migraines or headaches).
  • Typhoid vaccine (used to prevent typhoid fever if travelling to infected areas of the world).
  • Carbamazepine, phenytoin, primidone or other drugs used to control epilepsy.
  • Ciclosporin (used to affect the body?s immune response following organ transplants).
  • Methoxyflurane (an anaesthetic). If you need an operation, tell your doctor or dentist that you are taking Doxycycline.
  • Methotrexate (used to treat cancer, psoriasis or rheumatoid arthritis).
  • Medicines such as antacids (indigestion tablets or liquids) containing aluminium, calcium, magnesium or other medicines containing iron, bismuth or zinc salts, should not be taken at the same time as your medicine, as absorption of your medicine may be reduced.
  • Retinoids (used to treat various skin conditions).
Enlarge
Lariam 250mg Tablets
Pack Size: All treatments are complete courses that include tablets for before and after your trip.
Order in for Next Day Delivery
Our Price: £30.90
Total trip duration in weeks: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

  • You should take one tablet every week on the same day each week.
  • Lariam needs to be taken three weeks before entering an area where malaria is present and continued until four weeks after leaving the malaria area.
  • You should take Lariam with or after food.
  • Lariam remains effective with a moderate alcohol intake.

Lariam 250mg Tablets are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help prevent malaria. To find out more about malaria and see all the available treatments, see our Online Doctor Malaria page.

Lariam Tablets are mainly used for the prevention and treatment of malaria. Each Lariam Tablet contains 250mg of the active ingredient, Mefloquine Hydrochloride. Lariam is classified as a prescription-only-medicine (POM) and is manufactured by Roche. The tablets are white and crossed-scored.

Malaria is caused by varying types of parasites called plasmodium. Mosquitos infected with plasmodium can pass them to humans through biting. If bitten by an infected mosquito the plasmodium will be injected into the human bloodstream where it will begin to multiply. This can result in malaria.

Mefloquine belongs to a group of medicines called antimalarials. Mefloquine works by attacking and killing the malaria causing parasite once it has entered the red blood cells. This action prevents the parasites from increasing in numbers and spreading.

Mefloquine is effective at combating the strain of malaria caused by the plasmodium falciparum. In areas where this particular parasite in present, Lariam may be judged the suitable course of prevention. It can also be used in areas where there is a known resistance to alternative antimalarial treatments, such as Chloroquine.

If Lariam is deemed to be the appropriate antimalarial for you, treatment will need to commence prior to travel (2-3 weeks) and continue after you have left the malaria zone (4 weeks). This is to ensure that enough of the drug has built up in your system to protect you upon arrival and that there is still enough Mefloquine in your bloodstream to eliminate any remaining parasites after you have departed.

The correct dosage of Lariam tablets is dependent on body weight. Adults, who weigh more than 45kg, should take one whole tablet once a week.

Pharmacist Tip: Mefloquine is not suitable in pregnancy or during breastfeeding, or for patients with epilepsy or those who will be at altitude or scuba diving. 

If you do experience side effects from Lariam they may include depression, mood changes, anxiety, confusion, hallucinations, panic attacks, restlessness, paranoia and general agitation. Lariam has a small risk of nausea, vomiting, diarrhoea, and skin rash as with all medicines. There have been rare reports of suicidal thoughts whilst taking Lariam. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Lariam should not cause a harmful interaction with any of your other current medicines. Lariam should not be taken if you currently take carbamazepine, chloroquine, halofantrine, ketoconazole, phenobarbital, phenytoin, quinidine, quinine, rifampicin, or valproic acid (valproate). Please read the Patient Information Leaflet enclosed with your medicines for further information.

Lariam is not 100% effective at preventing malaria, however it is still very effective if taken properly and combined with bite avoidance methods.

Remember it is also important to get the correct vaccinations for your trip before you travel. These should be administered around 6 weeks before you leave. 

Remember, malaria can take up to a year to develop after you have been bitten. If you experience symptoms including headaches, night sweats and abdominal pain any time during your trip or up to one year afterwards you must see a doctor as soon as possible. 

You should take adequate contraceptive precautions to ensure you do not become pregnant whilst taking Lariam and for three months after you have finished the course.

Please seek medical help immediately if you experience serious mental problems while taking Lariam. Lariam should be stopped immediately and replaced with another medicine to prevent malaria.

Stop taking this medicine and contact your doctor immediately if you experience:

  • attempted suicide.
  • suicidal thoughts.
  • self-endangering behaviour.
  • allergic reaction (anaphylaxis) with symptoms such as difficulty in breathing, swollen tongue, itching and severe rash.
  • severe changes in texture and appearance of the skin, especially if it affects your mouth and eyes (Stevens Johnson syndrome).
  • psychosis (losing touch with reality).
  • severe anxiety.
  • panic attacks.
  • fits (seizures or convulsion).
  • fever, chills, cough, shortness of breath or chest pain. These could be signs of inflammation of the lungs also known as pneumonitis.
  • Severe liver problems which might be demonstrated by a transient increase in your liver enzymes shown by blood tests or other symptoms such as tender, firm or possibly enlarged liver, jaundice (yellowing of skin/eyes), dark urine, light coloured stools and generalised itchiness.
  • Pins and needles, weakness, numbness, new or worsening clumsiness or unsteadiness on your feet, or shaking of the hands and fingers.
  • Painful mouth or throat ulcers, fever, chills, bruises on the skin, nosebleeds, bleeding in the stomach or vaginal bleeding. These could be signs of blood disorders.
Enlarge
Malarone 250mg/100mg Tablets
Pack Size: All treatments are complete courses that include tablets for before and after your trip.
Order in for Next Day Delivery
RRP*: £60.00
Saving: £8.10
Our Price: £51.90
Total trip duration in weeks: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

Malarone Summary

  • You should take one tablet every day at roughly the same time each day.
  • Malarone needs to be taken 2 – 3 days before entering an area where malaria is present and continued until 7 days after leaving the malaria area.
  • You should take Malarone with or after food or milk
  • Malarone remains effective with a moderate alcohol intake.

How and when do I take Malarone?

Malarone is a one-a-day dose that you need to start taking 1-2 days before you travel. It is continued every day during your stay and also for an additional week after you return to a Malaria-free area. For example if you were travelling for 2 weeks you would need 23 tablets. That’s 2 (before you travel) + 14 (during your stay) + 7 (upon your return) =23 tablets.

It is important to complete the course as it can take 7 days to ensure any parasites that remain in your blood are effectively killed.

It is advised to take Malarone with food and drink where possible. This can increase the absorption of Malarone in the body, increasing its effectiveness and possibly reducing side-effects.

Malarone Tablets are available to buy from The Independent Pharmacy Online Doctor service, following a free consultation, to help prevent malaria. To find out more about malaria and see all the available treatments, see our Online Doctor Malaria page.

Malarone Tablets contain two active ingredients; Proguanil Hydrochloride and Atovaquone. It is mainly used to prevent malaria. It is manufactured by GlaxoSmithKline and is classified as a prescription-only-medicine (POM). Malarone is one of the newer treatments for malaria. It is taken once daily, 2 – 3 days before travel and continuing until 1 week after returning.

Each Malarone tablet contains 100mg of Proguanil Hydrochloride and 250mg of Atovaquone. Both these ingredients are anti-parasitic drugs that are active against the malaria causing plasmodium parasite. Once the plasmodium parasite enters the bloodstream it starts to reproduce, causing the malaria disease. Proguanil works by inhibiting the parasite’s ability to reproduce. It does this by blocking the action of an enzyme found inside the parasite. This enzyme, dihydrofolate reductase, is involved in its reproduction. By blocking dihydrofolate reductase, Proguanil prevents the formation of any new genetic material forming within the parasite. This means it is unable to reproduce and multiply.

Atovaquone works in a similar way to Proguanil. It inhibits the production of new genetic material from inside the malaria parasite, resulting in the parasite’s inability to reproduce. Both these ingredients work effectively together in a dual attack upon the malaria causing parasite.

Malarone is highly effective against the strains of malaria caused by the plasmodium falciparum parasite. This parasite is responsible for producing the most serious form of malaria called malignant malaria. For areas where the plasmodium falciparum is prevalent, Malarone will usually be the recommended choice of treatment. Malarone may also be ideal for other areas where there is a known resistance to other forms of antimalarial medicines, such as Chloroquine.

Malarone is also available as an unbranded generic form that is simple called; Atovaquone/Proguanil 250mg/100mg Tablets. These are the same as Malarone but are less expensive due to their unbranded nature.

Please read the Patient Information Leaflet for side effects and additional information.

Pharmacist Tip: Malarone should not be taken if you are pregnant or breastfeeding. It is generally very well tolerated with only mild intestinal upsets and headaches reported. If side effects are experienced then taking the tablets with or after a meal may help to relieve them.

Malarone & bite avoidance

It’s important to note that even if you’re taking an antimalarial like Malarone, it’s still important to take steps to prevent Mosquito bites. The use of insect repellents, nets and sleeping in a screened room are all highly recommended. It’s also a good idea to wear light, coloured clothing that covers as much of the body as possible.

Using an insecticide like a plug-in or spray is also an effective means of clearing and deterring those pesky insects. All the above measures are particularly important after sunset. This is the time when Mosquitoes are most active. As with so many things in life, prevention is better than cure. This is certainly true with regards to Malaria! 

If you do experience side effects from Malarone they may include coughing, diarrhea, dizziness, headache, loss of appetite, mouth sores, nausea, stomach pain, vomiting, or weakness. Malarone has a small risk of nausea, vomiting, diarrhoea, and skin rash as with all medicines. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Unfortunately Malarone is not 100% effective at preventing malaria, however it is still very effective if taken properly and combined with bite avoidance methods.

Remember it is also important to get the correct vaccinations for your trip before you travel. These should be administered around 6 weeks before you leave. 

Remember, malaria can take up to a year to develop after you have been bitten. If you experience symptoms including headaches, night sweats and abdominal pain any time during your trip or up to one year afterwards you must see a doctor as soon as possible.

Things to be aware of before considering or taking Malarone.

Malarone isn’t suitable for everyone. Do not take or take if:

  • You are allergic to any of the ingredients
  • You have severe Kidney disease
  • You are pregnant or breast feeding

Malarone can also interact with other medicines, it may not be suitable if taking any of the following:

  • Metoclopramide (anti-emetic)
  • Tetracycline, Rifampicin & Rifabutin (antibiotics)
  • Efavirenz (protease inhibitor)
  • Warfarin (anticoagulant)
  • Etoposide (cancer treatment)

Should you be taking any of the above medication it will be necessary to seek medical advice before deciding upon the most suitable treatment. Please read the Patient Information Leaflet enclosed with your medicines for further information.

Enlarge
Paludrine 100mg Tablets
Pack Size: All treatments are complete courses that include tablets for before and after your trip.
Order in for Next Day Delivery
Our Price: £17.50
Total trip duration in weeks: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

Take TWO tablets WEEKLY starting ONE WEEK before travelling and continuing until FOUR WEEKS after return.

Paludrine tablets should be taken with or after food to help reduce the chance of side effects.

Paludrine tablets are not affected by a moderate alcohol intake.

Proguanil is the active ingredient in Paludrine tablets. The dose is two tablets daily starting one week before travel and continued for four weeks after returning. Paludrine tablets have been effectively used for many years to prevent malaria in many areas where there is currently no resistance. They are a popular treatment due to the fact that they are relatively well tolerated and are very cost effective compared to some other antimalarial drugs.

Due to increasing levels of resistance found in malaria parasites, prooguanil is now commonly take in combination with cholorquine (Paludrine/Avloclor Travel Pack) or with atovaquone (Malarone).

Please read the Patient Information Leaflet for side effects and additional information. 

Proguanil is suitable to take during pregnancy and breastfeeding but you should always check with your doctor first. The tablets should be taken with or after food to help reduce side effects.

Whilst taking Paludrine (proguanil) tablets there is a small chance that you will experience side effects. The liklihood of these occuring can be reducing by taking them with or after food. If you do experience side effects they may include:

  • Allergic reaction (itch rash, difficulty breathing, swelling of the face, lips, tongue and throat).
  • Diarrhoea or constipation (these usually get better as treatment persists).
  • Mouth ulcers or inflamed mouth.
  • Skin reactions.
  • Hair loss.
  • Kidney or liver problems.
  • Fever.

If you experience any side effects from this medicine it is important to check with your doctor, especially if they are prolonged or serious.

You should not take Paludrine tablets if you:

  • Take warfarin - Paludrine may change the effect of warfarin.
  • Have kidney problems.
  • Are allergic to proguanil or any of the other ingredients.

Paludrine tablets can interact with antacids that contain aluminium, calcium or magnesium. If you take any of these antacids you should leave at least two hours between doses of Paludrine and your antacid to ensure that Paludrine is effective.

It is always best to check with your doctor before taking Paludrine if you are pregnant or breast-feeding.

Enlarge
Paludrine/Avloclor Travel Pack 250mg/100mg Tablets
Pack Size: All treatments are complete courses that include tablets for before and after your trip.
Order in for Next Day Delivery
Our Price: £20.30
Total trip duration in weeks: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

All data is safe & encrypted

UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

Paludrine/Avloclor should be taken as follows for the greatest reduction in malaria risk:

  • You should take two Avloclor tablets every week on the same day each week.
  • You should take two Paludrine tablets every day at roughly the same time each day.
  • Paludrine/Avloclor needs to be taken one week before entering an area where malaria is present and continued until four weeks after leaving the malaria area.
  • You should take Paludrine/Avloclor with or after food.
  • Paludrine/Avloclor remains effective with a moderate alcohol intake.

In areas of possible chloroquine resistance, it is combined with proguanil to ensure you are adequately protected during your travels. Choloroquine is taken as a single dose of 2 tablets once weekly and proguanil is taken as 2 tablets daily. Both tablets are started 1 week before travel and continued for 4 weeks after returning.

To find out if Paludrine/Avloclor is suitable for your trip, check the Fit For Travel website for up to date travel health information.

Although Paludrine & Avloclor help to prevent you contracting malaria, it is also important to prevent mosquito bites to reduce your risk. For more information about malaria and bite prevention, see our Malaria Prevention page.

Please read the Patient Information Leaflet for side effects and additional information.

Pharmacist Tip: Chloroquine/proguanil is suitable during pregnancy and breastfeeding, however it should not be taken if you suffer with epilepsy or psoriasis. The tablets should be taken with or after food to help reduce side effects.

If you do experience side effects from Avloclor they may include nausea, diarrhoea, headache, rashes, skin itch, blurred vision, hair loss, dizziness, mood change, sun sensitivity or seizures.  As such you should not take Avloclor if you or a close relative suffers with epilepsy. Avloclor can also worsen psoriasis; people who suffer with psoriasis should avoid taking Avloclor if possible. The side effects of Paludrine can include anorexia, nausea, diarrhoea, constipation, skin itch and mouth ulcers. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

If you experience any adverse effects from taking your prescribed medicine it is important to let us know immediately. Please log in to your online account and message one of our healthcare professionals or alternatively call us on 0117 971 1603. In a medical emergency you should contact the emergency services or go straight to your local Accident & Emergency.

Paludrine can prolong bleeding time if taken with anticoagulants such as warfarin. If you take an anticoagulant you should speak to your GP before taking Paludrine/Avloclor. Please read the Patient Information Leaflet enclosed with your medicines for further information.

You should try to avoid taking Avloclor around the same time as indigestion or heartburn remedies containing high levels of calcium, iron or magnesium as this can reduce its effectiveness. 

Paludrine/Avloclor is not 100% effective at preventing malaria, however it is still very effective if taken properly and combined with bite avoidance methods. 

 It is also important to get the correct vaccinations for your trip before you travel. These should be administered around 6 weeks before you leave.

The Paludrine/Avloclor Travel Pack should not be taken without checking with your GP if you take any of the following medicines:

  • Praziquantel (used to treat infections of the bowel and bladder caused by parasites).
  • Ciclosporin (mainly used by transplant patients but also used to treat rheumatoid arthritis and psoriasis).
  • Anti-convulsant medicines (used to prevent convulsions or fits).
  • Digoxin (used to treat heart problems).
  • Warfarin or other medicines used to prevent blood clots. Paludrine may increase the effect of these medicines.
  • Other medicines used to prevent malaria, such as mefloquine. There is a risk of convulsions or fits when these medicines are taken at the same time as Avloclor.
  • Cimetidine (used to treat stomach problems). This medicine affects how Avloclor is broken down by your body and may affect the amount of Avloclor in your blood.
  • Medicines like kaolin (used for diarrhoea) which are called ‘adsorbents’.
  • Antacids (aluminium, calcium and magnesium salts that are used to treat heartburn or indigestion).

You should not take Paludrine/Avloclor if you suffer with:

  • Epilepsy
  • Porphyria
  • Problems with your kidenys or liver
  • Myasthenia gravis
  • Psoriasis
  • Glucose-6-phosphate dehydrogenase deficiency

About Malaria Prevention

Malaria Prevention Background

The Independent Pharmacy Online Doctor service allows anyone going travelling to an area of the world with a risk of malaria to gain access the right tablets for malaria prevention on their trip.

Malaria is tropical disease caused by plasmodium parasites. This parasite is spread to humans through the bite of an infected female anopheles mosquito. If malaria is not diagnosed and treated quickly then potentially it can be fatal. The five types of malaria causing plasmodium parasites are as follows:

  • Plasmodium falciparum: This is the most common type of malaria parasite and is found predominantly in Africa. This form of parasite causes the highest number of global deaths from malaria.
  • Plasmodium vivax: This parasite produces milder symptoms when compared with plasmodium falciparum. Plasmodium vivax is mainly found in South America and Asia.
  • Plasmodium oval: This parasite is usually found in West Africa. It is quite uncommon.
  • Plasmodium malaria: A rare parasite that is usually only found in Africa.
  • Plasmodium knowlesi: This is only found in parts of South East Asia and is very rare.

Once bitten by an infected mosquito the malaria parasite will enter the bloodstream. Once the parasites reach the liver the infection will begin to develop. From here, the infection will renter the bloodstream and begin to multiply inside the red blood cells. As the infection grows it will periodically cause the red bloods cells to burst, releasing more parasites into the blood stream. It’s the bursting of the red blood cells that cause the fever symptoms of malaria.

On average it takes between 7-18 days after the initial mosquito bite for the infection to incubate and present the sufferer with any symptoms. However, in some cases it can take up to a year before any symptoms present so travellers should be vigilant for symptoms after returning from their trip.

Our country-by-country breakdown allows you to find which malaria prevention is suitable for your trip in one easy step. Using our innovative Travel Centre you can access all the information and purchase all the products you need to look after your health abroad.

Malaria Prevention Symptoms

The initial symptoms of malaria resemble the flu. The sufferer will have a high temperature or fever, chills, sweats, vomiting and headache. This can often occur in cycles where for the first hour you will feel cold and shivery. Then for the next two to six hours you will suffer a fever accompanied by severe sweating. Diarrhoea and muscle pains can also be symptoms of malaria, however not everyone experiences these.

Sustaining an infection from the most common malaria parasites can quickly lead to severe, life threatening complications. This can include problems with breathing and even organ failure. This is why treatment should be promptly sought if an infection is suspected.

As stated above, if any of the symptoms of malaria are experienced for up to a year (and especially in the first 3 months) on returning from an area with a malaria risk, you should see your GP and ensure you mention your recent travel.

Malaria Prevention Diagnosis

If you suspect having malaria or are experiencing any of the symptoms after having recently travelled to an area where malaria is found, then it is important to seek medical advice immediately. A delay in diagnoses and treatment can prove fatal. In fact, in The USA this delay is one of the leading causes of deaths in malaria patients.

Malaria will typically be diagnosed based on a patients recent travel history coupled with the presenting symptoms. However, for conclusive results a laboratory test must demonstrate the presence of the malaria parasites and their components. This diagnoses can be performed using a microscopic analysis, where a blood smear can be examined under a microscope in order to identify the presence of the malaria parasite. This is usually the preferred and most reliable means of diagnoses.

Another method of diagnosing malaria includes the Antigen tests. This is usually reserved for areas where microscopic analysis isn’t practical. These commercially available antigen tests are sometimes referred to as ‘Malaria Rapid Detection Tests’. It involves a finger-stick that samples a drop of blood. To complete the test usually take between 15-20 minutes.

Malaria Prevention Treatment

Taking malaria tablets when you are visiting an area where malaria is present is very important. They should always be taken exactly as instructed by the prescriber and combined with measures to avoid bites.

There are multiple regimes of malaria tablets due to differing resistance in different parts of the world. The advice on which regimen to follow for a specific area is constantly updated and you should never assume that a tablet that you have taken before for a specific area is still appropriate unless advised by a healthcare professional.

You can buy the following malaria tablets from our Online Doctor: Malarone, atovaquone/proguanil (generic Malarone), mefloquine (Lariam), doxycycline, chloroquine, proguanil, and cholorquone/proguanil tablets.

To help find out which malaria tablets are required for your trip, take a look at our Travel Centre each country page contains specific information about the healthcare requirements for your trip. You can also confirm your requirements at Fit For Travel, where you can get detailed information on the required antimalarials and vaccines.

If you are unsure which malaria tablets to take during your trip due to multiple regimens being recommended, ensure you read all the product information before to ensure you understand the dose and possible side effects of each. In areas where one of either Lariam (mefloquine) or doxycycline or Malarone (atovaquone/proguanil) are recommended, you are generally least likely to experience side effects with Malarone (or generic atovaquone/proguanil). However, Malarone must be taken daily so this must also be considered as it must be taken regularly to get maximal protection against malaria.

When travelling to an area where malaria is found it is strongly advised to take the appropriate malaria tablets to ward off potential infection. There are various forms and types of antimalarial medication and knowing which one is suitable will depend on these factors:

  • Your destination
  • Medication you are currently taking and your medical history
  • Any relevant family medical history
  • Your age
  • Whether you are pregnant

As different malaria parasites are found in different areas, choosing the right drug is vital in providing an effective means of protection. This is because some of the medicines are more effective at combating certain types of parasites than others. The main types of antimalarial treatments are as follows:

  • Malarone (and generic Atovaquone & Proguanil)

Malarone contains atovaquone & proguanil and is available as the brand ‘Malarone’ or as a generic tablet simply called Atovaquone & Proguanil. This generic form is sometimes referred to as ‘generic Malarone’. The dose is one tablet every day, starting 2 days before entering the malaria area and continuing until 7 days after leaving. Malarone is the most expensive antimalarial tablet, however it tends to the best tolerated with the least side effects. Buying generic Malarone (Atovaquone & Proguanil) can help to make them more affordable.

A child’s dose may differ to that of an adult and will be dependant of age and weight. Malarone is available in a paediatric strength, making these differing doses easier to achieve. Malarone is not recommended if you are pregnant or breastfeeding or if you suffer from severe kidney disease.

  • Doxycycline

Doxycycline comes in a capsule and a dispersible tablet (Vibramycin-D). The dose is for one capsule or tablet to be taken every day, starting 2 days prior to entering the malaria area and continuing for 4 weeks after leaving. Doxycycline is a cheaper option for antimalarial cover, however it can cause the skin to become sensitive to sunlight meaning you will burn very quickly. For those with pale skin, this may not be suitable in more tropical climates where malaria is present. It is advisable for anyone taking doxycycline to use high factor suncream (SPF 50+) when going out in the sun.

Doxycycline Capsules and Vibramycin-D Tablets are not recommended for pregnant or breastfeeding women or for children under the age of twelve years.

  • Lariam (Mefloquine)

Lariam tablets contain the drug mefloquine. The adult dose is to take one tablet weekly, starting three weeks before entering the malaria area and continuing for four weeks after leaving. Lariam tablets are not recommended if you suffer from epilepsy, seizures or mental health conditions, such as depression.

  • Chloroquine & Proguanil

Chloroquine & Proguanil can be used in combination or separately to prevent malaria, however they aren’t as commonly used these days as they are considered ineffective against the most common form of malarial parasite (plasmodium falciparum). However, Chloroquine and/or Proguanil will still be recommended in such areas where the plasmodium falciparum is less common. These areas include India and Sri Lanka.

Many of the above antimalarial treatments can be used to treat as well as prevent malaria. If an infection has been diagnosed then rapid, appropriate treatment should ensure a full recovery. You should never try to treat malaria with your preventative treatment. Malaria is a medical emergency that requires rapid, professional treatment.

Important Information

When selecting the quantity of malaria tablets required please round your trip length up to the nearest full week. For example a 10-day trip would be 2 weeks and and a 30-day trip would be 5 weeks.

All treatments include tablets for before and after your trip. For example, if you select you are going on a 3 week trip, you will receive 30 tablets to cover 2 days before, during and 7 days after your trip.

 

Malaria Prevention Prevention

Malaria can be prevented should the appropriate precautions be taken. Using the ABCD approach can help reduce the risk of contracting the infection.

  • Awareness of risk: research whether your destination carries a risk of malaria.
  • Bite prevention: Avoid mosquito bites by using insect repellents (containing 50% DEET), mosquito nets and long, loose clothing. Examples of available products include; Jungle Formula Sprays and Plug-Ins, Lifesystems Mosquito Nets and protection sprays. Wear loose-fitting clothing that covers the arms, legs and body, especially at night when the mosquitos are more prone to biting.
  • Check whether you need to take antimalarial prevention tablets: If needed, make sure the correct medicine is taken at the correct dose and ensure the course in completed as directed.
  • Diagnoses: If malaria symptoms should develop, seek medical attention immediately. This will include up to a year after leaving a malaria zone.

To summarise the actions you can take to help prevent malaria whilst on your travels:

  • Avoid outings at night – Anopheles mosquitoes are night feeders. They typically remain active from dusk to dawn.
  • Use strong insect repellents – If you must step out after dark, use a strong mosquito repellent containing DEET.
  • Dress from head to toe – Full-sleeved cotton shirts and full-length pants are the preferred attire despite the heat and humidity. Loose fitting clothing is best to prevent being bitten through the material.
  • Use mosquito repellents inside the house – Burning coils or vaporizing mats containing mosquito repellents help keep these pests away.
  • Sleep under protective nets impregnated with insecticides – Even when repellents are used inside the house and on the person, everyone should sleep under protective nets that have been treated with insecticides.
  • Prevent malaria through chemoprophylaxis – Anti-malarial drugs can be used as a preventive measure as they help suppress the parasite growth and their multiplication in the blood.

 

*RRP is based on the highest price found for a comparable online service found on 04/09/14.

Malaria Prevention FAQ's

What is malaria and how do you get it? 

Malaria is a tropical disease caused by a parasite called plasmodium. It is carried by mosquitos and transferred when they bite you. It causes symptoms of fever, headaches, nausea, muscle pains and diarrhoea. It is very serious and requires urgent medical attention.


How is malaria caused?

Malarial parasites are picked up by the female Anopheles mosquitoes from people who are already infected with malaria. Female Anopheles mosquitoes bite people in order to get the blood they require for nurturing their eggs.

Once inside the mosquito’s body, the parasite reproduces rapidly. When a mosquito with the parasite in its saliva bites someone, the parasite is transmitted into the host’s blood.

The parasite then moves on to the host’s liver and reproduces there, causing fever, chills, and in extreme cases, coma and death.


Does getting bitten by a mosquito mean I will develop malaria? 

The malaria parasite is only carried by the female anopheles mosquito therefore not all mosquito bites will result in malaria. The male anopheles mosquito does not bite and the other species of mosquito do not carry the parasite at all. This is not a reason for a casual approach to bite avoidance – all mosquito bites should be avoided.


When am I most likely to get bitten? 

Mosquitos are most active from dusk through to early sunrise. Use bite avoidance measures such as insect repellents, mosquito coils, nets and wear long, loose fitting clothes to prevent bites. Higher concentrations of DEET (the active ingredient in repellents) are recommended for wet conditions, hot environments or if the person suffers from excessive perspiration (when there is a greater chance of it being washed away).


Which countries around the world are malaria hotspots? 

Malaria is most common in the tropical and subtropical parts of the world, where rainfall and warm temperatures provide an ideal breeding ground for mosquitoes. The Anopheles mosquito needs a hot, humid climate to reproduce and is found in South East Asia, Pacific Islands, Africa, Central and South America and the Caribbean. More information on specific countries can be found in our Travel Clinic. You can use the interactive map to find all the travel information you need.


Can I take the same malaria tablets if I am going to different malaria zones around the world?

Malaria is a disease that can be caused by 4 different types of parasite. Some malaria tablets are more effective at treating one type of malaria than another. Therefore the required malaria tablets will differ depending on the country you are visiting. This information is updated regularly and we recommended you check on our Travel Clinic or fitfortravel.com for the most up to date information.


If I have malaria should I be worried about infecting others? 

Malaria is a blood-bourne disease that is only transmitted through mosquito bites, dirty needles, blood transfusions and before or after delivery in pregnancy. It is not contagious and cannot be passed on like the common cold.


Once bitten, how long will it take for the symptoms to develop? 

Once bitten by an infected female Anopheles mosquito, the symptoms of malaria can take 1 to 4 weeks to develop. The parasites that cause malaria can lie dormant in the liver and not produce symptoms for up to a year and sometimes this can cause re-infection of the disease. It is therefore important to see your GP urgently if you develop the symptoms of malaria within a year (especially within 3 months) of returning from a country where there is a malaria risk.


How can be sure if I get symptoms that it is malaria? 

You need to have a blood test to know if you have malaria. The parasite will be visible in the red blood cells under a microscope. This is the only definitive way to diagnose malaria.


Can I use antimalarial tablets for long periods of time and is it safe to do so? 

Antimalarial tablets have been shown to be tolerated for a year or more. If you require treatment for a year or more you should see your GP for specialist advice.


Can I get the best price for the malaria tablets in the country I will be travelling in? 

When travelling abroad to a malaria zone, you need to start taking the malaria tablets before you enter to ensure you have sufficient medication in your system to give you protection against the malaria parasite. It is advisable to get them before you travel. Additionally, medicines and pharmacies are heavily regulated in the UK. There is an audit trail of the manufacture, their storage conditions and their supply. This ensures your safety. The medicines you buy abroad may not be as well controlled and you may purchase inferior quality medication that can be out of date, counterfeit or simply may not work.


Can I get vaccinated against malaria? 

Unfortunately there is not currently a vaccine against malaria but this is being researched and scientists are making progress in development. At present the only way to prevent malaria is by antimalarial tablets, eradication of mosquitoes and prevention of mosquito bites.


What is the best advice for pregnant mothers travelling to malaria prevalent areas? 

Travel to malaria zones is best avoided in pregnancy as the disease can cause still birth, premature birth or miscarriage. If travelling to a malaria zone cannot be avoided then antimalarial medication is recommended. Pregnant women should see their GP to discuss the most appropriate regime of antimalarials.


If I am taking malaria tablets and breast-feeding, will my baby be protected? 

Some medications pass through the baby via breast milk but the amount will be too small to protect against the disease. Breastfeeding mothers with young children should consult their GP regarding antimalarial requirements.


If I catch malaria will I have it for the rest of my life? 

Malaria is curable with the right treatment. Different strains are prevalent in different parts of the world meaning different drugs are used for its treatment and prevention. Delaying treatment or using the wrong treatment can prolong the disease. The strain P.falciparum is the most dangerous as it may have fatal consequences. P. vivax and P. ovale are not as dangerous as P.falciparum but can lie dormant for long periods of time in the liver and may cause relapses of the disease. P.malariae can be in the blood of untreated individuals for many years sometimes decades.

No matter the strain of malaria, it has potential to be cured with fast, effective treatment administered by a medical professional. It is extremely important to seek urgent medical attention if you suffer with any of the malaria symptoms when travelling or after return.


Can you successfully cure/treat malaria? 

Yes, malaria is treatable but the process can be quite long and the disease can be fatal. Prevention is always better than cure.


What steps can I take to prevent getting malaria when travelling? 

Use the recommended antimalarial drugs for your destination and using effective bite avoidance measures such as insect repellents containing DEET, sleeping under mosquito nets and covering up between dusk and dawn will all help to significantly reduce the risk of contacting malaria.


What medication is available to prevent malaria? 

The medicines that are available to prevent malaria include Malarone (and generic atovaquone/proguanil), doxycycline, Lariam, chloroquine, proguanil.


With so many different medicines to choose from, which is the best one to take? 

There are 4 different types of parasite that cause malaria in different parts of the world; hence the medication used to prevent it varies according to you destination. The treatments may change according to the updated information depending on current levels of resistance. It always best to check first before purchasing your antimalarials, even if you have used them for your destination previously. Use our Travel Clinic or fitfortravel.com for up to date information on the right medication to take for the area that you will be travelling to.


How long do I have to take the antimalarial tablets for? 

This varies on the medication you are taking. All malaria tablets start before you enter the malaria zones, whilst you are there and for at least a week after you leave the area. It is important to take the tablets at regular intervals as directed and to finish the course.

Malarone (and generic atovaquone/proguanil) is taken once daily starting only 2 days before you travel, during your travel and for 1 week after you return. Doxycycline is taken one capsule daily, starting 2 days before your trip, during your trip and continuing for 4 weeks after you get back. Mefloquine (Lariam) only needs to be taken one tablet weekly, starting 3 weeks before the trip, continuing during your travel and for 4 weeks after you return. Chloroqine tablets are taken 2 tablets weekly starting 1 week before travel, whilst you are in the malaria zone for 4 weeks after exiting the malaria zone. Chloroquine/Paludrine travel pack is taken as 2 chloroquine tablets weekly and 2 paludrine tablets daily. It should be started 1 week before travel, continued for the time you are there and for 4 weeks after returning.


Are there any side effects associated with malaria tablets? 

Malarone (atovaquone/proguanil) is very well tolerated and usually the side effects are rare. If you do experience any unwanted effects they can include stomach upset, headache skin rash and mouth ulcers. Side effects can sometimes be reduced by taking Malarone with food.

Doxycycline treatment can cause your skin to show increased sensitivity to UV sunlight. This means that you will burn much quicker on exposure to the sun than normal. Most malaria zones exist in warmer climates, as this is where mosquitoes thrive. To counteract this you should wear a high factor sun block (SPF 50), try to cover exposed skin and stay out of the sun when it is strongest between 11am-3pm. Other mild side effects that are reported with doxycycline treatment include stomach upset, indigestion and thrush. 

Mefloquine (Lariam) needs to be avoided by those who have suffered from (or have a close family member who suffers from) mental illness and those who are epileptic because it can cause vivid dreams and sleep disturbance, mood changes and anxiety.


What is the difference between Malarone and generic atovaquone/proguanil? 

Atoquovone/proguanil are the two drugs contained in Malarone tablets. When the exclusive patent expired for Malarone tablets other manufacturers could also produce medicines containing atovaquone/proguanil without the brand name Malarone. This means you can get the medically identical, unbranded medicine at a significant reduction of the branded price.


Can you acquire immunity to malaria? 

People who live in areas where malaria is prevalent can acquire some partial level of immunity. This usually happens from a young age however, there is no way to tell or guarantees. You should never assume you are immune to malaria.


How long does immunity last for? 

If a level of immunity has been acquired since an early age this diminishes quickly when the person no longer lives in the malaria area. People returning to countries of their birth that carry a malaria risk should not assume they have immunity. Antimalarial tablets are always required in these cases.


Can malaria be fatal?

Malaria destroys red blood cells and clogs the capillaries that supply blood to the brain and other major body organs. If not treated in a timely manner, this may prove fatal.


Are there different types of malaria?

There are 4 major types of malaria. These are Plasmodium vivax, Plasmodium malariae, Plasmodium ovale and Plasmodium falciparum. Plasmodium falciparum is the most dangerous and fatal type of malaria. Each type of malaria occurs in different parts of the world requires different preventative medicines, therefore it is important to check which malaria tablets you require for your trip.


If I catch malaria, how is it commonly treated?

Malaria that is not severe or complicated in nature can be treated through oral medications. Artemisinins in combination with other antimalarial medication, such as amodiaquine, lumefantrine, mefloquine, etc. are an effective treatment against malaria.

In case of severe malaria, doctors prescribe intravenous administration of antimalarial drugs, including artesunate administration in a critical care unit, where the patient may be monitored for other manifestations of the disease such as low blood potassium and seizures.

Is it safe to buy malaria tablets online?

Yes, as long as you are buying from a website that is a legally operating and regulated pharmacy it is perfectly safe to buy malaria tablets online. The Independent Pharmacy is an NHS Online Pharmacy based in Bristol and has all the necessary regulation to be able to safely provide convenient access to genuine prescription malaria tablets through our Online Doctor.

How do I buy malaria tablets online?

It simple! If you know which malaria tablets you need, just select the correct treatment above and the length of your trip, you will need to fill in a simple health questionnaire so we can ensure the malaria tablets you have chosen will be safe and effective for you. It all takes less than 5 minutes and they can be delivered to your door.

If you don't know which malaria tablets you need, you can use our Travel Clinic to check the malaria requirements for your destination and then proceed to purchase the correct treatment as above.

What are the advantages of buying malaria tablets online?

There are many advantages to buying your malaria tablets online before you travel, some include:

  • It's quick & easy - there is no need to spend time at the doctor or travel clinic.
  • Great prices - we are able to offer very competitive prices on all malaria tablets, saving you a siginifcant amount versus buying in travel clinics on the high street.
  • Tons of information - we provide all the information you could need on malaria tablets, vaccinations & your destination, in easy to digest formats, at a time to suit you.

The Independent Pharmacy is an online pharmacy and online doctor service is owned and operated by ABSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products.For more information see our policies and terms and conditions at the bottom of every page. © 2014 ABSM Healthcare Ltd. All rights reserved.
Spend an extra £
to qualify for FREE UK Delivery

Continue Shopping

Reorder New consultation