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Traveller's Diarrhoea Treatment Antibiotic Treatment

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Azithromycin 500mg Tablets (Traveller's Diarrhoea Pack)
Pack Size: 3 x Azithromycin 500mg tablets, 30 x Loperamide capsules, 20 x Dioralyte sachets
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Our Price: £25.50
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How to take Azithromycin tablets (antibiotics)

  • Take one tablet daily for 3 days.
  • You should always continue the course until it is complete unless otherwise directed by a doctor.
  • You should start taking Azithromycin as soon as you recognize the symptoms of traveller’s diarrhoea such as diarrhoea, nausea, sickness, and stomach cramps.

How to take Loperamide capsules (anti-diarrhoeals)

  • Take two capsules at the onset of diarrhoea, followed by a further capsule after each loose bowel movement.
  • You should never take more than 8 capsules in 24 hours.

How to take Dioralyte sachets (rehydration sachets)

  • Dissolve the contents of one sachet in roughly 200mL of fresh drinking water. Where fresh drinking water is unavailable, you should use water that has been freshly boiled and cooled.
  • The solution should be made up immediately before use and consumed within one hour. If it is possible to refrigerate the mixture it can be stored for up to 24 hours.

Azithromycin is an antibiotic that is particularly effective at eradicating the bacteria that cause traveller’s diarrhoea. It is effective in reducing the duration and symptoms of traveller’s diarrhoea, especially when combined with loperamide. Azithromycin is taken as one tablet daily for three days.

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

Pharmacist Tip: Azithromycin is the antibiotic of choice for those travelling to South Asia and South East Asia where it is likely to be more effective.

It is possible that you may be allergic to Azithromycin. If you know you are allergic to Azithromycin or have suffered a reaction previously do not take Azithromycin and discuss alternatives with your GP.

Azithromycin has a small risk of nausea, vomiting, diarrhoea, and skin rash as with all medicines. Other side effects can include gastrointestinal disturbances (diarrhoea, abdominal pain, indigestion, nausea, flatulence, taste disturbance), anorexia, fatigue, dizziness, headaches, skin tingling or rashes, visual impairment, deafness, and joint pain. 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.

 

Azithromycin should not cause a harmful interaction with any of your other current medicines. It should not be taken if you currently take ergot derivatives (for migraines), digoxin, ciclosporin, or anticoagulants (such as warfarin). This was checked during your online consultation. Please read the Patient Information Leaflet enclosed with your medicines for further information.

Azithromycin will clear up most simple cases of traveller’s diarrhoea caused by the most common bacteria, however because many different organisms can cause gastrointestinal infections it is important that if your symptoms do not improve or worsen that you see a doctor. They will be able to prescribe another medicine that is effective against the organism causing your infection. You should not stop taking Azithromycin unless your doctor instructs you otherwise.

If you notice blood in your stool, or suffer with fever, chills, or severe headache your infection may be more serious and you should see a doctor as soon as possible.

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Ciprofloxacin 500mg Tablets (Traveller's Diarrhoea Pack)
Pack Size: 6 x Ciprofloxacin 500mg tablets, 30 x Loperamide capsules , 20 x Dioralyte sachets
Order in for Next Day Delivery
Our Price: £25.50
Qty: 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

How to take Ciprofloxacin tablets (antibiotics)

  • Take one tablet twice daily, roughly 12 hours apart.
  • You should always continue the course until it is complete unless otherwise directed by a doctor.
  • You should start taking Ciprofloxacin as soon as you recognize the symptoms of traveller’s diarrhoea such as diarrhoea, nausea, sickness, and stomach cramps.
  • You should try to avoid food and drink containg high levels of calcium or iron (e.g. dairy products, red meat) at least 2 hours each side of taking Ciprofloxacin. You should also try to avoid antacids for the duration of your treatment.

How to take Loperamide capsules (anti-diarrhoeals)

  • Take two capsules at the onset of diarrhoea, followed by a further capsule after each loose bowel movement.
  • You should never take more than 8 capsules in 24 hours.

How to take Dioralyte sachets (rehydration sachets)

  • Dissolve the contents of one sachet in roughly 200mL of fresh drinking water. Where fresh drinking water is unavailable, you should use water that has been freshly boiled and cooled.
  • The solution should be made up immediately before use and consumed within one hour. If it is possible to refrigerate the mixture it can be stored for up to 24 hours.

Ciprofloxacin is an antibiotic that is particularly effective at eradicating the bacteria that cause traveller’s diarrhoea. It is effective in reducing the duration and symptoms of traveller’s diarrhoea, especially when combined with loperamide. Ciprofloxacin is taken twice daily for 3 days.

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

Pharmacist Tip: Whilst taking ciprofloxacin you should avoid dairy products, or anything containing high levels of calcium, aluminium, magnesium or iron, such as antacids or mineral supplements, for at least 2 hours each side of the dose. 

It is possible that you may be allergic to Ciprofloxacin. If you know you are allergic to Ciprofloxacin or have suffered a reaction previously do not take Ciprofloxacin and discuss alternatives with your GP. 

Ciprofloxacin has a small risk of nausea, vomiting, diarrhoea, and skin rash as with all medicines. Other uncommon side effects can include anorexia, agitation, disorientation, headaches, sleep disorders, muscle pain, and skin rashes or itching. 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.

Ciprofloxacin should not cause a harmful interaction with any of your other current medicines. It should not be taken if you currently take methotrexate, tizanidine, theophylline, clozapine, ropinirole, or anticoagulants (such as warfarin). This was checked during your online consultation. Please read the Patient Information Leaflet enclosed with your medicines for further information.

Ciprofloxacin will clear up most simple cases of traveller’s diarrhoea caused by the most common bacteria, however because many different organisms can cause gastrointestinal infections it is important that if your symptoms do not improve or worsen that you see a doctor. They will be able to prescribe another medicine that is effective against the organism causing your infection. You should not stop taking Ciprofloxacin unless your doctor instructs you otherwise.

If you notice blood in your stool, or suffer with fever, chills, or severe headache your infection may be more serious and you should see a doctor as soon as possible.

About Traveller's Diarrhoea

Traveller's Diarrhoea Background

The Independent Pharmacy Online Doctor service allows travellers who are worried about the effects of traveller’s diarrhoea on their trip to have a private consultation with a doctor and receive the treatment they require in a safe and discreet manner.

What causes Travellers Diarrhoea?

When planning a vacation to a destination outside of Europe, travel health is probably near the bottom of the priority list. However, your well-planned vacation could go haywire unless you take adequate precautions against traveller’s diarrhoea. As the name implies, it is a scourge that affects people who travel to most tropical countries in Africa, Asia and Latin America.

Tropical strains of bacteria are the main culprits; they mostly affect visitors from developed areas of the world, like the US and Europe, who have had no previous exposure. Local residents, and frequent travellers who are already exposed to these microbes, are generally immune to them. While 80% of the cases are due to bacterial infection of the upper gastrointestinal tract by E. coli, Salmonella, Campylobacter or Shigella, some viruses and parasites also can be the cause. They get into our digestive system through contaminated food and water.

Traveller’s diarrhoea is caused by a bacterial infection from ingesting contaminated food or water. This is generally due to poor food hygiene and most commonly affects raw or undercooked meat, seafood, and raw fruit and vegetables. Tap water, including ice, and dairy, especially unpasteurised milk, are also common causes of traveller’s diarrhoea. For further details on the causes of traveller’s diarrhoea and information on how to prevent them, see ‘Prevention’ below.

How dangerous is Travellers Diarrhoea?

While it has a very high potential to spoil your vacation, most cases of travellers diarrhoea are self-limiting and usually cause no serious or permanent damage. It may tie you to a restroom for 2-4 days or even keep you in bed with symptoms such as stomach cramps, nausea, vomiting, headache, fever and fatigue. Re-hydration therapy is usually sufficient, but antibiotics may be necessary to clear up some bacterial infections, especially if fast relief is required. If it is caused by parasites, diarrhoea may persist. In about 10% of cases, it may lead to chronic irritable bowel syndrome.

The Independent Pharmacy Online Doctor is able to provide a Traveller’s Diarrhoea Treatment Pack to those who are going on holiday to at-risk destinations. It contains an antibiotic, anti-diarrhoeal medication and rehydration salts to treat your symptoms, cure the infection and keep you hydrated so you can make the most of your trip abroad.

Traveller's Diarrhoea Symptoms

Up to half of European travellers abroad to developing areas, including South America, Africa, the Middle East, and Asia, will experience traveller’s diarrhoea at some point during their trip. It usually occurs within the first week of arriving in the country but can occur at any time.

As well as loose, watery motions, the symptoms of traveller’s diarrhoea can also include nausea, bloating, stomach cramps, and vomiting. It has the potential to ruin a trip, however it is rarely serious in itself with dehydration being the major risk. It is therefore important to drink plenty of clean water and rehydration sachets to keep hydrated, especially in hot climates where dehydration is a greater risk. On average traveller’s diarrhoea will last around 3 days but can persist for over a week.

When to get medical help

If you develop the following symptoms, you should urgently consult with a doctor for appropriate treatment:

  • Severe dehydration.
  • Bloody stools.
  • Fever above 38.5 degrees centigrade.
  • Diarrhoea lasting over 3 days, especially with treatment.

Traveller's Diarrhoea Treatment

Some simple cases of traveller's diarrhoea can be treated with over-the-counter medicines such as loperamide (also known as Imodium) and rehydration sachets (Dioralyte). These will help to ease the symptoms whilst the condition is resolving. It is important to drink plenty of fluids to avoid dehydration - this is the most serious consequence of traveller's diarrhoea.

For more severe cases of traveller's diarrhoea, prescription antibiotics may be required to treat the infection. The Independent Pharmacy Online Doctor service is able to provide eligible patients a course of ciprofloxacin or azithromycin as part of our Traveller's Diarrhoea pack. It contains one of the antibiotics (ciprofloxacin or azithromycin) for the treatment of traveller's diarrhoea depending on your destination, loperamide capsules and rehydration sachets. This allows you to treat the infection causing your traveller’s diarrhoea, ease the symptoms and prevent dehydration.

If you are travelling to South Asia (e.g India) or South-East Asia (e.g. Thailand), you are recommended to take Azithromycin as this may be more effective in treating traveller’s diarrhoea contracted in these areas. For all other destinations, Ciprofloxacin is the antibiotic of choice to treat traveller's diarrhoea.

Both ciprofloxacin and azithromycin are short course antibiotics that will kill the causative bacteria and resolve most cases of traveller’s diarrhoea within 48 – 72 hours. Loperamide (Imodium) helps to absorb excess water from the bowels, easing the symptoms of diarrhoea whilst rehydration sachets will help to replace the lost water and electrolytes (salts and sugars) to keep you properly hydrated.

What to do if you get Traveller’s Diarrhoea

In spite of all precautions one might still get diarrhoea because a mouthful of bathwater that you inadvertently swallowed. Even rinsing out your mouth with tap water can introduce the germs into your system. When you first experience traveller’s diarrhoea it is important to start your antibiotics as soon as possible to treat the infection early.

Adults can also take 2 loperamide to stop the diarrhoea whilst the antibiotics treat the infection. A further 1 loperamide capsule can be taken after each episode of diarrhoea until it stops, up to a maximum of 8 in a day. It is important to also drink plenty of clean water mixed with rehydration sachets. You should aim to drink 1 reconstituted rehydration sachet with every loose motion, up to five times daily.

A few essential things to carry with you on your travels are:

  • Chlorine or Iodine tablets
  • Hand sanitizer gel or lotion
  • Rehydration sachets (e.g. Dioralyte)
  • Anti-diarrheal medication (Imodium or loperamide)
  • An antibiotic (Ciprofloxacin or Azithromycin)

Traveller's Diarrhoea Prevention

Practising good hygiene is the best preventative measures when it comes to diarrhoea. This will help prevent spreading the infection that causes diarrhoea. Always ensure to wash your hands thoroughly after using the toilet and prior to preparing or eating food. Regularly clean surfaces and utensils with hot, soapy water. When it comes to food, make sure you never store raw and cooked foods in the same place and ensure that all food is kept properly refrigerated. It’s important to cook your food thoroughly and never to eat it past the sell-by-date.

If you’re already experiencing diarrhoea and wish to reduce the risk of passing the infection on to others then there are steps you can take. For example, cleaning the toilet, including the seat and handle with disinfectant after each episode of diarrhoea. Try to avoid sharing towels, flannels, cutlery and utensils with other people. If suffering with diarrhoea it is recommended not to return to work or school until at least 48 hours after experiencing the last bout of diarrhoea.

When travelling abroad there are certain preventative measures you can take to help avoid diarrhoea. If your destination has a poor record of public hygiene then it’s advised to avoid the following food and drink:

  • Uncooked or raw meat
  • Shellfish
  • Ice cream or ice cubes
  • Tap water
  • Eggs
  • Peeled fruit
  • Salads
  • Mayonnaise and sauces
  • Fruit juices (if sold by a street vendor)

The food and drink that shouldn’t pose a risk include:

  • Canned or sealed products that have been produced by a recognised manufacturer.
  • Fresh bread and unpeeled fruit.
  • Food that has been freshly prepared such as stir-fries and soups are generally safe to consume.
  • Sealed bottled water and juices, tea and coffee and alcohol are all considered low risk.

As a precaution it is advised to, at least, take some loperamide and Dioralyte with you when travelling abroad, just in case. Traveller's diarrhoea medication is available from the Online Doctor.

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

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.
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