Malarone 250mg/100mg Tablets
Malarone is one of the newest and best known treatments to prevent malaria. It is taken daily before, during and after your trip to proctect against malaria when travelling to at-risk areas. Malarone can be purchased online quickly and easily from The Independent Pharmacy Online Doctor, saving you money in the process. Don't waste time and money at expensive travel clinics, buy Malarone online today for peace of mind on your trip of a lifetime!
Use only recommended, evidence-based products. There is no evidence that bath oils, electronic “buzzers”, essential oils, garlic, homeopathic remedies, odour baited mosquito traps, tea tree oil, skin moisturisers, smoking, vitamin B tablets or yeast extract will have any effect in preventing mosquito bites.
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!
- 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.
Each Malarone tablet contains 100mg of Proguanil Hydrochloride and 250mg of Atovaquone as the active ingredients.
The other ingredients are:
Tablet core: poloxamer 188, microcrystalline cellulose, hydroxypropyl cellulose, povidone K30, sodium starch glycollate (Type A), magnesium stearate.
Tablet coating: hypromellose, titanium dioxide (E171), iron oxide red (E172), macrogol 400 and polyethylene glycol 8000.
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.
All our orders are sent out using Royal Mail. Tracking is available on all orders.
We always aim to dispatch all orders within 24 hours of them being received, if we are unable to meet this
high standard for whatever reason we will always contact you to advise you of the delay.
We offer free UK standard delivery on orders over £40.
The following delivery options are available:
- Standard Delivery - 2/3 day delivery - £2.95
- Express Delivery - 1/2 day delivery - £4.45
- Special Delivery (Guaranteed before 1pm) - £8.95
- Saturday Guaranteed before 1pm - £10.45
The cut-off for same day dispatch of orders is 4pm. Orders processed after this time will be dispatched the following working day. Orders are dispatched Monday - Friday. Orders will not be processed on weekends or bank holidays.
We ensure all deliveries are in plain packaging for discreet delivery of your medicines and pharmacy goods.
Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt.
Delivery is free for all NHS prescriptions.
Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering.
We are currently unable to ship orders outside of the UK.
Malarone is a branded anti-malarial medication. Malarone tablets contain two active ingredients, atovaquone and proguanil. They are used to prevent malaria spread by the bite of mosquitoes encountered in tropical countries whilst traveling.
Malaria is caused by four different organisms all belonging to the family called plasmodiums. The fiercest strain is Plasmodium falciparum which can cause malignant malaria. Malarone is most effective against the falciparum strain and less effective against the others.
Malaria can lie dormant and resurface weeks, months or sometimes years after you return from your trip. Always see a Doctor if you have flu-like symptoms up to a year after returning from a malaria zone.
Atovaquone and proguanil both interfere with the cell replication of the malaria parasite meaning it cannot replacate in the bloodstream, therefore preventing infection. When used in combination, progaunil makes atovaquone more effective.
Malaria is a disease can be caused by four different strains of malaria parasite. There are different treatments depending on the strain that is most common in the area you are traveling in. The appropriate malaria treatment also varies depending on the levels of drug resistance that the malaria parasites in each location have developed.
To ensure you have chosen the right medication for you trip we recommend you visit the government Fit For Travel website. It is a comprehensive and continually updated site which has the travel information needed to make you trip a safe one.
For adults 16 years and over who are over 40kg, take one tablet daily. Preferably at the same time each day with food or a milky drink (this helps to prevent most of the common side effects and increases the drug absorption, making the medicine more effective).
The course needs to be started 1-2 days before travel, taken for the entire length of time you are in the malaria zone and for 7 days after.
It is important to finish the course and take the 7 tablets after you have exited the malaria zone, even if you have returned home (parasites from an infected bite will need 7 days of treatment to ensure they are killed).
If you miss a dose, take the tablet when you next remember. If too much time has elapsed, carry on as before. Continue taking one tablet a day until the course has finished. Do not take more than 1 tablet a day.
A replacement tablet needs to be taken if you are sick within an hour of taking a tablet. Continue taking the course as before until there are no tablets left.
You can crush the tablet and mix with honey, yoghurt or jam but it most be consumed straight away.
We understand that calculating how many tablets you may need for your trip can be difficult and confusing. When ordering, enter the amount of time that you are in the malaria zone and we will calculate how many tablets you need (including tablets for before and after your trip).
No prophylactic anti-malarial tablet is 100% effective and it is important to continue to use mosquito nets, DEET-containing insect repellents, and other measures at the same time as the medication to prevent mosquito bites.
Malarone is very effective at preventing malaria. To ensure that you minimise your risk of contracting malaria as much as possible, confirm that Malarone is the correct treatment option for your destination, take your tablets regularly and always complete the full course.
As no preventive treatment is 100% effective, it is still important to avoid mosquito bites wherever possible.
Malarone is the newest of the anti-malarial medications that is currently available. It is normally recommended for use in trips to a malaria-risk zone for up to 28 days. There is no evidence of any adverse effects if it is used for longer.
The most common side effects of Malarone include headaches, nausea, vomiting, diarrohea and stomach/abdominal pain. These are experienced by approximately 10% of patents and most can be prevented if the tablets are taken with food or a milky drink.
Less common side effects that affect fewer than 1% of patients include: fever, cough, dizziness, loss of appetite, rash and difficulty in sleeping. If any side effects become severe you should see a doctor to discuss the risk of not taking your tablets or to chose an alternative anti-malarial.
There is no known interaction between Malarone and alcohol. Malarone may you feel dizzy, if this occurs, avoid alcohol consumption, as it will make the dizziness worse.
The use of Malarone is not advised before speaking to a doctor if you:
- Are pregnant, breast-feeding, or planning to become pregnant in the next 3 months.
- Weigh less than 40kg (a paediatric version is available for children from your doctor).
- Have liver or kidney disease.
- Have an allergy to either of the active ingredients atovaquone and proguanil.
Malarone should not be taken with the following medication:
- Rifampacin and rifabutin (antibiotics used for the treatment of TB).
- Metoclopramide (anti-sickness medication).
- Tetracycline (an antibiotic commonly used for acne and other skin conditions).
- Warfarin and other blood thinning agents.
A study to show whether Malarone is harmful to pregnant or breastfeeding mothers has not been carried out. However, there is documented evidence to show that each of the individual active ingredients should not be administered to pregnant and breastfeeding women as they can be harmful to the child.
We recommend that you speak to you Doctor who will assess the benefits and risks of prescribing the medication to you.
Is it safe to buy Malarone online?
Regarding online medication, it is right to be vigilant. Look out for the green cross which can be found at the bottom of any page on our website. It links through to the General Pharmaceutical Council and our registration details; they regulate pharmacy premises and pharmacists in the UK. If it doesn't have a green cross then, you cannot know that what you are buying is genuine. We are also regulated and inspected by the CQC and MHRA to ensure we provide the highest level of care and service to all of our patients. All of our credentials can be found in the footer of every page on our website.
As long as you are buying Malarone from a reputable online pharmacy then you have nothing to worry about, it is no different from getting them in your local high street chemist. Never buy prescription medicines from unregulated sources, from abroad, or from websites such as Ebay.
Ensure you have visited the government’s Fit For Travel website and have checked which anti-malarial treatment is most appropriate for you and your trip as well as any vaccines you may need for the area you will be visiting.
Select the medication from the list below.
- Malarone Tablets
- Generic or unbranded Malarone Tablets
- Doxycycline Tablets
- Lariam or mefloquine Tablets
- Paludrine Tablets
- Chloroquine Tablets
- Paludrine & Avloclor Travel Pack
Enter the amount of time you will be in the malarial zone (all our treatments are complete courses and include the tablets before and after you trip).
Start the consultation and fill in the short health questionnaire. This will give the Doctor all the information they need to ensure the treatment is safe and effective for you.
The Doctor reviews the notes and a prescription is produced internally for the pharmacy to dispense and dispatch. This occurs within 24 hours and the status can be followed in your account.
We will contact you if the Doctor needs some more information and if they believe the requested medication is not appropriate for you, we will give you a full refund.
Malarone is a branded medicine and is the newest of all the anti-malarial treatments. It was originally marketed to treat malaria and its patent to prevent malaria was granted in 2001. The patent meant that only one manufacturer could produce it until 2013. This helps to recoup the initial research and development investment.
When the patent on Malarone expired in 2013, other manufactures were able to produce unbranded versions and the price has dropped. The price of 1 weeks worth of Malarone is £51.90 compared to £37.50 for the unbranded or generic version.
There is no difference in the active ingredients of the unbranded and branded versions.
Malarone is not indicated for all travel destinations, as it is only effective against certain strains of malaria parasite that occur in specific areas in the world. Check the government Fit For Travel website for an up-to-date list of the medication and vaccines recommended for your trip.