Malaria Prevention
Prevention consists of:
- using effective protection against mosquito bites
- taking anti-malarial medication
Bite Prevention
A travel health consultation at the Fleet Street Travel Clinic includes detailed instruction on mosquito bite prevention. We have an extensive range of repellents, mosquito killers, nets and other products to suit every type of traveller.
Malaria Medication
We will also help you find the anti-malarial medication regimen that best suits your own circumstances and requirements. Current anti-malarial regimens include:
- Malarone: the first new drug for preventing malaria in more than a decade. The Fleet Street Travel Clinic has been using it to protect travellers heading for the world's worst malaria hotspots since 1997. Our experience with Malarone is among the longest in Europe.
- Lariam (Mefloquine): a highly effective option for many destinations, and especially suitable for travellers who have taken it before. Neuropsychiatric side effects are an important concern, and Lariam is not suitable for everyone. We always discuss the risks and benefits in detail with every traveller.
- Doxycycline: an effective alternative to Malarone and Lariam, but side-effects, such as a light-sensitive rash and vaginal thrush, are an occasional problem.
- Chloroquine & Paludrine: tablets should be started about 1 week prior to travel and must be continued for four weeks after return home. Although the risk of side effects is small, this combination is declining in effectiveness in many parts of the world. In our view, Chloroquine & Paludrine are no longer suitable for use in East, West or Central Africa.
- Chloroquine alone: 2 tablets per week - this regimen is now only suitable for parts of Central America and the Middle East. Tablets must be continued for four weeks after return home.