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Anti-malarials
Anti-malarials
The Doctor Service offers the wide selection of anti-malarials ingcluding Malarone and Doxycycline. Get anti-malarials delivered to you quickly so you are prepared in time before your flights. 

We recommend that you take appropriate precautions to avoid getting bitten and take appropriate anti-malarial treatment to ensure your risk of malaria is significantly reduced.
  • Non-branded Malarone (Proguanil/Atovaquone)
  • Malarone
  • Doxycycline
Proguanil/Atovaquone (Generic Malarone) 100mg/250mg 
Proguanil/Atovaquone (Generic Malarone) 100mg/250mg
Proguanil/Atovaquone (Generic Malarone) 100mg/250mg
  • £24.50
     
  • £34.99
     
  • £43.00
     
  • £51.50
     
  • £61.00
     
  • £69.00
     
  • £85.00
     
  • £128.50
     
  • £221.00
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Atovaquone 250mg / Proguanil 100mg is the generic version of the original brand name Malarone. It is the same medication as Malarone.
     
  • How It Works
    Atovaquone/Proguanil prevents malaria by killing any malaria parasites that enter the blood stream if you are bitten by an infected mosquito.
     
  • How to Take the Medication
    Atovaquone/Proguanil is taken once daily. You need to start taking 1-2 days before entering a malaria-risk area so you're protected when you are there. It can be stopped just one week after leaving the malaria-risk area.
     
  • Your age
    We provide this service to over 18s only. You must fill out your own assessment form and we are unable to prescribe on behalf of other people
     
  • Effectiveness
    Atovaquone/Proguanil has been found to be one of the most effective anti-malarials, provided it is appropriate to use in the country you are travelling in. If you take it as prescribed it will help to prevent nearly all cases of malaria.
     
  • Effectiveness
    Large data studies on the use of Malarone have shown it to be more than 95% effective in the prevention of malaria in travellers.
     
  • Side Effects
    Like all medicines, Atovaquone/Proguanil can cause side effects although not everybody gets them. It is generally a very well tolerated medication.
     
  • Common Side Effects (more than 1 in 10)
    Common but usually tolerated side effects include headache, sometimes feeling sick, tummy pain and diarrhoea
     
  • Common Side Effects (less than 1 in 10)
    Other common side effects include: dizziness, sleep disturbance and strange dreams, low mood, reduced appetite, fever, rash or cough, changes on blood tests with blood counts and liver enzymes.
     
  • Uncommon Side Effects (less than 1 in 100)
    There are much less common side effects, but they have been reported including: anxiety, palpitations, swelling or redness around the mouth, hair loss
     
  • Rare Side effects (less than 1 in 1000)
    Rarely some people experience hallucinations or nightmares, changes to skin, sensitivity to sunlight or seizures. They are important to be aware off but the risk of them occurring is very low.
     
  • Side Effects
    If these side effects are not tolerated or you develop certain symptoms such as low mood, anxiety or panic attacks we recommend you seek advice of a health professional soon to decide whether to stop or change the medication, especially if you are in a malaria endemic region.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Malarone 100mg/250mg 
Malarone 100mg/250mg
Malarone 100mg/250mg
  • £53.00
     
  • £70.00
     
  • £87.00
     
  • £103.00
     
  • £125.00
     
  • £143.00
     
  • £180.99
     
  • £229.00
     
  • £460.50
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Malarone is the brand version of Atovaquone 250mg / Proguanil 100mg
     
  • How It Works
    Malarone prevents malaria by killing any malaria parasites that enter the blood stream if you are bitten by an infected mosquito.
     
  • How to Take the Medication
    Malarone needs to be taken only once daily. You need to start taking it 1-2 days before entering a malaria-risk area so you're protected when you are there. It can be stopped just one week after leaving the malaria-risk area.
     
  • Your age
    We provide this service to over 18s only. You must fill out your own assessment form and we are unable to prescribe on behalf of other people
     
  • Effectiveness
    Malarone has been found to be one of the most effective anti-malarials, provided it is appropriate to use in the country you are travelling in. If you take it as prescribed it will help to prevent nearly all cases of malaria.
     
  • Effectiveness
    Large data studies on the use of Malarone have shown it to be more than 95% effective in the prevention of malaria in travellers.
     
  • Side Effects
    Like all medicines, Atovaquone/Proguanil can cause side effects although not everybody gets them. It is generally a very well tolerated medication.
     
  • Common Side Effects (more than 1 in 10)
    Common but usually tolerated side effects include headache, sometimes feeling sick, tummy pain and diarrhoea
     
  • Common Side Effects (less than 1 in 10)
    Other common side effects include: dizziness, sleep disturbance and strange dreams, low mood, reduced appetite, fever, rash or cough, changes on blood tests with blood counts and liver enzymes.
     
  • Uncommon Side Effects (less than 1 in 100)
    There are much less common side effects, but they have been reported including: anxiety, palpitations, swelling or redness around the mouth, hair loss
     
  • Rare Side effects (less than 1 in 1000)
    Rarely some people experience hallucinations or nightmares, changes to skin, sensitivity to sunlight or seizures. They are important to be aware off but the risk of them occurring is very low.
     
  • Side Effects
    If these side effects are not tolerated or you develop certain symptoms such as low mood, anxiety or panic attacks we recommend you seek advice of a health professional soon to decide whether to stop or change the medication, especially if you are in a malaria endemic region.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Doxycycline Hyclate 100mg 
Doxycycline Hyclate 100mg
Doxycycline Hyclate 100mg
  • £16.50
     
  • £17.50
     
  • £18.50
     
  • £19.50
     
  • £20.50
     
  • £21.50
     
  • £24.00
     
  • £30.00
     
  • £48.50
     
  • £82.50
     
 
  • Key Information
  • Effectiveness
  • Side Effects
  • Full patient info leaflet
  • Key Information
    Doxycycline is an anti-malarial medication and an antibiotic. It must be taken once daily, with food ideally in the morning or afternoon. It is the cheapest of the anti-malarials that we provide.
     
  • Treatment Duration
    Doxycycline must be started 2 days before entering the malaria-risk area and continue for 4 weeks after leaving the malaria-risk area.
     
  • Your age
    We provide this service to over 18s only. You must fill out your own assessment form and we are unable to prescribe on behalf of other people
     
  • When you should not take this medication
    If you are allergic to doxycyline or any of its ingredients you should not take this medication. if you are pregnant or breast-feeding you should also not take this medication. Certain conditions will determine whether this medication is safe for you and the consultation and doctor review of your prescription will ensure this is the case
     
  • Effectiveness
    Doxycycline is a very effective anti-malarial medication and gives nearly 100% protection if taken as described, along with other protection measures.
     
  • Effectiveness
    Doxycycline is up to 96% effective in prevention of P.falciparum and 98% for P.vivax malaria types.
     
  • Side Effects (Rare less than 1 in 1,000 people affected)
    Like all medicines, this medicine can cause side effects, although not everybody gets them. Rare side effects include headache, gastro-intestinal symptoms including nausea and feeling sick, indigestion and loss of appetite. There is always a chance of allergy to medication which
     
  • Very rare side effects (less than 1 in 10,000 people affected)
    very rare side effects include abdominal pain, discoloration of teeth (usually long term use only), increased sensitivity to sunlight and muscle or joint pain
     
  • Other side effects
    There are other side effects that have been reported but their frequency is unknown and are rare. These include ringing in the ears, faster heart rate, low blood pressure, skin irritation, gut, liver or pancreas inflammation.
     
  • Allergy
    You should stop using this medication if you develop signs of a serious allergy. Symptoms include swelling of the face, eyes, lips, tongue or difficulty breathing. Other symptoms may include diarrhoea, cramps, severe burning, peeling of skin or itching. You should seek medical attention from a health professional as soon as possible. This is a precautionary message for people taking any new medicine.
     
  • Check the Patient Information Leaflet
    Check the Patient Information Leaflet for more information on potential side effects.
     
  • Reporting Side Effects
    You can report side effects directly to the Medicines and Healthcare products Regulatory Agency (MHRA) via the link www.mhra.gov.uk/yellowcard
     
Introduction

If you would like to know if you need anti-malarials, or which you need, please visit TravelHealthPro. Further information on malaria risk is available by searching for your destination country. 


If there is a high risk of malaria then it is recommended you take medication. If the risk is low, provided you take adequate bite prevention, then you should not require anti-malarial medication. 

Malaria is a serious disease that is easily preventable. It occurs in tropical and sub-tropical areas of the world and is caused by the parasite being transmitted to us via a mosquito bite.

The Doctor Service provides treatments to help prevent malaria from mosquito bites. We provide the two most commonly used treatments, which are used across the globe. These are Malarone and Doxycycline. 

Protection Measures - Awareness of Risk

Make sure you're prepared early. Check your risk of malaria at TravelHealthPro.

Bite Prevention
Anti-malarial medications significantly reduce your risk of contracting malaria, however, they are not 100% effective and some resistance has been found to some of the treatments in some countries too.

Preventing bites from occurring in the first place is your best form of protection. Clothing to cover skin will prevent bites, especially around sunset.

Insect Repellent (20-50% DEET) & Insecticides reduce the chance of being bitten.

Mosquito nets will create a barrier at night time and air conditioning in rooms help to make the environment uninhabitable as mosquitos thrive in warm temperatures. There is further information on the blog on prevention of malaria.
Medication to Prevent Malaria
The NHS does not provide medication for to prevent malaria, and we have very competitive prices. We are cheaper than travel clinics. 

The Doctor Service provides two treatments for malaria, which are the most popular, very well tolerated and easy to use. These are Doxycycline and Malarone.

Malarone contains Proguanil and Atovaquone and is available as a generic version too which is the same medication but cheaper.
Doxycycline
Doxycycline is an anti-malarial as well as an antibiotic and is available on-prescription through The Doctor Service.

Check the Key Information of each medication when selecting the medication above. 

This medication is not suitable for those who are pregnant or breast-feeding. Although this medication is usually well-tolerated, it is important to note that Doxycycline is sometimes associated with increased sensitivity to sunlight – so don’t forget sun cream if you’re out in the sun!
Malarone (Atovaquone & Proguanil)
Malarone is another popular option. It contains a combination of two medications that prevent malaria, Proguanil and Atovaquone.

Check the Key Information of each medication when selecting the medication above. 

It is associated with a very low risk of side effects and is the best tolerated, however some people can experience some stomach indigestion and there have been some reports of lower mood with use of Malarone.

If this occurs to you then you should stop this medication and seek further medical advice.
When to Seek Further Help
If you develop symptoms of malaria when abroad or within one year of arriving back in the UK then you should seek further medical advice urgently.

These symptoms include chills, sweating, headaches, nausea, vomiting, diarrhoea, muscle pain and jaundice (yellowing of the skin). There are further information on symptoms on our blog. 

You do not need to have all these symptoms and it could present in other ways, so if you are very unwell, and it is not clear what the cause is you should consider whether it could be malaria too.

There are other medications available as anti-malarials but currently we prescribe just these two, as they are associated with the least side effects and both medications can be used widely across the globe. 

To get protected against malaria choose a medication to start your assessment.
The use of antibiotics
Antibiotics can do more harm than good when prescribed or taken incorrectly and do not discriminate between good and bad bacteria in the body. By killing the beneficial bacteria in our body, this can given an opportunity for dangerous disease-causing bacteria to grow in their place. 

Antibiotics may also have a number of side effects including vomiting, thrush and diarrhoea, so therefore should only be taken or prescribed when needed. You should complete the entire course of antibiotics.

We take any allegations of inappropriate use of antibiotics seriously at The Doctor Service. You can read more about The Doctor Service commitment to the appropriate use of antibiotics.
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