Once again- Malaria Tablets!

Nick-H · Jul 20th, 2007, 16:15

Blackbird... yes; if there was not so much conflicting "official" advice even, then this would not be such a hugely popular discussion here on IM.

What can we do? Nobody can give the absolute, definitive, 'correct' advice, perhaps because it doesn't exit!

shashank.aggarwal · Jul 20th, 2007, 16:15

Quote:

Originally Posted by Nick-H

I'm not a pro in any branch or medicine. I know enough to know that the information you passed on was dubious

This is what is the problem, you are saying it is dubious..I might have agreed with you...

But see this particular case and give us a better option...other than the doctor of course...

Quote:

Originally Posted by Nick-H

Rubbish. What if you'd posted something I entirely agreed with? Only then, of course, there wouldn't have been any point in my posting a reply at all!

I was just kidding with you..not meant any offenses..!!

federica · Jul 20th, 2007, 16:26

Quote:

Originally Posted by blackbird

I'm amazed that the German government is not advising prophylaxis any more for most of India -- certainly Orissa still has a high risk -- but it just goes to show how opinions vary on this even amongst European experts.

Even I was surprised... 3 years ago the advice was to take prophylaxis (Lariam or Malarone) in the whole area north of the line Goa-Chennai, that's why it is important to update the information frequently. The doctor at the institute for tropical diseases explained me that the advice is given according to how many travellers returned with a disease from a special area in the last months.

I have to add in Germany it is not a government advice, as our medical system is private (not like in UK). But research on tropical diseases and treatment is mostly by university institutes, and they are not private.

Ricco · Jul 20th, 2007, 22:13

Thanks for all the replies, they have been most helpful.

On balance I'm going to continue with Chloroquine only for 10 days, until I reach Delhi. I'll seek specialist advice when I get there.

Thanks again
Ricco

incitatus · Jul 21st, 2007, 00:49

When I was in Delhi a few years ago I stayed longer than intended and had to restock with Proguanil.
The pharmacy didn't stock it but ordered it in for me and it came 2 days later.I think the pharmacy was in the same street as Keventer's-Radial Road 3, although any pharmacy should be able to order it.
The price was EXACTLY the same as the UK - which presumeably explains why desi prophylaxis is chloroquinine only.

Barryjames · Jul 21st, 2007, 03:03

Please excuse tardness of the reply.
this is the translation that Federica was refering to:
Advise the DTG erstrebt the amalgamation of Humanmedizinern, Veterinärmedizinern and naturalists, that on the zones of the tropics medicine practices search, or especially interested are that on that. "Tropics medicine" in the sense of this purpose determination comprises both the clinic, that public public heeeth (public health) and the hygiene, microbiology and nourishment sciences as well as related specialties that engage in the medical provision in tropical and microbiology regions.
"Tropics medicine" comprises also the aspects of the präventivmedizinischen care of visits of the tropics and subtropics and the recognition and treatment of imported tropics illnesses. To the tasks of the company belongs the experience exchanges between in and foreign countries, the production of research and apprenticeship, the support of the advanced education on this zone, both in Germany and in the tropical foreign countries, furthermore the deliberation of authorities and private persons as well as clarification on the zones of the tropics medicine and to tropics hygiene. The company pursues exclusively public-spirited and scientific purposes in the sense of the Gemeinnützigkeits-ordinance of the 24.12.1963. at present counts the DTG ca. 850 members.
BJH (Calcutta failed)

federica · Jul 21st, 2007, 16:01

Barryjames, is this translation understandable for you? Just asking as for me it's not

if you PM me the part of the text you translated I'll try to convert it into something understandable...

pundabee · Jul 21st, 2007, 17:56

Quote:

Originally Posted by Nick-H

Usually recommended in combination with Chloroquine, this was (is?) the classic recommendation in UK for travel to India.

This is still the recommended combination by UK doctors except for Assam. In Assam atovaquone/proguanil OR doxycycline OR mefloquine are recommended. (link)

However, for travelling in large parts of India (roughly south of Mumbai, with the exception of Goa, and north of Jaipur), the use of antimalarials is NOT advised. (malariamap)

federica · Jul 21st, 2007, 18:08

What about a sticky malaria thread with all links for reliable websites (listed by countries) on this topic? The advantage is: they will update their website regularly, but if we are posting facts here, they might be not up to date after some time...

Recent outbreak situations cold be added.

Jul 20th, 2007, 16:15	#16
Nick-H Loud-mouthed, Noisy Bird Join Date: Oct 2004 Location: Chennai, India Posts: 28,426	Blackbird... yes; if there was not so much conflicting "official" advice even, then this would not be such a hugely popular discussion here on IM. What can we do? Nobody can give the absolute, definitive, 'correct' advice, perhaps because it doesn't exit! __________________ . Just one member of the IndiaMike Mod Team

Jul 21st, 2007, 00:49	#20
incitatus Senior Member Join Date: Jun 2007 Location: UK Posts: 207	Proguanil availability. When I was in Delhi a few years ago I stayed longer than intended and had to restock with Proguanil. The pharmacy didn't stock it but ordered it in for me and it came 2 days later.I think the pharmacy was in the same street as Keventer's-Radial Road 3, although any pharmacy should be able to order it. The price was EXACTLY the same as the UK - which presumeably explains why desi prophylaxis is chloroquinine only.

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Jul 20th, 2007, 22:13	#19
Ricco Member Join Date: Feb 2007 Location: Manchester, U.K. Posts: 48	Thanks for all the replies, they have been most helpful. On balance I'm going to continue with Chloroquine only for 10 days, until I reach Delhi. I'll seek specialist advice when I get there. Thanks again Ricco

Jul 21st, 2007, 03:03	#21
Barryjames Member Join Date: Jul 2007 Location: Goa Posts: 93	Please excuse tardness of the reply. this is the translation that Federica was refering to: Advise the DTG erstrebt the amalgamation of Humanmedizinern, Veterinärmedizinern and naturalists, that on the zones of the tropics medicine practices search, or especially interested are that on that. "Tropics medicine" in the sense of this purpose determination comprises both the clinic, that public public heeeth (public health) and the hygiene, microbiology and nourishment sciences as well as related specialties that engage in the medical provision in tropical and microbiology regions. "Tropics medicine" comprises also the aspects of the präventivmedizinischen care of visits of the tropics and subtropics and the recognition and treatment of imported tropics illnesses. To the tasks of the company belongs the experience exchanges between in and foreign countries, the production of research and apprenticeship, the support of the advanced education on this zone, both in Germany and in the tropical foreign countries, furthermore the deliberation of authorities and private persons as well as clarification on the zones of the tropics medicine and to tropics hygiene. The company pursues exclusively public-spirited and scientific purposes in the sense of the Gemeinnützigkeits-ordinance of the 24.12.1963. at present counts the DTG ca. 850 members. BJH (Calcutta failed)

Jul 21st, 2007, 16:01	#22
federica Maha Guru Member Join Date: Jun 2004 Location: Bavaria Posts: 1,102	Barryjames, is this translation understandable for you? Just asking as for me it's not if you PM me the part of the text you translated I'll try to convert it into something understandable...

Jul 21st, 2007, 18:08	#24
federica Maha Guru Member Join Date: Jun 2004 Location: Bavaria Posts: 1,102	What about a sticky malaria thread with all links for reliable websites (listed by countries) on this topic? The advantage is: they will update their website regularly, but if we are posting facts here, they might be not up to date after some time... Recent outbreak situations cold be added.

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