-
Malaria ppx
Malarone
- Atovaquone/Proguanil
- good coverage in all areas
- quick start (1-2 days before travel)
- stop 1 week after travel
- taken daily
- not good for pregnant, breastfeeding, severe renal impairment
-
Malaria ppx
Doryx, Vibramycin
- Doxycycline
- Quick start (1-2 days prior)
- stop 4 weeks after travel
- taken daily
- not good for pregnant, kids, anticipated sun exposure
-
Malaria ppx
primaquine
- most effective against vivax
- start 1-2 days prior, stop 1 week after
- taken daily
- not used in G6PD deficiency (hemolytic anemia), pregnant, breastfeeding
-
malaria ppx
Chloroquine
- start 1-2 weeks prior, stop 4 weeks after
- taken weekly
- resistance issues with falciparum/vivax
- may exacerbate psoriasis, skin rash, retinal tox/visual changes, blue grey skin
-
malaria ppx
lariam
- Mefloquine
- start 2+ weeks prior, stop 4 weeks after
- taken weekly
- not used in seizures, underlying psychiatric conditions, arrhythmias
-
Japanese encephalitis vaccine
- Ixiaro
- travelers 2+mo planning to spend at least 1 month in endemic areas during JE virus transmission season
-
Yellow Fever
- no treatment (cant use NSAIDs/ASA d/t increased bleeding)
- YFVAX (live vaccine) card valid only if vaccination completed 10d before arrival
- Some countries require booster every 10y
- CI to pts with egg allergies
-
Altitude sickness ppx
Diamox
- Acetazolamide 125mg BID started day before or on day of ascentÂ
- higher doses used for tx
- CI in sulfa allergy
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