Travelers

  1. 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
  2. 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
  3. 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
  4. 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
  5. malaria ppx
    lariam
    • Mefloquine
    • start 2+ weeks prior, stop 4 weeks after
    • taken weekly
    • not used in seizures, underlying psychiatric conditions, arrhythmias
  6. Japanese encephalitis vaccine
    • Ixiaro
    • travelers 2+mo planning to spend at least 1 month in endemic areas during JE virus transmission season
  7. 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
  8. Altitude sickness ppx
    Diamox
    • Acetazolamide 125mg BID started day before or on day of ascent 
    • higher doses used for tx
    • CI in sulfa allergy
Author
tiff.chan3
ID
343935
Card Set
Travelers
Description
drugs
Updated