QUESTION My 21 year old daughter spent 4 months on a study abroad program in Dakar. A week before returning home she started having night fevers and would complain of retrosternal pain and rib and neck and shoulder pain. The next day she would be fine. The episodes came every other day and eventually it occurred to her that it might be malaria. It was evening so she went to a pharmacy for a … [Read more...]
Malaria in Ivory Coast
QUESTION I am going to work in the Ivory Coast on an oil and gas platform out at sea I will be in the Ivory Coast for about 30 Days and home for 26 Days and back in the Ivory Coast for 30 Days this could go on for a couple of years. What would you suggest that I take for anti malaria? Would O need a prescription or can I get it from the chemist? ANSWER You usually need a prescription to get … [Read more...]
How is Malaria Treated
QUESTION how is malaria treated? ANSWER Malaria can be a severe, potentially fatal disease (especially when caused by Plasmodium falciparum) and treatment should be initiated as soon as possible. Patients who have severe P. falciparum malaria or who cannot take oral medications should be given the treatment by continuous intravenous infusion. Most drugs used in treatment are active … [Read more...]
Treatment of recurrent Malaria
QUESTION If one takes the first dose of Coartem and tests indicate presence of malaria parasites,is it advisable to take a second round of coartem, or to start on quinine? Is quinine usually administered on its own or in conjunction with another drug? At what point is malaria considered complicated? ANSWER Usually, if a first round of treatment is unsuccessful, a doctor will prescribe a … [Read more...]
Am I more susceptible to malaria?
QUESTION I contracted common malaria, vivax?, when i was 20 yrs old from long visit to Papua NewGuinea, 1970. Returned to USA and was treated with chloro, primaquine drugs and really no problems since treatment. Now going to Thailand for week, Chiang Mai and region. If bitten by local malarial mosq. am i more likely to recur? And should I certainly choose prophylaxis? thnx ANSWER If … [Read more...]
Severe Head Pain with Malaria
QUESTION Can severe head pain be a symptom of mistreated malaria? My son just returned from an 8 month trip to Ghana. He had malaria 3 times and typhoid 1 time. He is now dealing with a severe head pain in his frontal lobe. He took doxycycline every day and when he got really sick, he took Coartem. He was finally sent home because they couldn't figure out why he has such severe head pains. … [Read more...]
How to Prevent Malaria
QUESTION How to prevent malaria? ANSWER There are a number of ways to prevent malaria. These can be placed into two categories: medication and vector protection. For medication, there are drugs you can take to prevent the malaria parasite from developing after someone is bitten by an infected mosquito. These drugs are known as “chemoprophylaxis." There are several different kinds, … [Read more...]
Malaria Treatments
QUESTION What are the of different types of antimalaria drugs? ANSWER Most drugs used in treatment are active against the parasite forms in the blood (the form that causes disease) and include: chloroquine atovaquone-proguanil (Malarone®) artemether-lumefantrine (Coartem®) artesunate-pyronaridine (Pyramax®) dihydroartemisinin-piperaquine (Duo-Cotecxin®) mefloquine … [Read more...]
Malaria Prevention
QUESTION What is malaria and the preventive measures? ANSWER Malaria is a disease caused by single-celled parasites of the genus Plasmodium. There are currently five species which cause disease in humans, and while each is slightly different, they all act in basically the same way, and cause similar symptoms. Of the five, the most dangerous is Plasmodium falciparum, which can lead to … [Read more...]
Malaria Prophylaxis in Ghana, Africa
QUESTION My husband will be traveling to Ghana soon. We have Mefloquine and Primaquine. Which one do you think is best for prophylaxis in Ghana? He also has Fansidar, but we understand it's best not to use this for prophylaxis. Thank you for your help! ANSWER There are positives and negatives associated with both of these medications. Mefloquine is recommended for travelers in Ghana … [Read more...]