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Malaria Prevention Medication 瘧疾預防性用藥須知

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Malaria Prevention Medication 瘧疾預防性用藥須知

2023/12/12

For taking a drug for malaria prophylaxis before going abroad, please consult a doctor one month before going abroad to assess the risk of infection, the need for preventive administration and whether there are contraindications. Currently, there are four kinds of preventive medicines for malaria in Taiwan:

Drug component

Prophylactic administration

Contraindications and precautions

Doxycycline

100mg once a day (1 tablet)

Start taking it 1-2 days before reaching the high-risk area, and continue taking it for 28 days after leaving the high-risk area.

Contraindications: Pregnant women, children under 8 years old, breast-feeding women, patients with liver dysfunction.

Side effects: Skin photosensitivity (sun protection recommended), stomachache.

Hydroxy-chloroquine

400mg once a week (2 tablets)

Start taking it two weeks before reaching the high-risk area and for four weeks after leaving the high-risk area. Most areas are resistant to the drug.

Contraindications: Pregnant women, patients with retinopathy, lactating women, patients with psoriasis and G6PD deficiency, children.

Side effects: Blurred vision, skin rash, nausea and dysentery.

(Malarone®)

1 tablet a day (atovaquone 250 / proquanil 100 mg)

Start taking it 1-2 days before reaching the high-risk area, and continue taking it for 7 days after leaving the high-risk area.

Contraindications: Pregnant and lactating women, patients with severe renal insufficiency, people under 40 kg.

Side effects: Headache, nausea, vomiting, stomachache, diarrhea, loss of appetite.

Mefloquine

250 mg once a week (1 tablet)

Start taking it 1-2 weeks before reaching the high-risk area, and continue taking it for 4 weeks after leaving the high-risk area.

Contraindications: Patients with mental illness, history of epilepsy, arrhythmia, and women in the first three months of pregnancy.

Side effects: Nausea, vomiting, dizziness, headache, insomnia.

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