malaria Flashcards
doxycycline counselling
take 1-2 days before entering endemic area and continue for 4 weeks
protect skin from sunlight
do not take ingestion remedies or meds containing fe/zn - leave 2 hour gap
take whole with plenty of fluid during meals while sitting or standing upright
how long before travel should you start taking mefloquine
2 weeks
how long before travel should you start taking malarone
1-2 days
how long before travel should you start taking doxycycline
1-2 days
how long after travel should you take malarone for
1 week
long term prophylaxis of chlorophine and proguanil
> 5years
long term prophylaxis of doxycycline
2 years
long term prophylaxis of malarone and mefloquine
1 year
Which antimalarials should be avoided in epilepsy
chloroquine
mefloquine
Which antimalarials should be avoided in renal impairment
proguanil
Which antimalarials should be avoided in eGFR <30
malarone
chloroquine
Which antimalarials can be considered in renal impairment
doxycycline or mefloquine
Which antimalarials can be considered in pregnany
chloroquine & proguanil
+folic acid 5mg with proguanil
Which antimalarials are CI in pregnancy
doxycycline - dental hyperplasia and tooth discolouration
mefloquine
malarone - if no other choice, can give in 2/3 trimester
When to start taking antimalarials if you’re on warfarin
2-3 weeks before
INR should be stable