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HomeAnswersPharmacologyanti-malarialWhat medications should I take to prevent malaria?

Kindly suggest medications to prevent malaria.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At March 24, 2020
Reviewed AtApril 4, 2022

Patient's Query

Hello doctor,

I am traveling to the Solomon Islands next week (assuming planes still flying). I am seeking malaria prevention medication. I will be there for two weeks (longer if the return flights are canceled). I am in good health. I am 77 years old, and I exercise daily. I take no medications except multivitamins, walk briskly two to three miles a day. No surgeries and implants.

Answered by Dr. Arul Amuthan L


Welcome to icliniq.com.

You are doing a great job to preserve nature. It is better to take malaria prophylaxis while traveling to an endemic area. Among many regimens, I suggest you the following effective regimen:

Mefloquine 250 mg tablet to be taken weekly once. Start two weeks prior to the travel, continue during the travel and four weeks even after return to hometown. So, all these days the dosage will be 250 mg tablet weekly once.

Once this tablet gets over, then start Tablet Primaquine 15 mg. This tablet to be started from the next day of the last dose of Mefloquine for 14 days (two weeks), daily. [Buy 14 tablets of Primaquine]. This can destroy any dormant form of all types of malaria.

You please go ahead of your services, which should not be stopped because of malaria.

Patient's Query

Thank you doctor,

My goal was to get a prescription for anti-malarial medication. Can you write a prescription valid in the USA? Or less preferred but acceptable, can you write the prescription for the medication in the country you reside and have it express shipped to me here in the USA?

Answered by Dr. Arul Amuthan L


Welcome back to icliniq.com.

The online prescription system has been banned in India and I am not sure about USA. Unless we physically examine patients, physically present in the hospital, and document in the medical record, no prescriptions are to be provided. Moreover, abroad prescriptions are not valid in USA medical shops. Only physicians registered (practice) in the USA can provide prescription within US shops. Hence, we do not have a mechanism to give a real prescription in the letterhead. We are able to give only opinions or suggestions or clarify patients' doubts through online services. So, I am extremely sorry for the inconvenience.

To buy drugs online, prescriptions are not mandatory.

Treatment plan

Tablet Mefloquine 250 mg. Dispense 14 tablets of Mefloquine. Tablet Primaquine 15 mg. Dispense 14 tablets of Primaquine. Instruction to the patient: Two weeks before, start one Mefloquine tablet orally, continue during the travel period at endemic area, again continue four more weeks even after the return from the endemic area. Throughout the period, one tablet of Mefloquine once in a week to be taken. Start Primaquine next day onwards after the last dose of Mefloquine, one tablet per day for continuous 14 days.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Arul Amuthan L
Dr. Arul Amuthan L


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