Unfortunately,
many travelers avoid taking appropriate malaria medication. An important
factor contributing to this failure is the concern about the side effects
associated with antimalarials.
A new scientific
study shows that Malarone(TM) (atovaquone and proguanil HCI) Tablets,
the newest preventive medication, is effective at preventing malaria and
better tolerated than another medication called Lariam(R) (mefloquine,
Roche Pharmaceuticals).
There have
been reports linking Lariam to neuropsychiatric side effects, which have
caused many travelers to use less-effective alternatives or to avoid taking
antimalarials altogether.
Scientific study shows
Malarone is better tolerated
Travelers should
be aware that there are safe and effective options to prevent this serious
health threat. A recent study published in a leading medical journal,
Clinical Infectious Diseases, compared the side effects of two antimalarial
drugs: Lariam and Malarone.
The scientific
study showed that Malarone has significantly fewer neuropsychiatric side
effects such as strange or vivid dreams, insomnia, dizziness, anxiety
and depression, than Lariam. In addition, researchers found that travelers
taking Malarone were more likely to complete their prescribed post-travel
course of the medication, therefore lowering their risk of developing
malaria. This could be because of Malarone's convenient post-travel dosing:
travelers need to take Malarone for only seven days upon returning from
their trips compared to four weeks of Lariam.
"In my
experience, many travelers are hesitant to take an antimalarial because
of stories they heard about side effects associated with some antimalarials,
like Lariam," said David Overbosch, M.D., lead investigator of the
study. "That is why it is critical for travelers to speak to their
doctor and learn about the different antimalarial options available, like
Malarone, which is well tolerated."
Malarone(TM)
(atovaquone and proguanil HCI) Tablets is recommended by the Centers for
Disease Control and Prevention as a first-line option to prevent malaria,
including in areas of chloroquine resistance.
Malarone is
indicated in adults and children for the prevention and treatment of acute,
uncomplicated malaria caused by P. falciparum, the parasite responsible
for the vast majority of malaria deaths each year.
Malarone is
contraindicated for prophylaxis of P. falciparum malaria in people with
severe renal impairment (creatinine clearance <30 mL/min).
When planning
your next trip, make your health a priority see your physician or a travel
medicine expert before departing. For more information on risks of malaria
and Malarone, access the World Wide Web at www.malarone.com or
call 1-888-825-5249.
The most commonly
reported adverse events possibly attributable to Malarone include headache
and abdominal pain in adults and headache, abdominal pain and vomiting
in pediatric patients, all of which occurred at rates comparable to placebo.
SIDE BAR: Important
Facts About Malaria
* Malaria,
transmitted to humans by the bite of an infected mosquito, causes 300
to 500 million infections worldwide and several million deaths each year
* Malaria occurs
in over 100 countries worldwide, placing nearly 40 percent of the world's
population at risk. Large areas of Central and South America, Hispaniola
(Haiti and the Dominican Republic), Africa, the Indian subcontinent, Southeast
Asia, the Middle East, and Oceania are considered malaria-risk areas
* If not promptly
treated, malaria may cause kidney failure, seizures, mental confusion,
coma, and death. Some types of malaria can relapse; some parasites can
rest in the liver for months or even years after an infected mosquito
bites a person
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