Travel medicines

We prescribe and dispense all the following travel medicines ourselves. Please note there is no extra prescription charge or dispensing fee for tablets we supply at the travel clinic. If you would rather obtain your prescription from your own pharmacy, that is your right. We do in these cases however have to charge a modest prescription fee of £15.

Malaria tablets

The price and dose frequency of our various antimalarial tablets is outlined in the table below. We would advise you on the most appropriate options for your destination, time-scale, medical history and budget during the consultation.

Prices of antimalarials

Antimalarial medication £ Dose Frequency
Atovaquone/proquanil (generic Malarone) per adult tablet 2.00 one daily
Atovaquone/proguanil paediatric per child tablet 1.00 ½ to 3 daily
Mefloquine per tablet 3.30 one weekly
Doxycycline (50 tablets) 19.80 one daily
Chloroquine (20 tablets) 14.60 two per week
Proguanil (98 tablets) 19.30 one daily
Standby emergency malaria treatment (Riamet), 24 tablet pack
42.00 as directed

Malaria is a medical emergency! If, despite taking all precautions, you develop symptoms which you suspect might be malaria while travelling, you should ideally attend a local health care facility without delay for a proper diagnosis. However, for travellers to remote areas this is not always possible...

We can therefore prescribe a suitable standby emergency treatment (SBET) pack to start treatment in such situations +/- supply easy-to-use, rapid diagnostic test (RDT) kits, with which to self-diagnose malaria in the field.

For some long-term travellers going in and out of relatively low malaria risk areas, this may be considered a preferable alternative to taking anti-malarial tablets for a long time. Carrying an RDT and SBET can also provide extra peace of mind, for example when travelling with young children.

Travellers' Diarrhoea is the most common health problem encountered by international travellers. Depending mainly on the destination, travellers' diarrhoea may affect up to 80% of travellers, with 20% confined to bed.

As always, prevention is better than cure. We can advise on appropriate hygiene measures and offer water purifying tablets and a handy water treatment bottle for trekkers in our one-stop shop.

Most cases of travellers' diarrhoea will resolve by themselves, given time, rest and adequate fluid replacement. However, a nasty bout can spoil a holiday or business trip. In 5-10% of cases, it can also lead to post-infectious irritable bowel syndrome (PI-IBS). For both reasons, we offer a single-dose or short course of strong antibiotics to use in the event of severe travellers' diarrhoea, to nip a bacterial infection (the most common type in the tropics) in the bud. The standby treatments we commonly use are ciprofloxacin or azithromycin, depending on destination, age and medical history.

For more prolonged stays in remote and/or high-risk areas, we can also prescribe other, full antibiotic courses for e.g. skin, chest, throat/ear and urinary tract infections.

Acute Mountain Sickness (AMS), High Altitude Pulmonary Oedema (HAPE) and High Altitude Cerebral Oedema (HACE) are three closely related conditions, resulting from the body not adapting quickly enough to low oxygen levels at high altitude.

At TrExMed we can advise on various practical ways of reducing the risk and how to manage these problems. We can also prescribe acetazolamide (Diamox) to both prevent and treat Acute Mountain Sickness, and dexamethasone to use in an emergency for HACE.

Some people suffer more than others with symptoms of jet lag. There are several, evidence-based methods of reducing these symptoms, by helping the body's clocks to speed up, or slow down to adjust to a new time zone. These include a combination of behavioural measures (light seeking and avoidance at specific times, food and exercise timing etc) and timed drug therapy with Bio-Melatonin.

As every journey is different, an individualised approach is needed. If you do suffer badly with jet lag, and you intend to fly east or west across more than three time zones for more than five days, you may wish to specifically request an appointment to see Dr Bond. If you provide details of your flight times in advance, he can then work out a tailored plan for both your outward and return journeys.

We offer testing and treatment with praziquantel for schistosomiasis (see post-travel investigations for further info).

All the above drugs are prescription-only medicines. We also supply some highly effective over-the-counter anti-fungal medicines in our one-stop travel health shop.

Advice on and/or supply of tailored medical kits for individual or group expeditions can also be arranged by request. Please see Expedition Medicine section for more details.

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