Do You Need A Prescription For Doxycycline In South Africa

 

 

 

 

Do You Need A Prescription For Doxycycline In South Africa

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Somerset · 3,526 forum posts

I'm sure someone in SA will give you that information but I understand they are even more expensive in SA.

I have seen Asda pharmacy advertising malarone at £30 for 12 and someone recently posted that Boots on-line are slightly cheaper (you do still need your prescription). I think one advantage of course is that with malarone you only start taking them 24 hours before arrival in malaria risk area and only continuing for 7 days after leaving it against much longer periods for other prophylaxis. We have started using doxycycline when we go to SA, think I paid £9 for 16 in Boots, again with a prescription.

Oct 03, 2009, 11:35 AM

Stanley, Falkland Islands · 32,143 forum posts

When compared to the cost of a flight, or a hotel, or car hire or illness caused by malaria. they seem a bargain. £2 per day to perhaps save your life?

Most of South Africa is malaria-free, so if you avoid the malarial areas, there's no need for malarone. You'll still have a good time, AND save money!

Oct 03, 2009, 11:41 AM

Pretoria, South Africa · 1,799 forum posts

I don't know the cost of malarone at the Johannesburg airport. But it is freely available in areas where malaria occurs, and you don't need a prescription. You can buy it over the counter from a local pharmacist, and he will know exactly what to recommend (he'll also know a heck of a lot more than a GP 10000 miles away).

Peterscot is right. Most of South Africa is malaria-free, and in malaria areas it usually only prevalent at certain times of the year.

Rather save your pounds until you get to South Africa, and get appropriate local advice. It may save you a load of money, and maybe some nasty side effects. Good precautionary measures are almost always the best option.

Oct 03, 2009, 12:20 PM

Langley, B.C. Canada · 1,165 forum posts

In Canada we pay about $1.00 per Malarone tablet. Husband and I took them last year for Uganda. Had absolutely no side effects and didn't get Malaria so the $1.00 per day per person was well worth the prevention. I'm interested about being able to buy them over the counter at the SA pharmacies. Does this mean that I wouldn't need to bring a prescription? What is the cost of Malarone in SA pharmacies? I assume it is the authentic product? We will be in SA June/July 2010 and in addition to World Cup will be traveling to Vic Falls, Chobe, Kruger, Swaziland so I suspect may come across Malaria risk areas.

Oct 03, 2009, 1:06 PM

Somerset · 3,526 forum posts

Whilst I am reluctant to question BushkidO's knowledge, I am surprised to hear him say you don't need a prescription to buy it in SA. All the reports I have read have stated that in SA a prescription is needed for Malarone (Malaprin I think it is called in SA). Also all the reports I have read are that it is very expensive in SA. Perhaps someone could confirm the prescription question yes/no and the cost in SA.

Oct 03, 2009, 2:36 PM

Pretoria, South Africa · 1,799 forum posts

I'll try check out the cost within the next day or two (I'm on tour so not so easy).

In all my experiences, I've never had a guest asked for a prescription, nor have to produce one. Anti-malarials are as common as cold and flu medication in many of the areas I travel. It's usually an over-the-counter drug. No-one I know would consider going to a doctor for an anti-malaria prescription (in fact I don't know anyone who takes the stuff).

The only time I needed a prescription was when I carried a 24-hour malaria anti-biotic with me (I lived for 6 months in an area where we had a 30% infection rate). I didn't get malaria. I simply took precautions.

I don't take any medication that I consider absolutely non-essential, including anti-malarials (and I've never contracted malaria, despite traveling and often working in malarial areas for several decades). Yes, yes, I know that according to "health professionals" I should have been dead long ago. LOL!

I'm not in any way bashing anti-malarials. I'm sure that must have some value (LOL!). But I always advocate using local professionals. They really know tons more than guys reading a website thousands of miles away.

But I will find out the cost of the stuff for you!

Oct 03, 2009, 5:19 PM

Stanley, Falkland Islands · 32,143 forum posts

davejay – that costs sort of assumes you will be in malarial areas for a couple of weeks. Is that really the case?

the main area with a possibility of malaria that most tourists go to is Kruger, and then usually for a few days.

Anyway, £90 to prevent a lethal disease seems fairly cheap. About 1 million Africans die of malaria every year. I'm sure some would love to have this dilemma.

Oct 04, 2009, 1:34 AM

Melbourne · 50 forum posts

In 2006 we flew from Cape Town to Kruger but forgot our malaria tabs in the B&B we had been staying in. Forget the name of the medication but had started them daily two weeks earlier. We went to a pharmacy in Nelspruit and they issued us with replacements, a lot cheaper than what we had paid in Australia. Forget the name of the pharmacy, began with an M I think? They were at a shopping area on the left as you enter Nelspruit from Johannesburg side. Rather large place, like a small supermarket in fact! They told us that due to their location close to Kruger they were able to issue the tabs without a prescription.

Oct 04, 2009, 12:27 PM

Malaria in South Africa: Introduction and Advice

Disclaimer: this post is not meant to replace medical advice from a medical doctor. If you’re planning a trip to Africa, please consult with your medical doctor on malaria and other diseases.


Malaria Risk Map

The first thing to know about malaria in South Africa is that it’s prevalant only in the country’s three northeasternmost provinces – KwaZulu Natal, Mpumalanga and Limpopo – and only in their outermost regions. See the map (provided by malaria.org.za ) for SA malaria risk areas.

You do not need to take precautions against malaria for trips to SA that are limited to Cape Town, Durban, Johannesburg, or any of the country’s six malaria-free provinces: North West, Northern Cape, Western Cape, Eastern Cape, Free State, Gauteng.

(Note that parts of the North West and Northern Cape provinces, in certain areas along the borders with Botswana and Namibia – including the Kalahari desert – sometimes require seasonal malaria precautions. Check in advance with your local contact.)

You do need to take precautions if you plan to enter a malaria-prevalant zone, including the Kruger National Park, during any part of your trip here.

  • Risk of malaria infection in prevalent areas is highest between October and May.
  • Kruger National Park malaria information hotline. +27 (0) 82 234 1800.

The second thing to know is that malaria is both preventable and curable. You can prevent a malaria infection through sensible behavior and orally-taken drugs; and you can cure it with a combination of medicines.

Preventing malaria :
No single preventative measure is 100% effective, so it’s essential to adopt a few (very simple) strategies at once.

  • Prevent mosquito bites. Clearly your first line of defence! Mosquitos are most active at dawn and dusk; these are the times to put on long-sleeved clothing. and to wear insect repellent. Tabard is the most popular insect-repellent in South Africa – it comes in stick, lotion and aerosol form. Spray repellent directly on to your clothing, and make sure to attend to your ankles, hands, neck, face and hair. Use repellent every four hours .
  • Take an oral prophylactic. Here are the top choices, all of which are available in South Africa (and often less expensive than in the US/Europe):
    • Malarone is the first choice. being the drug which the malaria parasite (southern Africa strains) is the least resistant to, and having the least recorded side effects. It’s called Malanil in South Africa; both brands are manufactured by Glaxo Smith Kline. Begin the course 2-3 days before entering a malaria area, and end it seven days after leaving the area.
  • Doxycycline is an antibiotic proven to be effective against malaria. The length of the regimen can have adverse effects on the digestive tract, however, which can be alleviated to some degree with probiotics like Inteflora .
  • Mefloquin. better known by its brand name, Larium. remains a popular anti-malaria prophylactic, and is the least expensive of the drugs. It’s physical and psychological side-effects, however, are fairly notorious, and some reports state that certain southern African malaria strains have become resistant to it.
  • Adopt other measures. like sleeping under mosquito nets and burning insect repellent coils and citronella candles inside your accommodation.

    Curing malaria :
    If you become infected with malaria, the cure will depend on the circumstances of the infection. An infection usually becomes apparent within 7 days, but may not manifest for up to three months.

    • Know the symptoms. It’s important to catch the infection as early as possible. Chills, pains, headaches, fever – flu-like symptoms – can all be signs of malaria.
  • Get to a doctor. The sooner a diagnosis, the quicker the cure. In the Kruger National Park, the nearest doctor is at the park’s Skukuza camp. +27 (0) 13 735 5638.
  • Malaria Tablets

    Protect yourself on a trip abroad with affordable anti-malarial tablets

    If you’re travelling to a malaria country, it’s important that you protect yourself. You can use our convenient online doctor service to order the anti-malaria tablets Malarone, Doxycycline or Chloroquine online. 

    To place an order, fill in our short questionnaire and select your preferred treatment. Our online doctor will review your order and approve an appropriate antimalarial. 

    We offer free delivery as, next day delivery and and in-store collection.

    Malaria Country Information

    Either check the Fit For Travel  website to check what type of anti-malaria tablets are suitable for the country that you are visiting or c lick the A-Z links to find  the country you’re visiting, learn  what kind of malaria tablets you need, then select your preferred treatment below.

    Rural areas below 1,700 m (5,577 ft) in districts of Chhukha, Dagana, Pemagatshel, Samdrug Jongkhar, Samtse, Sarpang, and Zhemgang. Rare seasonal cases May-Sept in Ha, Lhuentse, Monggar, Punakha, Trashigang, Trongsa, Tsirang, Yangtse, and Wangdue.

    Districts of Chhukha, Dagana, Pemagatshel, Samdrug Jongkhar, Samtse, Sarpang, and Zhemgang: Atovaquone-proguanil, doxycycline, or mefloquine. Districts of Ha, Lhuentse, Monggar, Punakha, Trashigang, Trongsa, Tsirang, Yangtse, and Wangdue: Mosquito avoidance only.

    All areas below 2,500 m (8,202 ft). None in the city of La Paz

    Malarone, doxycycline, lariam, or primaquine

    Bosnia and Herzegovina

    Present in the following districts: Central and North West (including Chobe National Park) None in the cities of Francistown and Gabarone.

    Malarone, doxycycline, or lariam

    States of Acre, Amapa, Amazonas, Maranhão, Mato Grosso, Para, Rondonia, Roraima, and Toncantins. Also present in urban areas, including cities such as Belem, Boa Vista, Macapa, Manaus, Maraba, Porto Velho, and Santarem. Rare cases in Cuiaba City. No transmission at Iguassu Falls.

    Areas with malaria except Cuiaba City: Atovaquone-proguanil, doxycycline, or mefloquine. Cuiaba City: Mosquito Avoidance only.

    British Indian Ocean Territory; Includes Diego Garcia (U.K.)

    Transmission occurs primarily in the provinces east of the Panama Canal and C. Ngobe Bugle. Rare cases in the provinces of Bocas del Toro, Colon, and Veraguas. None in the provinces of Cocle, Chiriqui, Herrera, Los Santos, San Miguelito, and the part of Panama Province west of the canal. None in the city of Panama.

    Provinces east of the Panama Canal: Atovaquone-proguanil, doxycycline, mefloquine, or primaquine. C. Ngobe Bugle: Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, or primaquine. Other areas with malaria: Mosquito avoidance only.

    Other areas with malaria: Mosquito avoidance only

    Papua New Guinea

    Present throughout country at altitudes below 2,000 m (6,562 ft)

    Doxycycline, Lariam, Malarone

    Present in the departments of Alto Paraná, Caaguazú, and Canendiyú

    Doxycycline, Lariam, Malarone

    All departments <2,000 m (6,561 ft), including the cities of Iquitos and Puerto Maldonado, and only the remote eastern regions of La Libertad and Lambayeque. None in the following areas: Lima province; the cities of Arequipa, Ica, Moquegua, Nazca, Puno, and Tacna; the highland tourist areas (Cuzco, Machu Picchu, and Lake Titicaca); and along the Pacific Coast.

    Doxycycline, Lariam, Malarone

    Present in rural areas below 600 m (1,969 ft) on islands of Basilan, Luzon, Mindanao, Mindoro, Palawan, Sulu (Jolo), and Tawi-Tawi. None in Manila and other urban areas.

    Doxycycline, Lariam, Malarone

    Doxycycline, Lariam, Malarone

    Primarily in provinces that border Burma (Myanmar), Cambodia, and Laos, and the provinces of Kalasin, Krabi (Plai Phraya District), Nakhon Si Thammarat, Narathiwat, Pattani, Phang Nga (including Phang Nga City), Rayong, Sakon Nakhon, Songkhla, Surat Thani, and Yala, especially the rural forest and forest fringe areas of these provinces. Rare to few cases in other parts of Thailand including the cities of Bangkok, Chang Mai, Chang Rai, Koh Phangan, Koh Samui, and Phuket. None in the islands of Krabi Province (Koh Phi Phi, Koh Yao Noi, Koh Yao Yai, and Ko Lanta) and Pattaya City.

    Provinces that border Burma (Myanmar), Cambodia, and Laos, the provinces of Kalasin, Krabi (Plai Phraya District only), Nakhon Si Thammarat, Narathiwat, Pattani, Phang Nga (including Phang Nga City), Rayong, Sakon Nakhon, Songkhla, Surat Thani, and Yala: Atovaquone-proguanil or doxycycline. All other areas of Thailand including the cities of Bangkok, Chang Mai, Chang Rai, Koh Phangan, Koh Samui, and Phuket: Mosquito avoidance only.

    Timor-Leste (East Timor)

    Doxycycline, Lariam, Malarone

    Present in the following states: Amazonas, one municipality in Apure (Pedro Camejo), Bolivar, Delta Amacuro, Monagas, Sucre, and two municipalities in Zulia (Jesus M. Semprum, Machiques de Perija). Few cases in the following states: Anzoategui, other parts of Apure, Barinas, Guarico, Miranda, Monagas, Marcano municipality in Margarita Island of Nueva Esparta, Portuguesa, Tachira,and other parts of Zulia. Present in Angel Falls. None in the cities of Caracas, La Asuncion, Maracaibo, and other parts of Margarita Island.

    For the states of Amazonas, one municipality in Apure (Pedro Camejo), Bolivar, Delta Amacuro, Monagas, Sucre, and two municipalities in Zulia (Jesus M. Semprum, Machiques de Perija): Atovaquone-proguanil, doxycycline, or mefloquine. All other areas with malaria: Mosquito avoidance only.

    Rural areas only. Rare cases in the Mekong Delta. None in in Da Nang, Haiphong, Hanoi, Ho Chi Minh City (Saigon), Nha Trang, Qui Nhon, and the Red River Delta.

    Southern part of the country in the provinces of Dac Lac, Gia Lai, Khanh Hoa, Kon Tum, Lam Dong, Ninh Thuan, Song Be, Tay Ninh: Atovaquone-proguanil or doxycycline. Other areas with malaria except Mekong Delta: Atovaquone-proguanil, doxycycline or mefloquine. Mekong Delta: Mosquito avoidance only.

    Other areas with malaria except Mekong Delta: Doxycycline, Lariam, Malarone

    Mekong Delta: Mosquito avoidance

    Virgin Islands, British

    Most antimalarials work by making it impossible for the malaria parasite to produce certain proteins it needs to multiply and continue its lifecycle.

    As a result, the malaria parasite can’t multiply and your body can fight the infection.

    Which malaria tablets you need to take depends on your general health, your preference and where you are travelling. In some areas, the malaria parasite has become resistant to certain antimalarials so it is important that you check which antimalarial will protect you at your destination.

    Do I need a prescription for malaria tablets?

    Most anti malaria tablets are prescription only medications. This goes for the most commonly taken antimalarials Malarone and doxycycline. You don’t need a prescription to order malaria tablets from Superdrug Online Doctor. One of our online doctors will review your order and issue a prescription for an appropriate antimalarial before we dispense and post your order.

    The antimalarial Chloroquine is available over the counter in the UK. However, it is not suitable for use in many areas as the malaria parasite has become resistant to the medication.

    How much do malaria tablets cost?

    The cheapest prescription malaria drug is doxycycline. Lariam and Malarone are slightly more expensive. 

    Which antimalarial you can take depends on your health and your travel destination. 

    Prices for malaria tablets at Superdrug Online Doctor (including prescription and delivery) start at:

    Do You Need A Prescription For Doxycycline In South Africa

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