Lariam tablets are a medication used to prevent malaria.They contain mefloquine, an ingredient which kills the malaria parasite. Lariam needs to be taken once a week to protect you from malaria.
Lariam 250mg tablets (mefloquine)
Lariam (manufactured by Roche) is a medicine which is taken once weekly to reduce the chances of catching malaria. Each tablet contains 250mg of the active ingredient mefloquine.
Uses of Lariam
Malaria is caused by a parasite which is passed from one person to another by mosquito bites. No one medicine is effective against all types of malaria. Lariam is particularly useful in areas where malaria is difficult to treat. No malaria prevention tablet is 100% effective.
Taking Lariam tablets
Take one Lariam tablets on the same day each week, starting at least 10 days before entering malaria areas. Continue weekly tablets whilst in the malaria area and for four weeks after leaving. The minimum course of treatment is 6 weeks. Swallow tablets whole with plenty of water, preferably after a meal.
Lariam can be taken by most people, although it is not suitable for everyone, particularly people who are prone to depression, anxiety or psychiatric symptoms or illness. Travel is often stressful and Lariam may exacerbate stress related symptoms. Some people may experience agitation, nightmares, poor sleep and other psychiatric or psychological symptoms. These symptoms can sometimes be long lasting. If symptoms of this nature develop, Lariam should be stopped. More detail can be found in the patient information leaflet supplied with Lariam tablets.
Lariam should not be taken by people who are allergic to mefloquine or chloroquine, or by people who have mental health problems, a history of fits or seizures, or severe liver problems. The anaesthetic halofantrine should not be used for 15 weeks after the last dose of mefloquine.
Side effects of Lariam
Most people can take Lariam without significant side effects. However, Lariam may cause serious mental health problems in some people, and in rare cases can these can persist. Seek medical help immediately if any of the following occur: suicidal thoughts, self-harming behaviour, severe anxiety. Consult a doctor if the following occur: feelings of mistrust towards others (paranoia), seeing or hearing things that are not there (hallucinations), nightmares, depression, feeling restless, unusual behaviour or feeling confused. Other side effects are list in the patient information leaflet.
The most common side effects of Lariam, occurring in 1 in 10 people include, sleeping problems (sleepiness, unable to sleep, bad dreams). Less Common, affecting up to 1 in 10 people are, dizziness, headache, problems with vision, loss of balance (vertigo), feeling sick (nausea), being sick (vomiting), diarrhoea, stomach ache (abdominal pain) and itching.
Care should be taken whilst driving and operating machineryas Lariam may affect sensorimotor skills. Small numbers of people experience persistent disturbance of balance after taking Lariam, although this is rare.
GENERAL INFORMATION ABOUT MALARIA PREVENTION
ABCD to preventing Malaraia
A wareness of risk of malaria.
B ite prevention.
C hemoprophylaxis (taking antimalarial medication exactly as prescribed).
D iagnosis and treatment of any malaria symptoms.
Awareness of Malaria Risks
To check whether you need to take preventative malaria treatment for the countries you are visiting, see the Fit for Travel or the National Travel Health Network and Centre (NaTHNaC) websites.
It is not possible to avoid mosquito bites completely but the less you are bitten, the less likely you are to get malaria.
To avoid being bitten:
Stay somewhere that has effective air conditioning and screening on doors and windows. If this is not possible, make sure that doors and windows close properly.
If you are not sleeping in an air-conditioned room, sleep under an intact mosquito net that has been treated with insecticide.
Use insect repellent on your skin and in sleeping environments. Remember to re-apply it frequently. The most effective repellents contain diethyltoluamide (DEET) and are available in sprays, roll-ons, sticks and creams.
Wear light, loose-fitting trousers, rather than shorts, and shirts with long sleeves. This is particularly important during early evening and at night when mosquitoes prefer to feed.
Garlic, vitamin B and ultrasound devices do not prevent mosquito bites from occurring.
Anti Malarial Medication
Taking medicine to prevent getting malaria is essential if you are visiting areas where there is a risk of malaria. However, antimalarials are not 100% effective so taking steps to avoid bites is also important.
When taking antimalarial medication:
Make sure you get the right antimalarial tablets before you go (by visiting Fit for Travel ).
Follow the instructions included with your tablets carefully.
It is important that you continue to take your tablets after returning from your trip (to cover the incubation period of the disease).
Most antimalarial tablets need to be taken for four weeks after you return, although atovaquone plus proguanil (Malarone) needs to only be taken for one week.
Symptoms of malaria (to help with prompt diagnosis)
Symptoms are similar to flu. They include fever, shivers, sweating, backache, joint pains, headache, vomiting, diarrhoea and sometimes delirium. These symptoms may take a week or more to develop after you have been bitten by a mosquito. Occasionally, it takes a year for symptoms to develop.
This means that you should suspect malaria in anyone with a feverish illness who has travelled to a malaria-risk area within the past year, especially in the previous three months.
If you experience any flu-like symptoms after returning you should seek immedidate medical attention and tell the doctor about your background and recent travel history.
LARIAM 250MG (mefloquine hydrochloride) Tablets
- Product Code: LARIAM tablet
- Availability: 10