I've done 12 safaris and on every one, I have taken Malarone, no issues. I leave in about 10 days and a person going with me said his doctor told him Malarone was less effective in Zimbabwe than prior. Dr. Recommended Doxycycline. First I've ever heard of this. Anyone else or are all using Malarone. Thanks for comments

Lately they are recommending doxi instead malarone...who knows real reason for that...
I can tell you doxi is a bit problemátic with sun...
If I were you I will continue with malarone but maybe wiser to follow doctor advice

Best regards

Used Malarone each trip to Africa - hunting and non-hunting plus India. I also take Doxy with me. I use hydroxychloroquine for South America.

If you plan on sitting in the back of the truck for long rides, stay away from Doxi! the sun sensitivity issue is real.

Still using Malarone... I'll be in Moyowosi in late September and plan on using it again. Need to update some shots though. Think my Yellow Fever is timed out.

quote:

Originally posted by bwanamrm:
Still using Malarone... I'll be in Moyowosi in late September and plan on using it again. Need to update some shots though. Think my Yellow Fever is timed out.

When was your last YF? When I got my Stamaril when YF-Vax was temporarily out of production I was told it was good for life.

Starting my Malorone tonight.

For many many years, we used the weekly one, cannot remember its name.

Supposed to have bad side effects as hallucinations etc.

Never had any of this, non of us, which in total must have been dozens of people.

After that our doctor recommended Malarone.

Again, we have been taking it for many years.

No side effects and it worked.

I think Malarone you take a couple of days before travel??

Lariam was known for playing havoc with the psyche..some went rather crazy..

I never used it..I used Malarone on several trips to Botswana..no nasty side effects.

However, a friend of mine used Malarone in Zim, he had bad dreams etc.

I have heard of stories where hunters have cut down their hunts because of the bad side effects??!!

I mostly used doxycycline

Larium sent me troppo- never again!

Malarone was ok but expensive. I never had sun sensitivity with doxy plus it is good for tick fever and many other ills.

I've used malarone out of fear of side effects from larium. My first trip in 2017, I had some anxiety/nightmare issues the first night. I didn't have any recurrence of that in 2021 or 2023. I'm planning to take malarone again for Zambia this year.

I'm not seeing any publications on malarone resistance.

I tried Malarone once for a trip to Zim. I couldn't sleep while on that drug. Never used it again. I use Doxy and take it as soon as the hunting is over for the day. Never had any problems with sun sensitivity but I do use suntan lotion.

Funny enough, we can buy Larium off any pharmacy with no prescription.

Malarone we have to get through a doctor??!!

If an American doctor told me some news about Malarone, I’d ask him where he heard it. His answer would probably surprise you. Read it in a magazine? Saw it on the Internet?

I guarantee it’s not because he’s seen numerous cases of malaria from Zim. American doctors, even infectious disease docs, see a very small handful of cases over their entire career. Most will never see a case from Zimbabwe.

I’d take the Malarone over doxy.

I think the need depends on where you are, If I hunt Zim it is typically in the lowveldt (S/SW). I have never taken an anti malarial and never had an issue. Might do it different if I was in the Zambezi. Ask your PH to get you some Deltaprim, it's one pill a week and I believe you can start taking it upon arrival? None of the side effects of Malerone or Doxy

I've had malaria loads of times and taken most of the "stuff" out there. Here's my take FWIW:-

- Chloroquin (Malarone I think??) - not very effective and I'm sure its given me tinitis after taking for years (nothing to do with thousands of shots from centrefire rifles....).
- Lariam - works but definately has effects even when you feel OK - I was on recovery from a bout and went for a blood check ten days out, felt perfectly OK - little buggers were still there, so I was given a strong dose of Lariam (3x500g, 2x500g, 1x500g) and went back to work. Nothing happening up there - still felt OK but just couldn't do anything.
Halfan - off the market now but worked for me - saved my life in the Massai Steppe. I know very well it has killed people I know.
Doxycycline - brilliant - no downside I can see.

As said I am always very doubtful of any advice in this area given by a non-African doctor. Can you imagine any US or European doctor taking blood, prepping a slide, examining and telling you there and then what the situation is? Over here (Scotland) if you had malaria you'd be dead before the test results came back.

My wife is heat sensitive. We both took doxy on our 2012 Zim safari. In spite of sunscreen and long sleeved shirts she developed a rash and had to stop taking it. On our Uganda trip this year we both took Malarone, and I had weird dreams and night sweats, but no other side effects. While waiting in the airport for our flight home I had a conversation with another group that had similar issues. It still beats getting malaria, especially when very few U.S. doctors ever see a case.

Malaria vaccine is now available and it reduces hospitalisation by 30%.

One version was developed in India. Approved by US now.

Safe for INFANTS BELOW 2 YEARS!

Take the doxy at night. Sun sensitivity is greatly reduced.

Have taken Doxi on 3 trips with no sun problems I do take a probiotic