... ever. What side effects to these have. We are 71 and 77 years old. We also do have some medical issues... I do take cymbalta and my husband takes coumadin and lovastatom/ We are realatively good health and active. What is your suggestions as to medication thanks you
this is an indirect answer just to inform of prevention methods.
Several drugs, most of which are also used for treatment of malaria, can be taken preventively. Generally, these drugs are taken daily or weekly, at a lower dose than would be used for treatment of a person who had actually contracted the disease. Use of prophylactic drugs is seldom practical for full-time residents of malaria-endemic areas, and their use is usually restricted to short-term visitors and travelers to malarial regions. This is due to the cost of purchasing the drugs, negative side effects from long-term use, and because some effective anti-malarial drugs are difficult to obtain outside of wealthy nations.
Quinine was used starting in the 17th century as a prophylactic against malaria. The development of more effective alternatives such as quinacrine, chloroquine, and primaquine in the twentieth century reduced the reliance on quinine. Today, quinine is still used to treat chloroquine resistant Plasmodium falciparum, as well as severe and cerebral stages of malaria, but is not generally used for prophylaxis. Samuel Hahnemann in the late 18th century noted that over-dosing of quinine leads to a symptomatic state very similar to that of malaria. This led him to develop the Law of Similars and homeopathy.
Modern drugs used preventively include mefloquine (Lariam), doxycycline (available generically), and the combination of atovaquone and proguanil hydrochloride (Malarone). The choice of which drug to use depends on which drugs the parasites in the area are resistant to, as well as side-effects and other considerations. The prophylactic effect does not begin immediately upon starting taking the drugs, so people temporarily visiting malaria-endemic areas usually begin taking the drugs one to two weeks before arriving and must continue taking them for 4 weeks after leaving (with the exception of atovaquone proguanil that only needs be started 2 days prior and continued for 7 days afterwards).
The use of prophylactic drugs where malaria-bearing mosquitoes are present may encourage the development of partial immunity.
here is the link
I have been to India many times at different times of the year. Right now they are moving into the rainy season in Northern India. I don't know when you plan to travel but you will definitely need vaccinations, minimally typhoid, menningococcal, and yellow fever right now. You may also need Hep A and B and a polio booster.
As far as Asia you will have to check the specific countries you are planning to visit. If you are a US citizen here is a link to the CDC for India - please read the warnings about recent outbreaks and cautions. I can tell you the antimalaria medication will make you feel sick if you take it on an empty stomach. Be sure to take it though it's better than the alternative. There are many Travel Clinics that have the vaccines you will need - but you generally should start them 46 weeks before your travel dates.
Enjoy your trip. Are you going with a group?
- Cymbalta Information for Consumers
- Cymbalta Information for Healthcare Professionals (includes dosage details)
- Side Effects of Cymbalta (detailed)
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