YOWLI participants, you are advised to visit your personal physician or a travel health clinic 4 weeks before departure and enquire about anti-Malaria medication. Vaccinations: pre-travel medication  Malaria in Senegal: Prophylaxis is recommended for all travelers. Prophylaxis with Lariam (mefloquine), Malarone (atovaquone/proguanil), or doxycycline is recommended. Either mefloquine (Lariam), atovaquone/proguanil (Malarone), or doxycycline |
may be given. Mefloquine is taken once weekly in a dosage of 250 mg, starting
one-to-two weeks before arrival and continuing through the trip and for four weeks
after departure. Mefloquine may cause mild neuropsychiatric symptoms, including nausea, vomiting, dizziness, insomnia, and nightmares. Rarely, severe reactions occur, including depression, anxiety, psychosis, hallucinations, and seizures. Mefloquine should not be given to anyone with a history of seizures, psychiatric illness, cardiac conduction disorders, or allergy to quinine or quinidine.
Atovaquone/proguanil (Malarone) is a recently approved combination pill taken once daily with food starting two days before arrival and continuing through the trip and for seven days after departure. Side-effects, which are typically mild, may include abdominal pain, nausea, vomiting, headache, diarrhea, or dizziness. Serious adverse reactions are rare.
Doxycycline is effective, but may cause an exaggerated sunburn reaction.
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