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Buying Malaria Tablets From Boots In Khao San


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Posted
Why do you need malaria tablets? Where exactly are you going?

sakhon nakhon then bkk and rayong and samet

mainly due to sakhon nakhon

Posted

Presume your talking doxycyclin. Probably a bit cheaper, not by much, but almost no authority would recommend it for the average journey, just because your heading into a Thai border area doesn't indicate a need though you might want to consider it if your going to spend much time in the rough or a village. But if your going to do that your probably just as much at risk of Japanese Encephalitis , just as nasty.....and the jabs are expensive. Cover up.

Posted
Presume your talking doxycyclin. Probably a bit cheaper, not by much, but almost no authority would recommend it for the average journey, just because your heading into a Thai border area doesn't indicate a need though you might want to consider it if your going to spend much time in the rough or a village. But if your going to do that your probably just as much at risk of Japanese Encephalitis , just as nasty.....and the jabs are expensive. Cover up.

is very rural where family live but we will only be there a few days rest of time rayong/samet/pattaya

when in sakhon nakhon we stay in hotels not in the village

yes doxycyclin

sure about cost thought a few hundred baht ! naive me never bought there b4

have to be honest not bothered b4

have heard Jap E risk, is rice fields area, health authority say only jab for JE if staying in rural area 1 month or more

into bargain have thai kids age 8 and 6 been in uk 2 years and we havent a clue what they have been jabbed for !

??!!??

Posted (edited)
Presume your talking doxycyclin. Probably a bit cheaper, not by much, but almost no authority would recommend it for the average journey, just because your heading into a Thai border area doesn't indicate a need though you might want to consider it if your going to spend much time in the rough or a village. But if your going to do that your probably just as much at risk of Japanese Encephalitis , just as nasty.....and the jabs are expensive. Cover up.

is very rural where family live but we will only be there a few days rest of time rayong/samet/pattaya

when in sakhon nakhon we stay in hotels not in the village

yes doxycyclin

sure about cost thought a few hundred baht ! naive me never bought there b4

have to be honest not bothered b4

have heard Jap E risk, is rice fields area, health authority say only jab for JE if staying in rural area 1 month or more

into bargain have thai kids age 8 and 6 been in uk 2 years and we havent a clue what they have been jabbed for !

??!!??

Really its 80 GBP per person in the UK for Doxy - a bloody rip off!

Get the "Real" ones from Boots the Chemist in Thailand - a few THB each but remember about the side effect *some* people get ie photosensitivity - burn and blister in the sun so be careful with the kids (and yourselves)

I thought you were talking about Malarone and would say that is not licensed in Thailand as the company do not want it used in the wrong way and thus become useless - its their policy in all countries with endemic malaria.

I was in Nakhon Phanom last year at this time (the bit closer to Sakhon than Phanom) and did not bother with malaria prophylaxis.

As for JE - I have recently spoked to two expert Dr's in vaccines about this - while they say the vaccines does not have the efficacy of say a Hep B vaccine it is better than nothing - pigs are the animal the mosquito vector are associated with and there is a "season" - try to check out the season

As for you kids I can get hold of the UK vaccine schedule if you like as well as the Thai one - did they not follow the Thai one?

In Thailand they would have Hep B and A - in the UK they would not - I would get them both for a trip to Thailand - Hep A is easy to catch and B is endemic - where you are going is pretty bad for it

If you have anything else to ask I will try to get the answers from the Dr's I know

Edited by Prakanong
Posted

I used to live in SN both in a very rural village for a couple of years and in some of the Umphurs there. SN is not a border province and I have never heard of anyone getting Malaria, although I am told that there is a risk. I wouldn't worry, use a mosi net and insect repelant and you'll be fine.

Posted

Since it's only a few days then don't bother, just say inside and keep away from

mosquito infested areas particularly around dusk, say 5pm till 8pm.

Anyway you normally start taking a prophylactic about two

weeks prior to entering a mosquito area.

Naka.

Posted
Can I presume no form of prescription is needed ?

Anyone any idea of rough cost ?

I refuse to pay £80 a person in england

A prescription is required for Doxycyclene but, judging on the prices you're quoting I think you may be talking about Malarone (prescription also). You could always try and get it on an NHS prescription, you never know your luck. Below I quote the Department of Health's statement to physicians re: anti-malarials;

Malaria chemoprophylaxis is not recommended for prescription on FP10 by the Department of Health. Private prescriptions for mefloquine, doxycycline, and the combination of atovaquone with proguanil are offered. Chloroquine and proguanil tablets should be purchased over the counter from a pharmacist.

This has changed to not recommended from not prescribable.

I never bother with prophylactics anyway - they can have unpleasant side effects (they advise against giving Doxycycline for under 12's) Better off going to Boots in Bangkok (cheaper than the UK) & buying their high strength repellent (Deet), it's in a grey container, roll-on or aerosol - it certainly works.

Posted
Presume your talking doxycyclin. Probably a bit cheaper, not by much, but almost no authority would recommend it for the average journey, just because your heading into a Thai border area doesn't indicate a need though you might want to consider it if your going to spend much time in the rough or a village. But if your going to do that your probably just as much at risk of Japanese Encephalitis , just as nasty.....and the jabs are expensive. Cover up.

is very rural where family live but we will only be there a few days rest of time rayong/samet/pattaya

when in sakhon nakhon we stay in hotels not in the village

yes doxycyclin

sure about cost thought a few hundred baht ! naive me never bought there b4

have to be honest not bothered b4

have heard Jap E risk, is rice fields area, health authority say only jab for JE if staying in rural area 1 month or more

into bargain have thai kids age 8 and 6 been in uk 2 years and we havent a clue what they have been jabbed for !

??!!??

Really its 80 GBP per person in the UK for Doxy - a bloody rip off!

Get the "Real" ones from Boots the Chemist in Thailand - a few THB each but remember about the side effect *some* people get ie photosensitivity - burn and blister in the sun so be careful with the kids (and yourselves)

I thought you were talking about Malarone and would say that is not licensed in Thailand as the company do not want it used in the wrong way and thus become useless - its their policy in all countries with endemic malaria.

I was in Nakhon Phanom last year at this time (the bit closer to Sakhon than Phanom) and did not bother with malaria prophylaxis.

As for JE - I have recently spoked to two expert Dr's in vaccines about this - while they say the vaccines does not have the efficacy of say a Hep B vaccine it is better than nothing - pigs are the animal the mosquito vector are associated with and there is a "season" - try to check out the season

As for you kids I can get hold of the UK vaccine schedule if you like as well as the Thai one - did they not follow the Thai one?

In Thailand they would have Hep B and A - in the UK they would not - I would get them both for a trip to Thailand - Hep A is easy to catch and B is endemic - where you are going is pretty bad for it

If you have anything else to ask I will try to get the answers from the Dr's I know

Hepatitis B is spread through body fluids and is not recommended by UK GP's for a trip to Thailand - if you insisted on having it you would almost certainly have to pay.

Posted

£80? What dream was that in? If you want them get them on Prescription £7 or whatever it is these days. I did that a few years back when I first went travelling and was going into many high risk areas.

As for Doxycycline - yes some people have side effects but not a large amount, your need to start taking them a week before you travel and continue for a week afterwards (if I remember rightly)

Malarone is the new proven and expensive prophylaxis and you don't need to take any in advance just 28 days worth. Malarone will also treat malaria.

Personally as has been said repellants and nets are the best thing to use - I live in the stick in outer Vientiane which supposedly has a high-ish risk but I've never heard of any cases in the village or my wifes old village.

I've had Jap-E jabs also and wouldn't recommend them!

Posted
£80? What dream was that in? If you want them get them on Prescription £7 or whatever it is these days. I did that a few years back when I first went travelling and was going into many high risk areas.

As for Doxycycline - yes some people have side effects but not a large amount, your need to start taking them a week before you travel and continue for a week afterwards (if I remember rightly)

Malarone is the new proven and expensive prophylaxis and you don't need to take any in advance just 28 days worth. Malarone will also treat malaria.

Personally as has been said repellants and nets are the best thing to use - I live in the stick in outer Vientiane which supposedly has a high-ish risk but I've never heard of any cases in the village or my wifes old village.

I've had Jap-E jabs also and wouldn't recommend them!

If you read my first reply you will see that it's unlikely that his GP would issue a FP10. A private prescription for 28 days supply of Malarone would cost around £80 at a UK high street pharmacy. They can be obtained from an online pharmacy for about £2 a tablet; would still require a private prescription.

Posted
Can I presume no form of prescription is needed ?

Anyone any idea of rough cost ?

I refuse to pay £80 a person in england

just buy the spray called OFF this works great ,spray it on exposed skin and nothing will bother you ,unless you are really going deep in the jungle malaria isnt a problem........

Posted
into bargain have thai kids age 8 and 6 been in uk 2 years and we havent a clue what they have been jabbed for !

ADVERSE REACTION WARNING

Please read the product monograph and discuss with your family physician

Doxycycline should not be used in children under age 8 except under specialist instruction. Doxycycline is part of the tetracycline class of broad range antibiotics. In children;

- This antibiotic causes sunlight sensitivity

- Causes severe and permanent tooth discoloration

- can disrupt normal healthy gut bacterial flora leading to severe diarhea and dehydration.

- Can cause hives and respiratory depression.

This is what happens when folks buy prescription drugs as OTC. Purchase the drugs after consulting with a trained health care worker with knowledge of malaria.

BTW, the generic version offered for sale in SE Asia can be impure and may not necessarily provide bioequivalency.

No Conflict of Interest Statement: The author of the above comment does not receive remuneration or compensation of any kind from the drug manufacturer, nor does the author have a vested financial interest in the referenced drug.

Posted

I buy Doxci here for my work in Africa.

First tablet a few days before you go, then 4 weeks after you come back.

Buy them over the counter here, a few baht each

NO script, bought the last ones at Watsons

Posted (edited)
Presume your talking doxycyclin. Probably a bit cheaper, not by much, but almost no authority would recommend it for the average journey, just because your heading into a Thai border area doesn't indicate a need though you might want to consider it if your going to spend much time in the rough or a village. But if your going to do that your probably just as much at risk of Japanese Encephalitis , just as nasty.....and the jabs are expensive. Cover up.

is very rural where family live but we will only be there a few days rest of time rayong/samet/pattaya

when in sakhon nakhon we stay in hotels not in the village

yes doxycyclin

sure about cost thought a few hundred baht ! naive me never bought there b4

have to be honest not bothered b4

have heard Jap E risk, is rice fields area, health authority say only jab for JE if staying in rural area 1 month or more

into bargain have thai kids age 8 and 6 been in uk 2 years and we havent a clue what they have been jabbed for !

??!!??

Really its 80 GBP per person in the UK for Doxy - a bloody rip off!

Get the "Real" ones from Boots the Chemist in Thailand - a few THB each but remember about the side effect *some* people get ie photosensitivity - burn and blister in the sun so be careful with the kids (and yourselves)

I thought you were talking about Malarone and would say that is not licensed in Thailand as the company do not want it used in the wrong way and thus become useless - its their policy in all countries with endemic malaria.

I was in Nakhon Phanom last year at this time (the bit closer to Sakhon than Phanom) and did not bother with malaria prophylaxis.

As for JE - I have recently spoked to two expert Dr's in vaccines about this - while they say the vaccines does not have the efficacy of say a Hep B vaccine it is better than nothing - pigs are the animal the mosquito vector are associated with and there is a "season" - try to check out the season

As for you kids I can get hold of the UK vaccine schedule if you like as well as the Thai one - did they not follow the Thai one?

In Thailand they would have Hep B and A - in the UK they would not - I would get them both for a trip to Thailand - Hep A is easy to catch and B is endemic - where you are going is pretty bad for it

If you have anything else to ask I will try to get the answers from the Dr's I know

Hepatitis B is spread through body fluids and is not recommended by UK GP's for a trip to Thailand - if you insisted on having it you would almost certainly have to pay.

Well with all due respect to UK GP's and their reccomendations (its not them actually but that is by the by as you would know) I would certainly advocate a Hep B for a visit to Thailand as I would to have it as a general rule for anywhere.

I am not alone in this as many of the research Dr's I work with would advocates this as well and its why in countries like Belgium and the USA its on the list of standard childhood vacines - oh and Thailand too and guess why?

Having to pay? - well I get them for free (as I do Malarone but have never used it) but if I had to pay for myself or family I would have my own hand in my pocket

Edited by Prakanong
Posted

I would worry about Dengue more than Malaria up there too.

No prophylactic for that yet so repellent is the only way to go for now - hopefully there will be a vaccine in the mid-term ie 5 years!

The will also hopefully be a vaccine for malaria before that in 3 years hopefully- it may not be marketed for travellers though at that time - time will tell.

Posted

I took the pills my first trip to Thailand, as did my friend. Both of us felt horrible from the pills....an out of it, dizzy kind of feeling. We tossed them after two days.

Get a good repellent...one with DEET is recommended, and be careful in the evening.

The pills are overkill...unless your going "Rambo" for a month in the jungle.

Posted
Presume your talking doxycyclin. Probably a bit cheaper, not by much, but almost no authority would recommend it for the average journey, just because your heading into a Thai border area doesn't indicate a need though you might want to consider it if your going to spend much time in the rough or a village. But if your going to do that your probably just as much at risk of Japanese Encephalitis , just as nasty.....and the jabs are expensive. Cover up.

is very rural where family live but we will only be there a few days rest of time rayong/samet/pattaya

when in sakhon nakhon we stay in hotels not in the village

yes doxycyclin

sure about cost thought a few hundred baht ! naive me never bought there b4

have to be honest not bothered b4

have heard Jap E risk, is rice fields area, health authority say only jab for JE if staying in rural area 1 month or more

into bargain have thai kids age 8 and 6 been in uk 2 years and we havent a clue what they have been jabbed for !

??!!??

Really its 80 GBP per person in the UK for Doxy - a bloody rip off!

Get the "Real" ones from Boots the Chemist in Thailand - a few THB each but remember about the side effect *some* people get ie photosensitivity - burn and blister in the sun so be careful with the kids (and yourselves)

I thought you were talking about Malarone and would say that is not licensed in Thailand as the company do not want it used in the wrong way and thus become useless - its their policy in all countries with endemic malaria.

I was in Nakhon Phanom last year at this time (the bit closer to Sakhon than Phanom) and did not bother with malaria prophylaxis.

As for JE - I have recently spoked to two expert Dr's in vaccines about this - while they say the vaccines does not have the efficacy of say a Hep B vaccine it is better than nothing - pigs are the animal the mosquito vector are associated with and there is a "season" - try to check out the season

As for you kids I can get hold of the UK vaccine schedule if you like as well as the Thai one - did they not follow the Thai one?

In Thailand they would have Hep B and A - in the UK they would not - I would get them both for a trip to Thailand - Hep A is easy to catch and B is endemic - where you are going is pretty bad for it

If you have anything else to ask I will try to get the answers from the Dr's I know

Hepatitis B is spread through body fluids and is not recommended by UK GP's for a trip to Thailand - if you insisted on having it you would almost certainly have to pay.

Well with all due respect to UK GP's and their reccomendations (its not them actually but that is by the by as you would know) I would certainly advocate a Hep B for a visit to Thailand as I would to have it as a general rule for anywhere.

I am not alone in this as many of the research Dr's I work with would advocates this as well and its why in countries like Belgium and the USA its on the list of standard childhood vacines - oh and Thailand too and guess why?

Having to pay? - well I get them for free (as I do Malarone but have never used it) but if I had to pay for myself or family I would have my own hand in my pocket

I certainly wouldn't pay for Hepatitis B - not UK prices anyway. I've never met anyone in the UK who has contracted Hepatitis B in the UK itself so, I don't see why it would be a standard childhood vaccine. If you aren't in a high risk group then the danger from Hep B is minimal.

A former work colleague has Hepatitis C, he's a haemophiliac & contracted it from blood plasma products imported from the USA. He finally received compensation a couple of years ago.

Posted (edited)
Presume your talking doxycyclin. Probably a bit cheaper, not by much, but almost no authority would recommend it for the average journey, just because your heading into a Thai border area doesn't indicate a need though you might want to consider it if your going to spend much time in the rough or a village. But if your going to do that your probably just as much at risk of Japanese Encephalitis , just as nasty.....and the jabs are expensive. Cover up.

is very rural where family live but we will only be there a few days rest of time rayong/samet/pattaya

when in sakhon nakhon we stay in hotels not in the village

yes doxycyclin

sure about cost thought a few hundred baht ! naive me never bought there b4

have to be honest not bothered b4

have heard Jap E risk, is rice fields area, health authority say only jab for JE if staying in rural area 1 month or more

into bargain have thai kids age 8 and 6 been in uk 2 years and we havent a clue what they have been jabbed for !

??!!??

Really its 80 GBP per person in the UK for Doxy - a bloody rip off!

Get the "Real" ones from Boots the Chemist in Thailand - a few THB each but remember about the side effect *some* people get ie photosensitivity - burn and blister in the sun so be careful with the kids (and yourselves)

I thought you were talking about Malarone and would say that is not licensed in Thailand as the company do not want it used in the wrong way and thus become useless - its their policy in all countries with endemic malaria.

I was in Nakhon Phanom last year at this time (the bit closer to Sakhon than Phanom) and did not bother with malaria prophylaxis.

As for JE - I have recently spoked to two expert Dr's in vaccines about this - while they say the vaccines does not have the efficacy of say a Hep B vaccine it is better than nothing - pigs are the animal the mosquito vector are associated with and there is a "season" - try to check out the season

As for you kids I can get hold of the UK vaccine schedule if you like as well as the Thai one - did they not follow the Thai one?

In Thailand they would have Hep B and A - in the UK they would not - I would get them both for a trip to Thailand - Hep A is easy to catch and B is endemic - where you are going is pretty bad for it

If you have anything else to ask I will try to get the answers from the Dr's I know

Hepatitis B is spread through body fluids and is not recommended by UK GP's for a trip to Thailand - if you insisted on having it you would almost certainly have to pay.

Well with all due respect to UK GP's and their reccomendations (its not them actually but that is by the by as you would know) I would certainly advocate a Hep B for a visit to Thailand as I would to have it as a general rule for anywhere.

I am not alone in this as many of the research Dr's I work with would advocates this as well and its why in countries like Belgium and the USA its on the list of standard childhood vacines - oh and Thailand too and guess why?

Having to pay? - well I get them for free (as I do Malarone but have never used it) but if I had to pay for myself or family I would have my own hand in my pocket

I certainly wouldn't pay for Hepatitis B - not UK prices anyway. I've never met anyone in the UK who has contracted Hepatitis B in the UK itself so, I don't see why it would be a standard childhood vaccine. If you aren't in a high risk group then the danger from Hep B is minimal.

A former work colleague has Hepatitis C, he's a haemophiliac & contracted it from blood plasma products imported from the USA. He finally received compensation a couple of years ago.

I do not know anyone who has contrated Hep B in the UK either - vaccinations are decided there on a cost benefit basis though by NICE are they not? Thats why children do not get the meningitis one i beleive - its cheaper to treat those that get it rather than inoculate the population :o

We are talking of Hep B outside of the UK though and Thailand jabs the babies at birth for this along with the BCG due to the endemic nature of Hep B there - singapore does too and its not endemic there (I have the full Thai program on my PC if anyone needs it but will have to remove proprietry info first :D )

How much is Hep B in the UK?

I sent the ex to a private hospital and it was 2300THB a jab there - a rip off

Thai Red Cross do it for 600TH or thereabouts

In Singapore my private clinic charged 40 SGD per jab but I can claim it back

Sorry to hear about your pal - first it was HIV the haemophiliac got from US blood products then Hep C. Dunno where they are with the Hep C vaccine but I know nothing of one - Hep E is coming along though that i know of.

Edited by Prakanong
Posted

You can get doxycycline anywhere over the counter but it is unnecessray unless you are planning to sleep out in the jungle at night.

What is VERY necessary is Hep A vaccine for you & your kids, if you haven't already gotten it. Hep B for you if you may be having sex, injecting drugs etc with locals.

Strongly advise human rabies vaccine as well. JE B vaccine also a very good idea and for sure you won't have gotten it in the UK as the disease isn't a problem there. It is, however, endemic in rural Thailand and very serious.

Posted

P.S. Forgot to add, while the risk of malaria is near nil for you, risk of dengue is very real. No prophylaxis other than mosquito repellent. It is a daytime mosquito and found in cities and towns. sometimes even rural villages, and this is the season for it and there is an epidemic in progress.

Posted (edited)

Hep B is around £40.

I agree about using the Thai Red Cross, I took the Wife there before we were married, Tetanus & Typhoid I seem to remember & the costs were minimal. Haven't been since as she now gets them free in the UK (Recently had Typhoid and Hep A prior to our most recent visit to Thailand) always results in tears as she's terrified of them - I find it amusing :o

Incidently, a course of Rabies vaccinations is £142 in the UK. Any idea how much that one is at the Thai Red Cross.

My friend actually met fellow victims of contaminated transfusions etc. who'd contracted HIV from the US blood. He actually considered himself lucky in that he got Hep C rather than the former. Compensation's fine but, no good if you're not in a position healthwise to enjoy it. Fortunately, his health was holding up & he was going about life normally, albeit having to go for regular tests, well, at least the last time I spoke to him anyway.

Edited by PeaceBlondie
took out quotes - too lengthy; not needed. PB
Posted

Relax!

I live near Khon Kaen in a small village since 15 years. No malaria here. No malaria in Isarn at all. There is dengue fewer, which is as dangerous as malaria. But there is nothing against it. And your chances to get dengue fewer are not better than to win the lottery while in holidays in Isarn.

Use mosquito nets at night, repellent in the evening and cover your arms and legs and you will be 100% save.

Regards

Thedi

PS: in the 15 years I was bitten by many mosquitoes, but I never got malaria or dengue fewer. Neither did my wife (since 53 years in Isarn) nor our daughter (since 13 years here). BTW: we do not keep to the covered arm and leg rule, my wife refuses repellants because they stink. But we do use mosquito screens on our bedroom windows.

Posted
Relax!

I live near Khon Kaen in a small village since 15 years. No malaria here. No malaria in Isarn at all. There is dengue fewer, which is as dangerous as malaria. But there is nothing against it. And your chances to get dengue fewer are not better than to win the lottery while in holidays in Isarn.

Use mosquito nets at night, repellent in the evening and cover your arms and legs and you will be 100% save.

Regards

Thedi

PS: in the 15 years I was bitten by many mosquitoes, but I never got malaria or dengue fewer. Neither did my wife (since 53 years in Isarn) nor our daughter (since 13 years here). BTW: we do not keep to the covered arm and leg rule, my wife refuses repellants because they stink. But we do use mosquito screens on our bedroom windows.

WOW I went to bed and got 25 great pieces of advice. You have all restored my faith in human nature. I suspect that there is more useful info here than my practice nurse can get from her book. I'm off to work now, its 8 o clock will read all this in my lunch break.

Thanks you are all great.

Posted
Relax!

I live near Khon Kaen in a small village since 15 years. No malaria here. No malaria in Isarn at all. There is dengue fewer, which is as dangerous as malaria. But there is nothing against it. And your chances to get dengue fewer are not better than to win the lottery while in holidays in Isarn.

Use mosquito nets at night, repellent in the evening and cover your arms and legs and you will be 100% save.

Regards

Thedi

PS: in the 15 years I was bitten by many mosquitoes, but I never got malaria or dengue fewer. Neither did my wife (since 53 years in Isarn) nor our daughter (since 13 years here). BTW: we do not keep to the covered arm and leg rule, my wife refuses repellants because they stink. But we do use mosquito screens on our bedroom windows.

Not you but your wife and daughter will probably have some natural immunity now.

If my mind is not playing tricks with me I am pretty sure I heard a Thai Dr tell me in a presentation that all adults in Thailand have Dengue anti-bodies - I do need to check this though as it seems not right to me

One of the main countries for trials into a Dengue vaccine is thailand though (along with Panama) and that is waht the Thai Dr is working on

The malaria vaccine trialled in Africa is aimed at children for when they are most at risk ie to protect them long enough so their immune system becomes strong enough itself.

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