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Question

02 Mar 2004

advice on anti-malarial treatment during pregnancy
I am 12 weeks pregnant and about to travel to Tanzania for a stay of approximately 3 months. As the stay will coincide with the rainy season, I have been advised that malaria may be a problem. What prophylactic (if any) is advisable during pregnancy. I am not taking any other medication and don't have any existing medical conditions that need to be taken into consideration.
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Expert
CyberDoc
CyberDoc

01 Jan 0001

Joey, the best would be for you not to go to a malaria area. It seems that the newer drugs like Laraim® are safe from the second trimester onwards, but as far as I know there isn’t enough scientific data to back this statement up. Using chloroquine on it’s own in Tanzania isn’t adequate and adding proguanil hasn’t been proven safe in pregnant women. I have a book at work that has the WHO guidelines and if you mail me at CyberDoc@mweb.co.za, I’ll mail you a copy. Good luck.
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