• Zugelassene ÄrzteLicensed doctorsMédecins agréésBevoegde artsen
  • Rezept nach ärztlicher PrüfungPrescription after medical reviewOrdonnance après évaluation médicaleRecept na medische beoordeling
  • Kostenloser, diskreter VersandFree, discreet deliveryLivraison gratuite et discrèteGratis, discrete verzending
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Treatment area: Malaria prophylaxis

Malaria prevention for your trip

Malaria is transmitted by mosquito bites in many tropical and subtropical regions and can be severe. A doctor will determine whether and which preventative measures are advisable for your destination based on your questionnaire.

  • online questionnaire
  • Medical examination
  • Discreet Shipping
  • Money back if not suitable

BehandlungsoptionenTreatment optionsOptions de traitementBehandelopties

Tablets for malaria prophylaxis

All medications require a prescription. Please indicate your travel destination, trip duration, pre-existing conditions, and current medications in the questionnaire. A doctor will then determine if and which prophylaxis is suitable for you.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

Which prophylaxis is suitable for your trip?

  1. 1 If you are leaving at short notice Atovaquone/proguanil is only started 1 to 2 days before arrival and can therefore be an option even with limited preparation time. The doctor will check whether it is suitable for your destination.
  2. 2 If you do not want to take a tablet every day Mefloquine and chloroquine are taken only once a week, but require earlier initiation and each has a different side effect profile. Due to pathogen resistance, chloroquine is only suitable for a limited number of travel destinations. Your doctor will determine whether one of these is appropriate for you.
  3. 3 If you have had mental illnesses, seizures, heart rhythm disorders, or retinal diseases Special caution is advised, particularly with mefloquine and chloroquine. Please list all pre-existing conditions in the questionnaire. The doctor will decide which option is appropriate.
  4. 4 If you are pregnant, planning a pregnancy, or traveling with children Speak to a local doctor or travel medicine clinic beforehand. Specific recommendations apply in these cases, which you should discuss with a doctor in person.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Daily intake

Short lead time before the trip and short intake after the return.

Atovaquone / Proguanil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Malarone

Tablet containing atovaquone and proguanil for the prevention of malaria while traveling, available as Malarone or generic.

FormFormFormeVorm
Tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: The two active ingredients, atovaquone and proguanil, attack the malaria parasite (Plasmodium) at different points. Both inhibit its multiplication in the liver and blood, thus preventing the infection from spreading.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you have very little time before departure
  • If you only want to continue taking it briefly after your return
  • If taking a daily tablet is feasible for you
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Tablets containing 250 mg/100 mg are taken once daily at the same time with a meal or a milk drink. Treatment begins 1 to 2 days before arrival, continues throughout the stay, and ends 7 days after departure.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 250 mg

Not suitable for prevention in cases of severe renal impairment. Interactions, for example with rifampicin, metoclopramide or anticoagulants such as warfarin, must be medically assessed.

abfromà partir devanaf 59,57 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Weekly intake

One dose per week on the same day of the week, with longer lead time before and longer duration of intake after the trip.

Mefloquin RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Lariam

Tablet containing mefloquine for the prevention of malaria, taken once a week.

FormFormFormeVorm
Tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Mefloquine targets the blood stages of the malaria parasite and inhibits its multiplication in red blood cells. Because the active ingredient remains in the body for a very long time, one dose per week is sufficient.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you prefer one tablet per week instead of daily
  • If you have previously tolerated mefloquine well
  • If you can start in good time before departure to check compatibility
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Tablets containing 250 mg are taken once a week on the same day of the week after a meal with plenty of liquid. Treatment usually begins 1 to 3 weeks before the trip, continues throughout the entire stay, and ends 4 weeks after departure.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 250 mg

Mefloquine can cause psychological and neurological side effects such as anxiety, depression, nightmares, dizziness, or balance problems, which may persist even after discontinuation of the medication. It is not suitable for patients with existing or previous mental health conditions or a history of seizures.

abfromà partir devanaf 105,95 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
Optionen wählenChoose optionsChoisir une optionOpties kiezen
Chloroquine RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Chloroquin

Chloroquine tablet for malaria prevention; due to resistance, it is only suitable for a few travel destinations.

FormFormFormeVorm
Tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Chloroquine accumulates in the red blood cells infected with the malaria parasite and inhibits its multiplication there. Because the drug remains in the body for a very long time, one dose per week is sufficient for prevention. It is not sufficiently effective against resistant parasites.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If chloroquine is recommended for your travel destination from a travel medicine perspective
  • Provided there are no contraindications such as retinal diseases, myasthenia gravis or G6PD deficiency
  • If you have tolerated chloroquine well in the past
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: For prevention, take once a week on the same day of the week after a meal, starting one week before travel and continuing for four weeks after departure. The number of tablets will be determined by your doctor.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 200 mg

Not suitable for most malaria areas due to resistance. Not to be used in cases of retinal disease, myasthenia gravis, or G6PD deficiency, and not in combination with amiodarone; highly toxic in case of overdose, especially for children.

abfromà partir devanaf 43,88 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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RatgeberGuideGuideGids

What you should know about malaria prevention

Good preparation combines mosquito protection, appropriate medication, and knowledge of warning signs after the trip.

What is malaria?

Malaria is an infectious disease caused by parasites (Plasmodium) and transmitted through the bite of the Anopheles mosquito. The disease is prevalent in parts of Africa, Asia, and Central and South America.

Symptoms appear at the earliest about a week after the bite, sometimes only months later:

  • Fever, chills and sweats
  • Headaches and body aches, fatigue
  • Nausea, vomiting or diarrhea

Malaria tropica, in particular, can quickly become life-threatening.

Travel medicine consultation

Whether preventative medication (chemoprophylaxis) is advisable depends on the destination, time of year, duration of the trip, and type of travel. For some regions, emergency medication for use while traveling is recommended instead of continuous medication, while for others, consistent mosquito protection is sufficient.

The recommendations are updated regularly. Therefore, contact a tropical or travel medicine clinic well in advance, ideally several weeks before departure. They can also provide information on vaccinations. Please provide your exact travel itinerary in the questionnaire.

Possible side effects

Headaches, nausea, abdominal pain, vomiting or diarrhea are common side effects of atovaquone/proguanil.

Mefloquine can cause gastrointestinal problems, as well as sleep disturbances, nightmares, dizziness, anxiety, depressive moods, and, rarely, psychosis. These side effects can persist long after discontinuation of the medication.

If you experience restlessness, anxiety, confusion or mood changes while taking mefloquine, stop taking it and contact a doctor immediately. Another form of prevention is then necessary.

Chloroquine can cause gastrointestinal problems, headaches, visual disturbances, or skin rashes, and can affect heart rhythm and blood sugar levels. If you experience rapid heartbeat, fainting, or visual disturbances, seek immediate medical attention.

Fever during or after travel

No prophylaxis offers complete protection. Any fever during or after a stay in a malaria area should be investigated by a doctor immediately, even weeks or months after returning. Be sure to mention your travel destination so that you can be specifically tested for malaria.

Call emergency services 112 (Switzerland: 144) if confusion, seizures, severe shortness of breath, yellowing of the skin or disturbances of consciousness occur. Online consultation does not replace a personal examination in the case of fever after a trip to the tropics.

mosquito repellent

Avoiding stings remains the basic principle.

Tablets for prevention reduce the risk of infection, but do not offer complete protection. Anopheles mosquitoes bite primarily at dusk and at night. Other mosquitoes, such as those that transmit dengue fever, are also active during the day. Therefore, consistent mosquito protection is essential for any trip to the tropics.

  • Apply mosquito repellent containing active ingredients such as DEET or Icaridin to exposed skin and reapply regularly.
  • Wear light-colored, long and preferably tightly woven clothing, which can also be treated with insect repellent.
  • Sleep under an impregnated mosquito net or use mosquito-protected, air-conditioned rooms.

Continue taking the tablets as prescribed even after your return, as this phase is part of the preventative treatment. Plan to order them well in advance of your departure. A thermometer in your travel first-aid kit will help you detect fever early while traveling, and it's helpful to know where the nearest medical care is located. Our online doctor answers general medical questions..

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about malaria prophylaxis

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Do I even need prophylaxis for my trip?

This depends on the malaria risk at your destination, as well as the time of year, duration, and type of trip. For some regions, preventative medication is recommended, while for others, mosquito repellent or emergency medication is advised. Consult a travel medicine specialist as early as possible and provide your complete itinerary in the questionnaire. The doctor will review your request.

Malaria parasites transmitted shortly before leaving a malaria-endemic area can continue to develop in the body for some time. Taking the medication after returning home is intended to cover these stages as well. For atovaquone/proguanil, this is 7 days; for mefloquine and chloroquine, it is 4 weeks after leaving the malaria-endemic area. Therefore, do not stop taking the medication prematurely.

All medications can interact with other drugs. For example, atovaquone/proguanil interacts with rifampicin, certain HIV medications, metoclopramide, and anticoagulants such as warfarin. Mefloquine and chloroquine interact with, among other things, medications that affect heart rhythm and anti-epileptic drugs; chloroquine also interacts with amiodarone and antacids. Therefore, please list all medications you are taking on the questionnaire.

Special recommendations apply to pregnant and breastfeeding women. Travel to a malaria area should be carefully considered during pregnancy, as malaria can be particularly severe in this age group. Please discuss your situation personally with a local doctor or a travel medicine clinic before starting any prophylaxis.

No. The tablets reduce the risk of malaria, but they do not offer complete protection. Therefore, mosquito protection and paying attention to warning signs remain important. Fever during or after travel should always be checked by a doctor immediately, even months later. Be sure to mention your stay in a malaria area.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

Request medically reviewed malaria prophylaxis

Choose a medication and complete the questionnaire with your travel details. Medical professionals will usually contact you within 24 hours.

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