Voila 1 mois que le projet de partir en Aout au Cambogde et en Laos me travaille.
J'aimerais donc partir avec ma petite famille (mon fils Ptit Panda de 2 ans et demi et Papa). Avec l'accord de ma pédiatre pour petit panda (soulagée) il me reste toujours une question sur l'anti palu.
Les villes seraient Luang Prabang, Vientiane, Siem reap, Angkor Wat et Phnom pen. Sur le site pasteur il est dit que ces villes ne sont pas en risque élevé.
Nous prévoyons un frere ou une soeur a petit panda donc si ca marche de suite il y a un risque pour que je sois en début de grossesse pour le départ.
Du coup un appel a mon médecin traitant s'impose. Celui-ci me dire qu'il y a une etude qui dit que la malarone est supportée par les femmes enceintes sans probleme.
Avez-vous de plus amples informations la dessus? Je vois que sur le forum beaucoup de personnes disent qu'il ne vaudrait mieux pas partir enceinte.
L'utilisation des medicaments en periode de grosses est delicate. Selon moi, la seule recommandation que tu dois suivre est celle de ton medecin dans une clinique de voyageurs. Tu ne devras pas prendre une decision pour une, mais pour deux personnes.
Mais voici quelques infos:
Les etudes pour l'utilisation de certains medicaments durant la grossesse, surtout en premier trimestre, sont assez restreintes. Les decisions futures sont souvent basées sur l'experience passée.
Il semble par contre que la malarone soit utilisée sans réel probleme.
La quinine serait par contre preferée chez une femme enceinte.
Le plus important quant a la decision d'utiliser un médicament est de voir si les bienfaits depassent les desavantages.
Seul ton medecin pourra repondre a cette question.
Merci pour la réponse. Je vais essayer de prendre rendez vous avec quelqu'un au centre medical pasteur.
En gros c'est un voyage que j'aimerais faire depuis longtemps et je me dis qu'il vaut mieux y aller avant que bébé 2 ne pointe le bout de son nez sinon ca sera repoussé a dans 3 ans..
Je ferais une mise a jour apres l'avis de l'autre médecin si ca peut aider sur le forum.
si c'est sans danger pour nous 2 on foncera sans hesiter
Bonsoir
Tout voyage d'agrément en zone 3 de paludisme est déconseillé aux femmes enceintes. La Malarone (innocuité non certaine chez la femme enceinte) ne protège pas à 100%. Il y a les autres risques. Et un accès palustre, c'est un très fort risque de perdre le bébé.
A mon avis, vous feriez mieux d'attendre le retour pour être enceinte. Votre âge vous permet d'attendre quelques mois, non?
Il faut aussi que vous discutiez avec mon confrère de Pasteur des précautions pour "petit panda"; ce n'est pas invivable, cela dépend des conditions du voyage. Vous savez, les problèmes rencontrés par les voyageurs viennent souvent de l'absence de respect de quelques règles vraiment basiques.
La référence ..... Le Centre de référence sur les agents tératogènes ... (www.lecrat.org) .... Le paludisme est vraiment contre indiqué pendant la grossesse ... et si on est obligée de partir, la Malarone° ets utilisable ...
Hélas, pour vous, l'avis de Platyplus sera ce qu'on vous dira ailleurs ..
__
Malarone®
Mise à jour : 1er juillet 2011
La Malarone® est un antipaludique composé de l’association d’atovaquone et de proguanil.
Elle s’utilise, par voie orale dans le traitement préventif et curatif du paludisme en cas de chimiorésistance (cf. Recommandations aux voyageurs)
ETAT DES CONNAISSANCESLes données publiées chez les femmes exposées à l’association atovaquone-proguanil en cours de grossesse sont peu nombreuses, mais aucun élément inquiétant n’a été signalé à ce jour.L’association atovaquone-proguanil n’est pas tératogène chez l’animal.
EN PRATIQUE
Les séjours en zones d’endémie palustre sont déconseillés en cours de grossesse. Si le voyage ne peut être reporté ou si la patiente vit en zone d’endémie, la prophylaxie du paludisme est nécessaire quel que soit le terme de la grossesse et doit être efficace. Elle associe une protection contre les piqûres de moustiques et une chimioprophylaxie adaptée au lieu du séjour.En prévision d’une grossesseEn cas de séjour en pays du groupe 2 ou 3, la Malarone® pourra être utilisée.Traiter une femme enceinteTraitement prophylactique du paludisme :En cas de séjour en pays du groupe 2 ou 3, l’utilisation de la Malarone® est envisageable quel que soit le terme de la grossesse.Traitement curatif du paludisme :On préférera la quinine qui est le traitement de référence de l’accès palustre chez la femme enceinte. En cas d’inefficacité ou de contre indication à la quinine, la Malarone® pourra être utilisée quel que soit le terme de la grossesse.Découverte d’une grossesse pendant le traitementRassurer la patiente quant au risque malformatif de la Malarone®. La Malarone® sera poursuivie quel que soit le terme de la grossesse selon le schéma prévu., la quantité d’antipaludéens présente dans le lait est faible et n’est pas suffisante pour protéger l’enfant allaité contre le paludisme.Des informations sur la prévention du paludisme chez l’enfant sont disponibles sur le site de la Société Française de Pédiatrie (cliquer ici ).
Je trouves que tu prends beaucoup de risque, il faut faire un choix, en plus en début de grossesse on est pas spécialement en forme voire même
carement malade donc si c'est pour gâcher ton voyage....
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Hi,
I’m planning a trip to Namibia for 3 weeks in November: should I take malaria prophylaxis, which medication, when to take it, and are there any side effects?
At the end of my trip, I’ll spend 5 days up north near the Angolan border and in Etosha National Park.
Thanks for sharing your travel tips and advice!
Martine
I’m planning a trip to Japan next year and I have asthma...
I wanted to know about the regulations regarding Ventolin (Salbutamol) in Japan—is it considered a drug? Can I bring my inhaler with me, or do I need to buy a similar product in Japan?
I have two American cousins. The older one was born in Paris, and his sister was born in California. The latter is planning a trip to Paris this summer, but she recently fell ill, and American doctors don’t know what’s wrong. I had the idea of letting her take advantage of her trip to get treated here, avoiding the high healthcare costs of the American system in the process. The problem is, I can’t find anything online about this—just testimonials from French people who used to be American, but nothing for a simple tourist.
I’m traveling to Portugal with my family and I have a treatment that requires injections. How can I take a flight with these? They look like injectable pens.
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We’re planning a trip to the Philippines from April 22 to May 8, 2026. Flight from Geneva with a layover in Turkey and Manila. Our itinerary: Angeles – Busuanga – Palawan…
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Hi there,
Does anyone know if there’s travel insurance for someone who’s had a heart attack?
I can’t find an insurer that covers a pre-existing condition, even if it’s stable.
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Hi everyone, next month my wife, our 6-year-old daughter, and I are flying to Thailand. It’ll be a great chance to soak up some sun—something we’ve been missing lately here in France! But speaking of sun, I burn easily, and our daughter even more so. I was wondering what SPF to get for sunscreen and whether it’s better to buy it there or before we leave? Thanks for your tips!
Hello,
We’re planning to spend 3 months in Madagascar starting in mid-February.
Areas: Mahajanga, Tulear, Diego Suarez, and Sainte Marie—the order isn’t set yet. We’ll either drive for part of the trip or take flights.
We’ve heard all sorts of things about required vaccines and medications (is anti-malarial mandatory?). What’s the exact situation for travelers?
I’ll come back to you for other topics (like finding a reliable driver, among others).
Thank you.
Best wishes to you all,
Nicole
We're about to go on an organized trip to South Africa, including Kruger Park. We were told that Malarone should preferably be taken in the evening at the same time during a meal. But it's hard to know what time we'll have dinner, especially since I've read that in South Africa, dinner is usually around 6 PM.
I'd love to hear from people who've been on organized trips to this destination and could share their experience. We were thinking of taking Malarone around 7:30 PM, assuming dinner would be closer to 7 PM than 6 PM. Also, if the meal ends up being earlier or later than when we take the pill, would a cookie or a piece of bread be enough to take with Malarone?
I’m planning to set off on a "round-the-world" trip/long journey at the start of next year, lasting between 4.5 and 6 months. For now, the itinerary looks like this: South Korea (2 weeks) -> Japan (1 month) -> New Zealand (1 month) -> Argentina (1 month) -> United States (1 month).
I’m on medication (paroxetine 20 mg/day) and was hoping to bring enough for the entire trip so I wouldn’t have to find a doctor on the spot, deal with a molecule that might be slightly different from what’s available in France, or wonder if that’s even a possibility. Basically, it seemed simpler on paper...
But after looking into the regulations for each country, it’s suddenly way less simple . Many seem to only allow the amount corresponding to the length of your "stay" in the country... Which is a problem if I arrive in Korea with 4.5 months’ worth of medication, for example.
After all that, and even though I’ll obviously contact the relevant authorities in each country (fingers crossed for a response 😛), here’s my question:
Has anyone here had any experience with this? (Even if it’s a different medication or different countries, any input would be helpful!)
I’m trying to plan a trip to Dubai with my mom. I’ve seen that some of our medications require prior authorization (sleeping pills, codeine, anti-anxiety meds, etc.).
I’d love to hear from anyone who’s been in our situation. A friend of mine applied to bring her tramadol, but it was denied—though she needed high doses!
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We just found out my wife is pregnant, and we’ve planned a trip to the Barlavento Islands in Cape Verde this November.
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I’m starting a new discussion on this topic since there doesn’t seem to be a recent one.
I have several chronic conditions (including asthma and related ones), and I’m planning to travel for a year across different countries.
Generally, I understand it’s possible to travel with approved medications (which should be my case), but often with a limit of 3 months’ worth of treatment.
Since I’m going for 12 months, that means for three-quarters of my trip, I’d have more than 3 months’ worth of medication.
I plan to bring my prescriptions with the INN (International Nonproprietary Name), as well as the original packaging (even though it’s a nightmare, but from what I understand, it’s necessary). But I’m not sure if that’s enough...
Have any of you been in this situation before? How does it work at customs—do I need to declare everything that exceeds the 3-month limit? Do I need a letter from my doctors?
I'm currently in Bangkok: How can I find a good doctor for a consultation? It's for a friend who'd like a second medical opinion compared to what they got in their country of residence.
Any professionals you'd recommend? How much does it cost?
I’ve already visited quite a few countries across several continents, but I’m pretty new to Asia.
I’m planning a trip to Thailand in October or November, and I wanted to check about health precautions: malaria treatment, vaccinations (hepatitis A or others...).
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From what I understand, for a stay of less than 60 days, I don’t need a visa (I’m a French national)? I just need to fill out the TDAC form 3 to 5 days before arrival?
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I was wondering if anyone is heading to Cuba soon and could bring me some over-the-counter Sildenafil (viagra) tablets—available at Varadero Airport, among other places.
Hi there! So, I'm hesitating about taking a long trip. I'd like to go away for 2 to 3 months and travel across several continents. I’d love some advice. I often have unexplained allergies and need to follow a daily treatment for my diabetes (insulin). I think I can get authorization from my doctor to travel for 6 months with the treatment—is that correct? After those 6 months, is it possible (instead of bothering a relative to send the medication) to see a foreign doctor to get another 6-month travel authorization? How does it work at the airport? Do I need just one medication transport authorization, or do I have to request a new one in each country (once the treatment runs out) for both the flight and a DCI? Also, travel insurance doesn’t cover chronic illnesses, so will I have to pay for foreign consultations out of pocket? I’m not sure if I explained myself clearly. Oh, and just to repeat—travel insurance doesn’t cover chronic illnesses, so foreign consultations will be at my own expense? Thanks in advance for your help!
Hi everyone.
After years of traveling to the USA without any medical insurance subscriptions—and luckily never having any major health issues (though I did get a scorpion sting buried in the sand at CBSouth, 😇)—life has caught up with us, and we’re now being forced into "wisdom" and leaving our carefree days behind.
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I’ve read the discussions on this topic, but the most recent one is from last year, and I’d love your take on the current situation.
I’m familiar with the usual options like Europ Assistance and AXA, but I’ve just discovered Chapka and Heymondo (the latter seems interesting in terms of both price and coverage).
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We’ve planned a 3-week trip to Bali this summer with our 7-year-old daughter. The itinerary includes Sanur, Nusa Lembongan, Sidemen, Amed, and Ubud. The more time passes, the more we read about people getting sick—some with mild to severe traveler’s diarrhea, and many ending up in the hospital. We, as parents, have been through it in Egypt with pretty bad cases, but we’d really like to avoid that for our daughter. Even though there’s no zero risk, and we’ll be careful, can any of you reassure me? Not everyone got sick, right? I’d love to hear positive feedback from parents, but not just them 😊. Thanks in advance!
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I’m traveling with a friend for a month in November.
We booked our round-trip tickets from Paris to Phnom Penh, and yes, I know—it was a mistake. We should’ve flown out of Laos, but here we are.
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I’ve seen that the transport takes a while...
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Thanks for your feedback! !
For several years now, increased aggression has been observed in Cape fur seals.
At least 70 unprovoked attacks on humans.
It was recently confirmed that this is due to rabies.
The suspected origin is contamination in Namibia by jackals.
The contagion seems to be spreading.
Preventive vaccination (of the animals) is being considered.
Just a reminder:
Rabies affects all mammals.
Once symptoms appear—sometimes weeks or even months later—death is inevitable.
It’s the bite that transmits the disease.
There are so-called "furious" forms with aggression, but also forms without aggression.
In case of a bite, in addition to standard wound care, tetanus prevention… rabies prevention is essential.
Stay careful out there…
Seeing seals from a boat along the coast isn’t rare in these parts…
I need 2 dental implants and I'd like to get them done abroad (it's a question of price).
Thanks for helping me with my search (Turkey, Spain, Romania???)
Can you tell me if you're satisfied with the services provided by Dentist Miguel at Club Amigo in Holguin? I'd like to go there in mid-December. Is it worth the trip to get dental prosthetics done?
Thanks for getting back to me... Michelle from Quebec
Hello,
I’m looking for a dentist who can do a full lower-arch implant with a complete prosthesis. I’m in Quebec and available to travel to Cuba. Need full contact details. Thanks everyone!
