Nous partons en asie du sud-est (Thaï, Laos, Viet, Camb), sac à dos, pour 3 mois entre Janvier et Avril 2003, et notre gros problème est de savoir si oui ou non nous prenons du Lariam. D'après les medecins, c'est le seul antipaludéen efficace pour cette zone géographique.Seulement, de nombreux témoignages nous rapportent qu'il est trés violent et bourré de contre-indications.
Le palu ne sevit pas sur la totalite de chacun des pays. Dans un premier temps, renseigne toi si les endroits ou tu vas sont des zones impaludes. Par exemple en Thailande, les zones impaludes se retrouvent plutot dans le Nord du pays, si tu vas dans la jungle .(et encore, seulement certaines parties de la jungle sont impaludees)
Si tu restes dans les grandes villes, il n'ya pas de Palu.
Souvent, on conseil +volontier de mettre du repulsif anti-moustiques a la tombee de la nuit, plutot que de prendre du Lariam.
Sinon, le Lariam est la majorite du temps bien accepte par les gens . Mais y'a tout de meme regulierement des personnes qui le supportent mal.
Nous savons que dans les regions où nous allons le palu est classé en groupe 3 (le plus résistant aux medicaments), et que le traitement le plus efficace dans cette zone et le Lariam. Cependant nous partons pour trois mois et craignons les effets secondaires. Comment avez vous géré le problème sur une longue periode? Les effets sont-ils si déplaisant?
Pour le Lariam et tout ca, je connais. Mais tu appelles quoi "region", l'Asie du Sud-EST ? ou la village que tu vas visiter ?
Sinon, si tu me donnes un peu ton itineraire en Thailande (les autres pays, je me suis jamais renseigne), je peux te dire.
Je reexplique un petit peu, la grande majorite du territoire thailandais n'est pas une zone endemique du Palu. Tu n'as besoin d'un traitement preventif qu'au cas ou tu passes dans des regions ou le Palu est present.
La majorite des personnes, n'ont aucun effet secondaire avec le Lariam. Ce qui n'est pas le cas de tout le monde. C'est pour ca, qu'on demande de prendre le premier comprime en France, pour savoir si la personne est sensible.
Mais en prenant du Lariam, il y'a un autre probleme, c'est celui de la selection des souches resistantes, un peu comme les antibio. LA, c'est + un probleme d'environnement.
De nouveaux medicaments sortent actuellement, mais je crois qu'ils sont pas encore en vente en France.
Mais bon ..... la majorite des gens partent sans prendre de traitement. Personellement je n'en prend plus. Je n'ai jamais eu d'effets secondaires, mais c'est + pour une question economique et environnementale comme je l'explique plus haut. Je me protege plutot des moustiques, ce qui est le + souvent conseille aux voyageurs.
Les expatries qui vivent en Asie du S-E, ne prennent pas de Lariam.
Je ne pense pas que le LAriam soit une necessite, (en + c'est pas rembourse) sa frequence est bcp - importante qu'en Afrique et ils existent des traitements curatifs. Le Lariam n'est pas seulement preventif, mais il peut aussi etre utilise en traitement curatif. Donc, si t'attrapes le Palu, on peut t'en soigner.
Sinon, il existe aussi la doxycycline, qui a d'autre avantages par rapport au Lariam, mais a un gros defaut, car elle est photosensibilisante, donc deconseillee hors de la saison des pluies.
J'ai essaye de faire le tour de la question, si t'as d'autres questions, n'hesite pas.
Mais surtout, renseigne toi de facon PRECISE sur les lieux ou tu vas te rendre.
Aprés bKK nous allons nous diriger vers chiang-mai puis chiang rai et huay xai pour passer la frontiere du Laos. Mais tout ca en 3 semaines environ. Le treck nous plais bien mais on a pas encore chercher ou en faire, en tous cas on sortira le plus possible des sentiers battus. A se moment est-ce qu'un simple anti-moustique sera suffisant???
En trekk, toutes les zones ne sont meme pas infestees. Mais meme dans les zones infestees, on conseil souvent de pulveriser un anti-moustique surtout a la tombee de la nuit.
Ne pas oublier que le Lariam, n'est pas une protection a 100 %.
Si tu veux d'autres avis, je suis certains qu'il y'a pleins de sites sur le sujet sur le net. Ou alors va sur le forum du guide du routard. Pleins de gens ont deja pose la question.
Par contre, si vous avez des enfants ... il vaudrait mieux demander l'avis d'un medecin. les enfants sont + sensibles a la maladie.
Moi on m avait conseille la doxyciline pour l Asie du Sud-Est, jamais du lariam! (et c est un specialiste de l Institut Pasteur que j avais ete voir, pas un second couteau...). De toute facon, la, j y suis a nouveau (Cambodge en ce moment) et je ne prends plus rien. Meme pas d anti-moustique, et pour l instant ca va...
Bon vent
je suis allée en inde 4 mois et j'ai pris du lariam ( tout ce temps )...il y a beaucoup de légendes sur ce médicamentet pourtant je n'ai pas été victime d'hallucinations et d'angoisses nocturnes graves, j'ai bien fait quelques rêves étranges et parfois des cauchemars 😮mais n'est-ce pas plutôt l'environnement nouveau, un monde inconnu et mystérieux qui provoque ces nuits moins calmes que lorsqu'on est chez soi ?????
bref, un ami à moi souffre de la malaria, il l'a attrappé dans un pays ( quelque part en Afrique ) où il n'y avait pratiquement pas de risque...c'est plus simple peut-être de mettre les chances de votre côté plutôt que de prendre la chance de souffrir de crises chroniques.
😄 Merci pour ta réponse positive. On a pris le premier lariam dimanche 5 janvier et tout s'est bien passé. Mieux vos se proteger d'une maladie ou 2 francais part an en meurt, même si le lariam et n'est pas tres bon pour ton corps. Avec toute les merde qu'il nous balance on est habitué...
Pour ma part c'est un médicament dangereux, et je suis contre l'adminstration de ce médicament en préventif surtout pour 3 mois de voyage plus 1 mois ou il faudra continuer à la prendre (à votre retour en France). J'en ai fait l'experience pour le même voyage il y a 7 ans ... depuis j'estime que j'ai gardé des sequelles suite au traitement, il y a d'ailleurs beaucoup de sites qui traitent des effets secondaires du Lariam ...
Ajouté à la complexité du problème, la Food & Drug Administration (FDA) a récemment renforcé les avertissements contre les effets secondaires du Lariam sur le plan psychiatrique (anxiété, rêves, hallucinations, dépression et même attitude psychotique), tout en prévenant que le lien présumé entre ce médicament et le suicide n'était pas prouvé. Selon les spécialistes, un sur 10 000 ou 15 000 utilisateurs du Lariam connaissent de sévères effets secondaires.
Ah oui, je n'ai rien contre l'entreprise qui produit ce medoc !!!
Mais très sincerement il faut l'éviter ou alors le prendre sur une très courte période ...
On peut être réticent à la prise de Lariam à titre préventif. Par contre dans les zones à aux risques il reste incontournable à titre curatif en cas de paludisme foudroyant, surtout s'il n'y a pas de centre de soin à proximité. Il est donc bon d'en avoir un boîte dans sa pharmacie.
Attention, le Lariam n'est pas un traitement préventif du paludisme, mais un traitement curatif.
Il peut être dangereux de prendre du Lariam en traitement préventif, car cela n'empêche nullement d'être infecté et il deviendra alors très difficile de vous soigner en cas de crise.
Se renseigner absolument auprès de médecins spécialistes du palu ( et aucun autre ). Prendre plusieurs avis si nécessaire et en tout état de cause la meilleure des préventions reste les protections passives, vêtements + répulsifs et choisir de préférence une saison pendant laquelle les moustiques ne sont pas trop présents, notamment dans les zones comme le Nord Thailande et le Laos, ou aucun traitement n'est efficace.
Merci Alain pour cette précision et je pense en effet que notre problème majeur en France vient du fait qu'il n'existe que trop peu de médecin comptétent dans le domaine et cela est compréhensible car la question est vraiment complexe ...
Bon... mon médecin (de la clinique voyage) me suggère de prendre du Lariam pour mon voyage en ASE qui devrait durer environ un an. Mais puisque ce traitement…
Je dois partir au Portugal en famille j’ai un traitement donc des injection comment peut on prendre l’avion avec.?? Ça ressemble a des stylo injectable Merci
Nous décollons dans 4 jours pour le Laos... D'habitude nous ne prenons pas de traitement anti-paludéen nous nous protégeons avec le 5/5 mais là on se pose la…
Je me suis fait opérer pour une fracture au tibia (tige + visses) il y a exactement 2 mois. Ma guérison a été super rapide et je n'ai quasiment plus de douleur…
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.
Thanks
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…
The Philippines are a dream destination, but is it possible to travel there safely? I’ve heard that checked luggage often gets lost, tap water isn’t safe to drink, and mosquitoes are everywhere.
For water, what’s the best solution to carry in a backpack? Is a filtering water bottle 100% reliable?
For mosquitoes, should we treat our clothes with repellent? Are you vaccinated against hepatitis A, malaria, or dengue? Or is there an oral treatment to take?
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.
Thanks so much!
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!
Has anyone here gone through this process? Do we *really* need a prescription in English?
We just found out my wife is pregnant, and we’ve planned a trip to the Barlavento Islands in Cape Verde this November.
We’d like to know if there’s a real risk of Zika contamination on those islands, because from what we’ve found online, the recorded cases are old and come from the Sotavento Islands.
We’re thinking about canceling our trip.
If you’ve recently traveled to Cape Verde or live there, do you have any thoughts on this?
hi, I’m looking for information about the possibility of returning to Thailand with a portable liquid oxygen system and whether it’s possible to recharge it in Thailand, especially in Chiang Mai. thanks
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...).
I’ll mostly be in the northern region, around Chiang Mai, where I’ll spend a lot of time in nature and the mountains. Then I’ll head south to Phuket or Krabi and visit Khao Sok National Park. I’ll finish up in Bangkok, with a likely detour to Kanchanaburi.
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?
Hi there,
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.
So, I’m looking for the best compromise for a 2-month health insurance plan.
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).
What do you think of these last two? How do they compare in terms of value for money against the bigger companies?
Hi,
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!
Hi there...
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.
But is it doable to backpack through both countries in a relaxed way?
I’ve seen that the transport takes a while...
Thanks so much for your replies.
Hi there,
I’ve started looking into getting dental implants, possibly in Costa Rica or Mexico.
Do you have any clinics to recommend or ones I should avoid?
For the next steps, I need to choose between Cuba Medika or Medigo—these are agencies that help with medical procedures. Do you have any info on either of them?
Hi everyone, a question for those who’ve been lucky enough to visit Raja Ampat—should you consider preventive malaria treatment given its proximity to Papua? And how was the food hygiene situation?
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!
My current plan is to get my teeth treated in Cuba, especially for dental implants.
Has anyone here had experience and could refer me to a good, affordable dentist?
I’d really appreciate it if you could give me an idea of the price for one implant, since I need at least 6 done.
Thanks so much!
