bonjour;
nous partons a 3 au senegal du 30 decembre au 21 janvier au sine saloum mais nous voulons aussi aller visite une reserve j aimerai savoir pour le palu en cette saison nous avons ete vacciner contre la fievre jaune , typhoide , hephatite A on nous a conseiller contre le palu la malarone qu en pensez vous ? merci de me donner qqs renseignements😎
je ne sais pas vous répondre pour le traitement du palu car je n'ai pas encore été au Sénégal (mais c'est en projet!)
mais perso je ne le ferai pas comme les vaccins d'ailleurs
c'est pour cela que je suis étonnée de voir tous ceux que vous avez fait!😮
maintenant du fait que vous allez visiter une réserve c'est peut être préférable de faire le traitement contre palu (mais bon faut voir les plans d'eau dans cette réserve... )
mais je pense qu'en prenant juste les bonnes dispositions c'est suffisant
Bonjour,
il est très important de prendre un traitement pour le palu. Nous on en prend le lariam une fois par semaine. peut importe la saison.
bon courage.
Joaquine, ! comment peut on ainsi préconiser de pas se faire vacciner comme vous le faites?
C'est tout bonnement criminel... les probabilités sont trop fortes d'attraper quelque chose en Afrique pour se permettre une telle attitude irresponsable.
Des centaines de gens meurent tous les jours de la typhoïde, sont estropiés par la polio, le foie rongé par les hépatites etc etc...
Nos petits corps d'européens sont bien trop chouchoutés pour résister bien longtemps à toutes ces saloperies.
Selon les zones géographiques de résistance, la prophylaxie du paludisme fait appel à un traitement médicamenteux (chloroquine, méfloquine ou proguanil).
Lors de mon dernier séjour au Sénégal (région de Ziguinchor - Cap Skirring) mon médecin m'a prescrit de la Nivaquine (classe de la chloroquine). J'ai commencé le traitement la veille du départ et l'ai poursuivi 7 jour après la date du retour. J'ai été bien protégé et n'ai ressenti aucun effet secondaire.
Je n'ai pas utilisé la Malarone (antipaludéen classe Proguanil).
Prenez impérativement l'avis de votre médecin car ces médicaments sont délivrés sur prescription médicale.
Enfin, le virus amaril étant essentiellement présent en Afrique, vous eu raison de vous faire vacciner contre la fièvre jaune.
Bonjour
La chloroquine (Nivaquine) est maintenant insuffisante en Afrique, qui est passée en groupe 3 (classification française).
Donc: Lariam, Malarone, ou Doxypalu...A voir avec votre médecin.
La Malarone ne contient pas de Proguanil qui en France n'est utilisée qu'en association avec la chloroquine (association fixe sous forme de Savarine, par exemple)
Merci pour cet avis éclairé et actualisé car mon voyage au Sénégal date un peu.
Quoi qu'il en soit, et pour répondre à la question initiale de Tihibou, un traitement antipaludéen est indispensable. Il est impératif qu'elle consulte un médecin avant son départ.
Bonjour
Les précautions à prendre sont fonction des lieux et conditions de voyage, comme toujours. Ce choix est probablement adapté à votre séjour, mais pas à un autre, et la notion de brousse ou "plan d'eau" est bien trop vague pour en juger.
Quand à la notion d'"obligatoire", je pense que vous parlez d'obligation administrative: Je rappelle qu'elle ne concerne qu'une vaccination (la fièvre jaune), que le risque d'introduire la maladie dans un pays où le vecteur est présent (donc poser un problème de santé publique), et absolument pas la protection individuelle du voyageur , dont les gouvernements (et l'OMS...) se moquent.
merci a vous tous de votre reponse et nous allons prendre la malarone prescrite par le medecin . j'ai hate de voir ce beau pays et si vous avez qqs conseils ils seront les bien venus .😉
euh il date de quand votre voyage... ou votre médecin. la NIVAQUINE n'est plus indiquée pour le Sénégal depuis au bas mot une vingtaine d'année, et le schéma thérapeutique de poursuivre 7 jours après le retour est erroné. donc traiteent pris pour rien et selon une durée insuffisante. adressez vous à quelqu'un qui connait le sujet à l'avenir.
le seul traitement à poursuivre 7 j est la Malarone, les autres, c'est 1 mois. comme le dit platypus, trois traitements sont indiqués en zone de niveau 3 de chloroquino-résistance (chloroquine = NIVAQUINE) : DOXYCYCLINE, MALARONE, LARIAM.
pour tihibou faites une recherche sur VF, ce sujet a déjà été traité maintes et maintes fois, et les réponses sont toujours les mêmes, avec les mêmes inconscients qui recommandent de surtout ne rien faire pour se protéger du paludisme ou d'autre chose.
pour platypus, MALARONE contient 100 mg de PROGUANIL, comme SAVARINE et PALUDRINE...😎
Il date du mois de mars 1990 et, à ce moment là, c'était le traitement (efficace) qui était prescrit.
effectivement c'est bien ce que je disais, une vingtaine d'années. cela dit en 1990, la chloroquine n'était déjà plus recommandée au Sénégal qui était alors classifié en groupe 2. le Conseil Supérieur d'Hygiène de France, ancêtre du Haut Conseil à la Santé Publique, recommandait déjà l'association chloroquine-proguanil en 1989, au vu de l'évolution récente des souches résistantes.
voir p.108 et 109 du bulletin BEH de juin 1990.
bonne lecture (c'est accessible, rassurez vous) et je vous le répète, pour vos prochains voyages en zone à risque, prenez des infos actualisées.
En antipalu tu as la doxicycline ou la malarone. Maintenant qu'il y a le generique de la malarone c'est ce que je prends car avec la doxicycline il ne faut pas trop se mettre o soleil...
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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.
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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.
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.).
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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.
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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.
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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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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.
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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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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!
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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!
