on part en novembre dans le Rajasthan, et je ne comptais pas prendre de traitement anti-paludéen (de façon générale j'évite autant que possible d'avaler des médocs) jusqu'à ce que ma copine appelle un centre médical qui lui a conseillé de prendre de la Malarone. 😮
Il me reste de la Nivaquine d'un précédent voyage : quelle est la différence entre Malarone (c) et Nivaquine (c) ?
D'autre part j'ai parcouru les messages du forum : apparemment certains ne prennent pas de traitement préventif mais emmène quand même avec eux une boîte à prendre à forte dose en curatif au cas où. Quelqu'un aurait-il des précisions à ce sujet ?
Merci.
Quelques souvenirs de voyages (Islande, Thaïlande, Japon, Pérou, Mexique, Égypte) : http://minu.me/-peanutfr-blogs
(commentaires bienvenus sur les blogs !)
une grosse difference d'efficacité
malheusement de tres nombreuses souces de plasmodium falciparum (le paludisme qui tue) sont devenues resistantes à la nivaquine
c'est un peu comme avec les antibiotiques sur certaines maladies
maintenant aucun medicament n'empeche d'attraper le paludisme les medicaments enpechent juste de faire des crises (qui peuvent etre mortelles dans certains cas) le seul moyen d'eviter d'attraper le paludisme est de ne pas se faire piquer par les moustiques (qui piquent essentielement le soir et la nuit) : repellent , pantalon long , chaussettes , moustiquaire ...
ne pas prendre de medicaments c'est à toi de voir : veux tu gerer une potentielle crise sur place ?
bonjour,
l'Inde est classée en zone 2 de résistance à la chloroquine (NIVAQUINE). ce qui signifie que le risque de rencontrer un moustique impaludé, qui serait résistant est important. maintenant, la transmission du palu en Inde est surtout importante en saison des pluies et en zone rurale, ce qui ne signifie pas que le risque en ville hors saison des pluies est nul.
la différence entre NIVAQUINE et MALARONE dans le cas de l'Inde est que la première ne sert à rien seul, alors que la MALARONE est indiquée en zone 2 comme en zone 3. l'autre traitement indiqué en zone 2 est la SAVARINE, association de chloroquine (NIVAQUINE) et de proguanil (PALUDRINE). tu peux utiliser ta NIVAQUINE à condition de l'associer à la PALUDRINE pendant toute la durée du séjour et 30 jours après le retour. cela te couteras probablement moins cher que d'acheter de la MALARONE et l'efficacité est similaire. pour info, la MALARONE est également une association d'atovaquone et de ... proguanil !
seul l'Etat d'Assam, à l'Est de l'Inde est en zone 3.
Merci pour la réponse.
Et par curiosité, pourquoi Nivaquine et Paludrine doivent être pris encore 30j après le retour, alors que la Malarone c'est seulement 7j ?
Quelques souvenirs de voyages (Islande, Thaïlande, Japon, Pérou, Mexique, Égypte) : http://minu.me/-peanutfr-blogs
(commentaires bienvenus sur les blogs !)
Quelques souvenirs de voyages (Islande, Thaïlande, Japon, Pérou, Mexique, Égypte) : http://minu.me/-peanutfr-blogs
(commentaires bienvenus sur les blogs !)
Bonjour, Malarone ça se prend une fois par semaine et une fois avant le depart une semaine avant.
et Nivaquine ne pas prendre ni avant ni apres mais juste lorsque a avoir le palu le debut.
Bonjour aussi
Ah non, la prise une fois par semaine en prévention, c'est pour le LARIAM...
Quant à la Nivaquine, je ne comprends pas très bien ce que vous voulez dire
oui lariam c'est pour prévention une semaine avant de partir et après une fois par semaine.
et la nivaquine et a prendre lorsque a avoir le palud, ou de la fièvre palud ou lorsque on commence a avoir le palud.
moi j'utilise la nivaquine pour le Cameroun, que je ne doit pas prendre ni avant ni pendant ni après mais des que je commence a être malade là oui je le prend,1er jours tant et 2ème jours tant etc..............
C'est inutile et dangereux
Parce que ce que le parasite au Cameroun a de fortes chances d'être résistant à la Nivaquine
Parce que il est préférable de ne pas traiter sans confirmation du diagnostic.
Bref, il est mieux d'aller consulter à l'hôpital ou au dispensaire si vous avez de la fièvre
oh non je m'inquiete pas j'ai un bon docteur a lyon et qui connais le cameroun avant malarone ou lariam sans etre malade et la derniere fois j'ai pris avec moi la nivaquine ete j'ai rien pris puisque je suis pas tombé malade
Qui peut le plus peut le moins, mais qui peut le moins ne peut pas le plus ... Depuis très longtemps les parasites responsables du paludisme sont résistants à la Nivaquine dans de très nombreux pays, en Afrique subsaharienne notamment ... La Nivaquine ne sert donc à rien en préventif et à rien en curatif (sauf à retarder les soins efficaces). Si votre médecin de Lyon vous conseille ça , vaut mieux changer de médecin ! Par ailleurs, les traitements curatifs à l'aveugle sont effectivement déconseillés, et il vaut effectivement, comme vous dit Platyplus, consulter lors d'une suspicion de palu, que ce soit sur place si cela vous arrive là-bas, ou en France ...
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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.
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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…