Du nouveau dans le traitement du paludisme Bonjour,
A partir de fin octobre 2008 L'administration des médicaments, dont le principal actif est la chloroquine (nivaquine, ofaquine et chloroquine), sera désormais contre-indiquée dans la prévention et le traitement de cette maladie, ce type de medicament devenant inefficace et ne permettant que la guerison de 4 personnes sur 10 . Un nouveau médicament le remplace l'Actipal pour la prise en charge du paludisme simple, ce medicament renferme de l'artémisénine et de l'amodiaquine. Ces deux molécules permettent d’éviter le paludisme aigu comme le neuro-palu. Il est en outre efficient dans 95% des cas, . Le Palustop, prescrit pour les enfants de moins de cinq ans et fabriqué à base de chloroquine, doit également disparaître du circuit commercial.
Voir article paru dans l' express de madagascar du 29 octobre 2008
salut
surtout ne pas oublier dans tout cela que les populations locales ne prennent pas de medicos preventifs mais c est surtout des traitements curatifs dont on parle ici
j ai toujours avec moi un traitement curatif a base artemisinine (pour notre part jamais de traitement preventif mais ceci est une decision perso car trop de voyage en zone infestee sous medicos en presque permanece impossible)
a plus
jipi le zanatany
le voyage permet de garder l esprit ouvert aux autres
salut
impssoble de prendre des preventifs trop longtemps (sup a 3 mois) les vazaha sur place ne prennent pas de preventif en general mais il y a toujours des hypocondriaques
par contre protection max :avec spray type : 5 o 5 ou butix tropical tres efficace a mettre des la tombee de la nuit puis dodo sous moustiquaire impregnee si possible (on l a toujours avec nous) mais cela est contraignant mais etant habitue pas de pbs
l anophele femelle (vecteur de la maladie) ne pique que durant la periode : crepuscule a l aube
donc de jour inutile de mettre protection (sauf les hypocondriaques il y en de plus en plus )
a plus
jipi le zanatany
le voyage permet de garder l esprit ouvert aux autres
Moustiquaire imprégnée ???? bonjour l'odeur ! pour dormir ce doit ête le "top" ! Si elle est fine et que tu couvres tout bien, ce devrait aller quand même !
Bonjour,
J'arrive de la consultaion du voyageur (donnée par un médecin de l'armée, spécialisé dans les maladies tropicales). Celui ci m'a fortement conseillé de prendre de la savarine dès notre arrivée à Mada et comme nous restons 3 semaines, il faut continuer le traitement à notre retour en France pendant encore 4 semaines. Comme je lui ai fait part des effets désagréables de la savarine, il a bien insisté qu'en prenant le médicament à la fin du repas (toujours au même moment de la journée) il n'y a aucun effet secondaire ....
D'autre part, comme le dit Jipi, une bonne moustiquaire imprégnée pour prévenir du palu, la nuit, mais aussi le kit protection extreme 2 en 1 de mousti fluid pour prévenir de la dingue (qui provient souvent des piqures de moustiques le jour) sont une bonne prévention.
Le risque 0 n'existant pas .... à chacun sa décision...
Autre que le palu, il est recommandé de vérifier si nous sommes immunisés contre l'hépatite A d'une part, et se faire faire le vaccin contre la tiphoïde 15 jours avant le départ, d'autrepart (en plus du DTT polio que tout individu doit déjà avoir)
re
les moustiquaires impregnees ne sentent plus apres deux ou trois jours d utilisation
a moins que tu sois un "nez" de parfumeur et meme c est vraiment inondore au bout de qqes jours
a plus
jipi le zanatany
le voyage permet de garder l esprit ouvert aux autres
fièvre jaune inutile - Mada étant une zone non infectée. (de l'avis du médecin des armées).
Ps : rectifier je parlais de la dengue (et non dingue qui serait un lapsusrévélateur pour ce qui ne me connaitraient pas ..)
salut
oui en voyage dans les pays infectes par le paludisme nous avons toujours notre moustiquaire deux places
poids : moins de 300 grs
encombrement 30 cm long diametre 8 cm
moins encombrant qu un pull
et c est a ce jour le moyen le plus efficace pour se proteger la nuit : voir l OMS
a plus
jipi le zanatany
le voyage permet de garder l esprit ouvert aux autres
re
tu trouves cela chez decatlon s il y en a pas en rayon commande possible
prendre celle qui a l ecarteur en bois au sommet bcp plus agreable et plus confortable
on en trouve aussi a GO sport et a nature et decouverte
enfin je pense que dans tous les magasins ou l on vend du matos de treck et voyages
a plus
jipi le zanatany
le voyage permet de garder l esprit ouvert aux autres
Oui dans les années 55 ... cela fait un bail .... D"ailleurs j'envoie un avis de recherche. j'aurais bien aimé retrouver ma copine de Tamatave ! son père était cordonnier.
Veloma !
bonsoir
A propos de tes recherches sur ta copine, je pense que j'ai grandi avec son petit frère ( Élysée), la cordonnerie était à bazar bé, n'est ce pas ? et ils avaient une maison dans une grande cour ( pleins de manguiers) en face de l'école Maurice -Guyot
je me base uniquement sur le fait que seule cette famille de génération de cordonnier, était sur place à ce moment là, et pionner en la matière, à présent les arrière petits fils, ont pris le relais de l'arrière grand père
si les éléments sont fiables, contacte moi en M-P, je te communiquerais un tel🙂
cordialement
l'important n'est pas de convaincre, mais de donner à réfléchir
mais on n'est protegé qu'a 60%, et sur de longues durées on se fait plus de mal que de bien
il n'est pas très compliqué de se proteger efficacement, moustiquaires,
port de vetements couvrants des la tombée de la nuit, et si on est piqué malgré tout,
quand les symptomes apparaissent, avoir deja avec soi une boite de Coartem (artéméther/lumefantrine)
ou un autre traitement curatif efficace recent contenant de l'artémisinine ou artesunate.
Il est important de savoir que si l'on ne se traite pas tres rapidement
apres 24 ou 48H on ne peut plus rien garder dans l'estomac
et il faut recourir a des injections pour administrer le medicament (ex: Artesiane 80)
et il est quand meme plus simple de se balader avec une boite de comprimés
plutot qu'avec qu'une boite d'ampoules et des seringues.
on peut oublier les medicaments plus anciens qui fonctionnent mal ou rendent malade.
(recommandations de l'OMS)
et evidemment continuer a se proteger quand on est malade et affaibli
j'ai eu l'exemple tres recent d'une amie qui s'est fait piqué mais n'a pas reconnue les symptomes immediatement
parce qu'elle avait mal au dos, mal au ventre, envie de vomir, diarrhée
elle a negligé de se proteger en continu, resultat, piquée plusieurs fois a plusieurs jours d'intervalle
ca s'est fini par une semaine d'injections et de perfusions, elle n'est pas passée loin du cimetiere
> la consultaion du voyageur (donnée par un médecin de l'armée, spécialisé dans les maladies tropicales
c'est effectivement ce que les toubibs militaires recommandent mais cela fait quelques temps que ce n'est plus au gout du jour
mais tant que c'est marqué dans les manuels militaires... j'en ai fait l'experience dans l'Armée de l'Air pendant toute ma carriere
ou l'on m'a donné de la Nivaquine et de la Savarine a chaque fois que je partais en mission a l'exterieur.
si je l'avait prise, je serais neuneu a 100%, alors que là je ne le suis qu'a 90%...😛
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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.
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!
