How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 42782
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

I am going to goa with a 3 year old and 4 year old..... what

Customer Question

I am going to goa with a 3 year old and 4 year old..... what malaria's would they need, are they old enough, how is best prescribed to them and is it safe for them.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

here are the UK recommendations for travel to goa

Dr. David :

http://www.netdoctor.co.uk/travel/asia/goa.shtml

Dr. David :

you would need typhoid, hep A and dyptheria.

Dr. David :

tetanus and polio should be up to date for your children.

JACUSTOMER-abqt22yy- :

actually I want to know exactly what malaria's for young children to at that age for goa if they can take at that age

Dr. David :

the best thing is to use antimosquito repellant and avoid being bitten by mosquitos.

Dr. David :

if you are there for a short period of time, the chances for malaria are small

Dr. David :

if you are there for an extended period of time, then there are medications which can be used to try to prevent malaria.

Dr. David :

but these medications have risks.

Dr. David :

Chloroquine (Avloclor or Nivaquine) is taken weekly and is the preferred drug for the few areas without chloroquine resistance to prevent malaria.

Dr. David :

how long are you going to be in goa?

Dr. David :

why are you rating bad service?

JACUSTOMER-abqt22yy- :

because your answers are no more specific than I can find on line. I have asked directly for the exact meds that are good for a 3 and 4 year old and how safe it is and how it is taken and you direct me to a generic website. I already know the info you have given me I wanted specific advice relating to my case not generic answers

Dr. David :

how long are you going to be in goa?

JACUSTOMER-abqt22yy- :

2 weeks

Dr. David :

for a short trip like that, you and your children don't need medications for malaria prophylaxis.

Dr. David :

but you are definite you want to take a medication?

JACUSTOMER-abqt22yy- :

thats not what all the online advice states where can I find the advice you have given

Dr. David :

http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/yellow-fever-and-malaria-information-by-country/india#5441

Dr. David :

yellow fever is more of a concern.

JACUSTOMER-abqt22yy- :

I am sorry but your answers are not specifc enough for me.

Dr. David :

what other questions do you have?

JACUSTOMER-abqt22yy- :

thankyou anyway

JACUSTOMER-abqt22yy- :

its ok... you are still not able to give specific information to my needs

JACUSTOMER-abqt22yy- :

thank you

Dr. David :

where are you staying in goa?

Dr. David :

at a hotel or are you making trips into the country?

Dr. David :

that makes a big difference as to the risks for malaria exposure.

JACUSTOMER-abqt22yy- :

My exact questions again:

JACUSTOMER-abqt22yy- :

I am staying in northern goa.

JACUSTOMER-abqt22yy- :

in a villa complex

JACUSTOMER-abqt22yy- :

my children are 3 and 4

JACUSTOMER-abqt22yy- :

I have been advised to take malaria

JACUSTOMER-abqt22yy- :

i wanted to know which it was, if my children are too young to take it

Dr. David :

who advised you?

Dr. David :

your doctor?

JACUSTOMER-abqt22yy- :

what form it comes in and is it safe

JACUSTOMER-abqt22yy- :

the travel clinic

JACUSTOMER-abqt22yy- :

I do not feel that your answers will satisfy what I need but thank you

JACUSTOMER-abqt22yy- :

\

Dr. David :

there are medications for this.

Dr. David :

in the uk, Chloroquine is most often use.

Dr. David :

there are adult and pediatric dosing.

Dr. David :

for adults, 500mg once a week.

Dr. David :

start 1-2 weeks prior to travel.

Dr. David :

continue 4 weeks after travel.

Dr. David :

for children. 5mg/kg once a week.

Dr. David :

maximum dose of 300mg per child

Dr. David :

most common side effects are nausea, vomitting, diarrhea, abdominal pain

Dr. David :

is this the information you are looking for?

Dr. David :

Plaquenil is also used for adults and chidlren.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions