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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 47233
Experience:  Board Certified Physician
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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: 4 years ago.
Category: Medical
Expert:  Dr. David replied 4 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.