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Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 19318
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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Partner has just recovered from malaria (currently in Kenya).

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partner has just recovered from malaria (currently in Kenya). on her period now and she is having severe headaches and has nausea feeling for last 6 days. had one day when she felt fine but then recurred again. she ran out of pill whilst there so has been off it for a few weeks and now back on it. normal painkillers having no impact. anything she can do to make it will cost her to get checked so only want to go to doctors there if necessary.
Hello from JustAnswer.
What medicines is she currently taking?
Including, which painkillers has she tried?
Customer: replied 2 years ago.

panadol & ibuprofen but not taking much and she has just ran out. no other medications now. finished her malaria tablets and blood test was clear for malaria.

Thank you for the additional information.

There are several medicines that can be tried to help ease the symptoms that you describe, although the medicines that are available over the counter will vary by country, so will give several choices to try to find a medicine that is available in Kenya.

For the headache, the Panadol and the ibuprofen are reasonable options, but it may require a higher dose of the ibuprofen, which can be taken in doses up to 2400 mg per day in several divided doses. The next level of stronger medicine would typically be a mild opiate, such as codeine or hydrocodone, but these are usually not available over the counter.

For the headache, it is also fine to use local care, such as ice packs or moist heat.

For the nausea, promethazine is a good medicine, but is not over the counter in many countries. If promethazine is not available, then diphenhydramine may help or one of the medicines that are primarily marketed for motion sickness, such as meclizine or dimenhydrinate.

If I can provide any further information, please let me know.
Customer: replied 2 years ago.

ok...the headaches likely to be linked to her menstrual cycle rather than any malaria hangover?

It is impossible to know, and it may be a combination of the two. If she has never had similar headaches with her period, she may still be more sensitive to the hormonal changes because of the recent course of medicines. At this point, the headache would be treated similarly, so the goal is to simply relieve the headache.
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