Comparing antimalarial options, side-effects and prescription tips

Travel smart with the right malaria protection

Are you planning the trip of a lifetime to a tropical destination? Whether you’re heading off on a Kenya safari, a business trip to West Africa, or backpacking through Southeast Asia, one essential step is often overlooked: malaria prevention.

Malaria is a serious disease spread by mosquitoes in many parts of the world. Thankfully, it’s also highly preventable with the right malaria tablets and travel health advice.

But with several antimalarial medications available each with their own pros, cons, and side effects how do you know which one is right for you?

In this article, we’ll guide you through the most commonly prescribed options, how to choose the best fit for your travel plans, and where to get expert help such as at a private GP in Scotland like YourGP in Edinburgh.

Why malaria prevention is critical

Malaria is caused by a parasite transmitted through the bite of infected mosquitoes, and it can lead to severe illness or even death if left untreated. Each year, UK travellers return with cases of malaria, many of which could have been avoided with proper medication and precautions.

Depending on where you’re going, malaria may or may not be a concern. The first step is checking if your destination is a risk area. High-risk destinations include:

• Sub-Saharan Africa (e.g. Ghana, Kenya, Nigeria)
• Parts of Asia (e.g. rural India, Cambodia)
• Central and South America
• Some Pacific islands

If you’re asking, “Do I need malaria tablets for Kenya safari?” The answer is yes malaria risk is high in rural Kenya, and tablets are strongly recommended.

Which malaria tablets are available?

In the UK, three main antimalarial medications are prescribed: Malarone, doxycycline, and Lariam. Each one works differently and suits different types of travellers. Let’s compare them:

1. Malarone (Atovaquone/Proguanil)

Malarone is one of the most commonly prescribed malaria tablets in the UK.

• Dosage: Taken once daily, starting 1–2 days before travel and continuing for 7 days after return.
• Pros: Well-tolerated, fewer side effects, suitable for last-minute travellers.
• Cons: Slightly more expensive than other options.
• Side effects: Can include mild nausea or headache.
• Suitable for: Adults and children over 11kg.
  

Many travellers ask, “Which malaria tablets are safest for children in the UK?” Malarone is usually the first choice due to its safety profile and ease of use.

Wondering about the cost of Malarone prescription in Edinburgh? While it varies, a consultation at YourGP includes medical advice and a tailored prescription.

2. Doxycycline

This is a cost-effective option, especially for long-term travellers.

• Dosage: Taken once daily, starting 1–2 days before travel and continued for 4 weeks after returning.
• Pros: Budget-friendly, protects against other infections too (e.g. acne, tick-borne diseases).
• Cons: Must be taken with food and plenty of water.
• Side effects: Sun sensitivity, upset stomach, or thrush in some cases.
• Not suitable for: Children under 12 or those with certain medical conditions.
  

Planning a beach holiday? Doxycycline may increase your risk of sunburn, so extra sun protection is advised.

3. Lariam (Mefloquine)

Lariam is effective but not commonly prescribed unless other options aren’t suitable.

• Dosage: Once weekly, starting 2–3 weeks before travel and continuing for 4 weeks after return.
• Pros: Weekly dose means fewer pills.
• Cons: Can cause psychological side effects in some people.
• Side effects: Vivid dreams, anxiety, dizziness.
• Not suitable for: Anyone with a history of mental health issues.
  

Because of its potential side effects, Lariam requires a thorough assessment before prescribing.

How to choose the right malaria tablets

Choosing the best malaria tablets depends on several factors:

• Destination: Different regions have different strains of malaria.
• Length of stay: Some tablets are better for short trips; others are ideal for extended stays.
• Medical history: Some medications are unsuitable for certain health conditions.
• Age and weight: Children need specific dosages.
• Personal preference: Daily vs weekly tablets, pill size, and tolerability.

The easiest way to make the right choice is by booking a private GP malaria consultation near you, where a doctor will review your travel itinerary and medical history before prescribing the best option.

Why choose a private GP in Scotland for travel health advice?

Booking a travel medicine consultation with a private GP in Scotland, like those at YourGP in Edinburgh, ensures personalised, expert care tailored to your unique travel needs.

Benefits include:

• Flexible appointment times – great for busy schedules or last-minute travellers
• No long waits – get immediate advice and prescriptions
• Expert advice – from experienced travel health professionals
• Comprehensive service – including vaccinations, travel kits, and health certificates

YourGP also offers same-day appointments and follow-up advice throughout your trip planning.

Don’t forget mosquito bite prevention

Even the best malaria tablets won’t stop you from getting bitten—so bite prevention remains crucial. Here’s how to protect yourself:

• Use insect repellent with DEET on exposed skin.
• Wear long-sleeved clothing and trousers, especially after dark.
• Sleep under mosquito nets, especially in rural or open-air accommodations.
• Choose lodgings with screens or air conditioning.
• Avoid outdoor activities during peak mosquito hours (dusk to dawn).

Want to know how to avoid mosquito bites when travelling? Combine medication with smart habits and protective clothing for best results.

What else should you ask Your GP about?

In addition to malaria prevention, your travel consultation should include:

• Routine and travel-specific vaccinations
• Advice on food and water safety
• Managing pre-existing health conditions abroad
• Tips for packing a travel health kit
• Info on jet lag, altitude sickness, or traveller’s diarrhoea

Many travellers also ask for advice on travel insurance, prescription refills, and how to handle health issues overseas.

Travel confidently with the right protection

Whether you’re a first-time traveller or a seasoned explorer, protecting yourself from malaria is essential. With a wide range of antimalarial medications from Malarone to doxycycline and expert advice available, you don’t need to take any chances.

At YourGP, we specialise in personalised travel health advice tailored to your destination, timeline, and personal needs. We’re proud to be a trusted private GP in Scotland, helping you stay safe and healthy wherever your travels take you.

Book your malaria consultation today at YourGP Edinburgh and start your adventure with peace of mind.