Malaria tablets

Anti-malaria advice and tablets for adults: malaria prevention for trips of 1 week to 1 year to all countries.

Read medical information and answer medical questions to buy treatment online.

Medical information

Background

Every year more than a hundred travellers from the UK catch malaria and tens of them die. The onset can be rapid. The right anti malaria tablet provides good protection. The risks are higher for children and pregnant women, and for people with ongoing medical conditions.

Do NOT forget you may also need vaccines and other health advice from a GP or travel clinic.

Which malaria tablets to buy online?

No one type of recommended anti-malaria tablet works better than another. Some are daily tablets, some weekly. Some are started a few days before travel, others 7 or 10 days before.

To compare the 6 different anti-malaria tablets see the table comparing anti-malaria tablets below. For a more detailed comparison see drugs most commonly used for malaria prevention.

How to take malaria tablets

  • Take the right tablets for the area you are going to.
  • Start your tablets before entering a malaria area. This may be a few days or up to 10 days before.
  • Take the tablets absolutely regularly, preferably with or after a meal.
  • Continue to take them for 4 weeks after leaving the malaria area. This period is reduced to 7 days for Malarone and atovaquone/proguanil.
  • No anti-malaria tablet is 100% effective.

Where are you travelling?

Selecting your destination above will open required page on NHS Fit For Travel website and display the Malaria precautions information including recommended malaria tablets (Prophylaxis) and other travel health advice for that destination. Also visit the link on NHS Fit For Travel destination page to Malaria map which shows low and high risk areas in your destination country.

Anti-malaria tablet recommendations are based on malaria parasite (Plasmodium) drug resistance. It is important to take the medicine which is recommended for the area being visited.

How to avoid bites?

Mosquitoes can bite at any time of day. Most bites occur in the evening.

  • Wear long-sleeved clothing and long trousers if you are out at dusk and at night.
  • Use insect repellant containing DEET on exposed skin and under thin clothing, particularly around the ankles. Higher strength DEET, up to 50%, should be used if tolerated.
  • Insect repellent sprays, mosquito coils, and heating insecticide impregnated tablets all reduce the risk of bites.
  • Where possible sleep in screened rooms and use a mosquito net, preferably one impregnated with insecticide.
  • Ultrasound devices, garlic, Vitamin B, marmite, homeopathic products, tonic water, and citronella DO NOT prevent bites.

What are the symptoms of malaria?

Malaria symptoms start out similar to flu. Symptoms include fever, shivers, sweating, backache, joint pains, headache, vomiting, diarrhoea & sometimes delirium.

These symptoms may take a week or more to develop after you have been bitten by an infected mosquito.

  • Seek medical advice if you get malaria symptoms for up to a year after exposure, even after taking anti-malarial tablets. Malaria is diagnosed with a simple blood test.
  • If you are travelling in remote areas for prolonged periods it may be best to carry a malaria treatment and/or a malaria testing kit with you. Discuss this with your regular doctor.
Buy treatment

Anti-malaria tablets are prescription only (except chloroquine or chloroquine with proguanil) – our doctors will issue the prescription online direct to our pharmacy. Dr Fox supplies medicines only for adults (over 18 years). Further information about malaria tablets for children.

Comparing malaria tablets

Compare anti-malaria tablets
Doxycycline Malarone (generic & branded) Chloroquine Paludrine (Proguanil) Chloroquine / Proguanil combined Lariam (Mefloquine)
Brand name
Many different Malarone (Glaxo) or non-branded Many different Paludrine Many different Lariam
Dosage
100mg capsule
One capsule daily
250mg Atovaquone/
100mg Proguanil. One tablet daily
155mg (base)
Two tablets weekly
100mg tab two tablets daily Proguanil two tablets daily plus chloroquine two weekly 250mg tab One tablet weekly on the same day each week
When to start
2 days before entering malaria area 2 days before entering malaria area 1 week before entering malaria area 1 week before entering malaria area 1 week before entering malaria area 10 days before entering malaria area
When to stop
4 weeks after leaving malaria area 1 week after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area
Number of tablets for 1 week trip
37 tablets 16 tablets 12 tablets 84 tablets 12 chloroquine 84 proguanil 8 tablets
Side effects and cautions
Indigestion/heart burn. Increase sensitivity to bright sun. Intestinal upsets and headache Intestinal upset, headache, possible rash Intestinal upset, rashes Intestinal upset, headache, rash Intestinal upset, Sleep and mental disturbance. Caution operating machinery.
Manufacturer's Patient Information Leaflet (PDF)
Leaflet Leaflet Leaflet Leaflet Leaflet Leaflet
malaria risk map

Authored 09 January 2010
by Dr Tony Steele

Reviewed 14 August 2017 by Dr B. Babor, Dr A. Wood, Dr P. Hunt

Last updated 20 September 2018


Treatment available

Prices
Malarone

Malarone (atovaquone/proguanil)

Generic £1.09 per tab

Buy treatment
Doxycycline

Doxycycline (100mg)

Up to 12 months from £0.19 per tablet

Buy treatment
Lariam

Lariam (mefloquine 250mg)

from £2.32 per tablet

Buy treatment
Avloclor

Avloclor (chloroquine 250mg)

from £0.50 per tablet

Buy treatment
Paludrine

Paludrine (proguanil 100mg)

from £0.11 per tablet

Buy treatment
Chloroquine and proguanil

Chloroquine/Proguanil (250mg/100mg)

from £0.98 per tablet

Buy treatment

Prices

Malaria pill type Quantity (trip length) Cost
Malarone Adult (Generic) 16 tablets (1 week trip) £19.80
Malarone Adult (Generic) 23 tablets (2 week trip) £28.15
Malarone Adult (Generic) 30 tablets (3 week trip) £36.50
Malarone Adult (Generic) 37 tablets (4 week trip) £44.85
Malarone Adult (Generic) 44 tablets (5 week trip) £53.20
Malarone Adult (Generic) 51 tablets (6 week trip) £61.55
Malarone Adult (Generic) 65 tablets (8 week trip) £77.25
Malarone Adult (Generic) 93 tablets (12 week trip) £117.65
Malarone Adult (Generic) 193 tablets (6 month trip) £210.35
Malarone Adult (Glaxo branded) 16 tablets (1 week trip) £46.90
Malarone Adult (Glaxo branded) 23 tablets (2 week trip) £63.10
Malarone Adult (Glaxo branded) 30 tablets (3 week trip) £79.30
Malarone Adult (Glaxo branded) 37 tablets (4 week trip) £95.50
Malarone Adult (Glaxo branded) 44 tablets (5 week trip) £114.40
Malarone Adult (Glaxo branded) 51 tablets (6 week trip) £132.60
Malarone Adult (Glaxo branded) 65 tablets (8 week trip) £170.10
Malarone Adult (Glaxo branded) 93 tablets (12 week trip) £218.55
Malarone Adult (Glaxo branded) 193 tablets (6 month trip) £450.00
Doxycycline 100mg 37 capsules (1 week trip) £11.80
Doxycycline 100mg 44 capsules (2 week trip) £12.80
Doxycycline 100mg 51 capsules (3 week trip) £13.80
Doxycycline 100mg 58 capsules (4 week trip) £14.90
Doxycycline 100mg 65 capsules (5 week trip) £15.90
Doxycycline 100mg 72 capsules (6 week trip) £16.90
Doxycycline 100mg 86 capsules (8 week trip) £19.20
Doxycycline 100mg 114 capsules (12 week trip) £23.60
Doxycycline 100mg 212 capsules (6 month trip) £42.00
Doxycycline 100mg 400 capsules (1 year trip) £75.00
Chloroquine 250mg 12 tablets (1 week trip) £6.00
Chloroquine 250mg 14 tablets (2 week trip) £7.00
Chloroquine 250mg 16 tablets (3 week trip) £8.00
Chloroquine 250mg 18 tablets (4 week trip) £9.00
Chloroquine 250mg 20 tablets (5 week trip) £10.00
Chloroquine 250mg 22 tablets (6 week trip) £11.00
Chloroquine 250mg 26 tablets (8 week trip) £13.00
Chloroquine 250mg 34 tablets (12 week trip) £17.00
Chloroquine 250mg 62 tablets (6 month trip) £31.00
Chloroquine 250mg 114 tablets (1 year trip) £57.00
Proguanil 100mg (Paludrine) 84 tablets (1 week trip) £11.05
Proguanil 100mg (Paludrine) 98 tablets (2 week trip) £12.20
Proguanil 100mg (Paludrine) 112 tablets (3 week trip) £13.40
Proguanil 100mg (Paludrine) 126 tablets (4 week trip) £14.50
Proguanil 100mg (Paludrine) 140 tablets (5 week trip) £15.50
Proguanil 100mg (Paludrine) 154 tablets (6 week trip) £16.50
Proguanil 100mg (Paludrine) 182 tablets (8 week trip) £21.20
Proguanil 100mg (Paludrine) 238 tablets (12 week trip) £25.90
Proguanil 100mg (Paludrine) 434 tablets (6 month trip) £46.30
Proguanil 100mg (Paludrine) 798 tablets (1 year trip) £86.70
Mefloquine 250mg (Lariam) 8 tablets (1 week trip) £22.90
Mefloquine 250mg (Lariam) 9 tablets (2 week trip) £24.10
Mefloquine 250mg (Lariam) 10 tablets (3 week trip) £25.90
Mefloquine 250mg (Lariam) 11 tablets (4 week trip) £28.10
Mefloquine 250mg (Lariam) 12 tablets (5 week trip) £30.10
Mefloquine 250mg (Lariam) 13 tablets (6 week trip) £32.10
Mefloquine 250mg (Lariam) 15 tablets (8 week trip) £35.90
Mefloquine 250mg (Lariam) 19 tablets (12 week trip) £48.10
Mefloquine 250mg (Lariam) 32 tablets (24 week trip) £79.00
Mefloquine 250mg (Lariam) 58 tablets (52 week trip) £135.00
Chloroquine 250mg/Proguanil 100mg 12 chloroquine 84 proguanil (1 week trip) £16.40
Chloroquine 250mg/Proguanil 100mg 14 chloroquine 98 proguanil (2 week trip) £18.40
Chloroquine 250mg/Proguanil 100mg 16 chloroquine 112 proguanil(3 week trip) £20.20
Chloroquine 250mg/Proguanil 100mg 18 chloroquine 126 proguanil (4 week trip) £22.20
Chloroquine 250mg/Proguanil 100mg 20 chloroquine 140 proguanil (5 week trip) £24.50
Chloroquine 250mg/Proguanil 100mg 22 chloroquine 154 proguanil (6 week trip) £26.50
Chloroquine 250mg/Proguanil 100mg 26 chloroquine 182 proguanil (8 week trip) £30.60
Chloroquine 250mg/Proguanil 100mg 34 chloroquine 238 proguanil (12 week trip) £38.30
Chloroquine 250mg/Proguanil 100mg 62 chloroquine 434 proguanil (6 month trip) £65.40
Chloroquine 250mg/Proguanil 100mg 114 chloroquine 798 proguanil (1 year trip) £112.20

Prescription issued online - small prescription fee per order.

Compare prices: Dr Fox prices are 25%-50% lower cost than other online clinics.

Prescription fees

Dr Fox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.

Prescriptions are issued by our doctors online and sent electronically to our pharmacy.

If you have your own private or NHS paper prescription please post to our pharmacy (details).

Dr Fox prices are 25%–50% lower than other UK online clinics.

Order value Prescription fee
up to £10 £1.00
up to £20 £2.00
up to £40 £3.00
over £40 £4.00
Prices of atovaquone/proguanil and GlaxoSmithKline Malarone tablets (26 March 2018), from UK online clinics - qualifying notes
*Dr Fox adds a small prescription fee not included in table above.
  1. The prices shown are listed by the online clinics named after a customer first enters consultation information and is offered prescriptions. It is possible these clinics may have special offers or lower prices for repeat supplies.
  2. Prices may change and are, to the best of our knowledge, accurate on the date stated. All products in stock and new condition.
  3. Dr Fox does NOT claim to provide a superior service to any of the online clinics listed. All the clinics listed, as far as we can tell, comply with all regulation and, as far as we can tell, operate to high ethical standards.
  4. Dr Fox adds a small prescription fee not included in the table (between £1 and £4 depending on value of the order).
  5. Some non POM items may be available at lower cost (OTC or P medicines) when supplied not on prescription.
  6. To amend the information in this table please contact us
  7. The prices listed in the table do not identify the cost of prescription medicine as online clinics charge a single fee to cover services which includes advice, consultations, prescriptions and dispensing and supply of treatments.
  8. Where services include free delivery this is using the slowest delivery option available. Dr Fox uses Royal Mail Tracked 24.
Malarone (generic) Dr Fox* Pharmacy2U Med Express Lloyds Superdrug Express Pharmacy
16 tablets (1 week trip) £19.08 £39.00 £41.99 £39.00 £39.00 £39.99
23 tablets (2 week trip) £28.15 £53.00 £57.99 £54.00 £53.00 £53.68
30 tablets (3 week trip) £36.50 £67.00 £70.99 £70.99 £67.00 £67.37
37 tablets (4 week trip) £44.85 £82.00 £89.99 £88.00 £82.00 £81.06
Malarone (GSK brand) Dr Fox* Pharmacy2U Med Express Lloyds Superdrug Express Pharmacy
16 tablets (1 week trip) £46.90 £50.00 £49.99 £49.00 £50.00 £49.99
23 tablets (2 week trip) £63.10 £70.00 £69.99 £69.00 £70.00 £66.22
37 tablets (4 week trip) £95.50 £100.00 £99.99 £99.00 £100.00 £98.68
UK Delivery £2.90 £3.45 £2.90 £4.95 inc £2.95

Delivery charges

UK delivery only: £2.90 per consultation via Royal Mail 24 Signed For (1-3 working days with tracking).

Parcel forwarding services are not permitted. Use only UK home or work delivery address.

Returns and refunds - unwanted items can be returned within 14 working days for a full refund.

  1. Medical questions
  2. Choose treatment
  3. Complete order

Answer medical questions to order(anti-malaria tablets)

You must read the important medical information for malaria tablets.

  1. To find the malaria tablets recommended for the area you plan to visit please go to the NHS Fit for Travel website.
  2. On the NHS website find the page for the country you are visiting.
  3. On the top of your country page, click the link labeled 'Malaria Map'.
  4. On the malaria map page check if you are going to areas coloured red or pink and see the advice below the map. If antimalarials are usually advised return to the malaria section of the country.
  5. Your recommended tablets are at the bottom of your country page under the heading 'Malaria precautions'. Make a note of ALL the recommended tablets.
    Please take care to get this right as it is important.
  6. People visiting multiple regions where different tablets are recommended must see their GP or a specialist travel adviser before ordering.
  7. If you are NOT eligible for treatment from Dr Fox consult your doctor or a specialist travel clinic. It is NOT safe to travel without appropriate malaria prevention.

Have you read the anti-malaria tablets medical information?

Please read malaria important medical information.

For my area of travel, Fitfortravel recommends the following (tick ALL the recommended medication from the list below):







Are you allergic to:








Are you pregnant or do you intend to become pregnant during your trip or within 3 months afterwards?

Are you breastfeeding or will you be during your trip?

Have you been diagnosed with liver disease?

Have you been diagnosed with kidney disease?

Not including occasional urinary infection.

Do you have epilepsy or seizures?

Have you been diagnosed with significant depression or psychiatric disorder?

Do you have cardio conductive disorder?

Are you taking the anticoagulant warfarin or other blood thinning medicines, excluding Edoxaban?

Are you aware that no malaria tablet provides 100% protection?

Are you aware that if you get a fever between 1 week and 1 year after exposure you should seek medical attention and tell the doctor the background?

Do all the following apply to you?

  • I will read the patient information leaflet supplied with my tablets
  • The tablets are for my own use (partners, spouses etc must log out, complete their own consultation and register separately)
  • I am over 18
  • I agree to the terms & conditions, privacy policy, & data sharing policy.
  1. Medical questions
  2. Choose treatment
  3. Complete order
Please select a tablet and quantity below (tick box) and confirm order.
  • No malaria tablet type provides better protection than another.
  • Some malaria tablets need to be started 2-3 weeks before exposure.
  • Some malaria tablets are taken daily, others weekly.
  • Please look at the 'patient information leaflet' (links below) before making an order. This is particularly important if you already take regular medication.

Prices (choose tablet and duration of trip)

Small screens may need to scroll sideways to see all tablets available

Duration Chloroquine Proguanil (Paludrine) Chloroquine / Proguanil Mefloquine (Lariam) Doxycycline Malarone (branded) atovaquone + proguanil Malarone (generic) atovaquone + proguanil
1 week
2 weeks
3 weeks
4 weeks
5 weeks
6 weeks
8 weeks
12 weeks
6 months
1 year

Total cost: £

*Some tablets are not advised for longer than three months without further consultation with your GP.

Doxycycline Malarone (generic & branded) Chloroquine Paludrine (Proguanil) Chloroquine / Proguanil combined Lariam (Mefloquine)
Manufacturer's Patient Information Leaflet (PDF)
Leaflet Leaflet Leaflet Leaflet Leaflet Leaflet
Brand name
Many different Malarone (Glaxo) or generic non-branded Many different Paludrine Many different Lariam
Dosage
100mg tab
One tablet daily
250mg Atovaquone/
100mg Proguanil. One tablet daily
150mg (base)
Two tablets weekly
100mg tab two tablets daily Proguanil two tablets daily plus chloroquine two weekly 250mg tab One tablet weekly on the same day each week
When to start
2 days before entering malaria area 2 days before entering malaria area 1 week before entering malaria area 1 week before entering malaria area 1 week before entering malaria area 10 days before entering malaria area
When to stop
4 weeks after leaving malaria area 1 week after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area 4 weeks after leaving malaria area
Number of tablets for 1 week trip
37 tablets 16 tablets 12 tablets 84 tablets 12 chloroquine 84 proguanil 8 tablets
Side effects and cautions
Indigestion/heart burn. Increase sensitivity to bright sun. Reduced effectiveness of contraceptive pill. Intestinal upsets and headache Intestinal upset, headache, possible rash Intestinal upset, rashes Intestinal upset, headache, rash Intestinal upset, Sleep and mental disturbance. Caution operating machinery.

The order process

Answer short medical questionnaire

Choose treatment, register, and pay

Doctor issues prescription online

Medicine posted direct from pharmacy


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