Lariam

Lariam (mefloquine 250mg) anti-malaria tablets available to buy online from our registered pharmacy.

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Buy Lariam online in UK

How to order Lariam online for UK delivery:

  1. Read medical information about malaria tablets
  2. Answer medical questions to check for eligibility
  3. Reviewed by doctors - posted from UK pharmacy

Prices

Prices of Lariam from Dr Fox (in stock)
Malaria prophylaxisQuantity (trip length)Cost
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

Price match guarantee
Prescription issued online - small prescription fee per order.

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.

Order valuePrescription fee
up to £10£1.00
up to £20£2.00
up to £40£3.00
over £40£4.00

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

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

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.

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About Lariam

  • Lariam is a prescription-only oral tablet used to prevent malaria.
  • Lariam is a brand name, the active ingredient is mefloquine.
  • Take one 250mg tablet weekly, starting at least 10 days before entering malaria zone, continue for 4 weeks after leaving.
  • Caution: Lariam may cause serious mental issues in some people.
  • Read the patient leaflet for a full list of side effects, cautions, and interactions with other drugs.

Uses of Lariam

Malaria is caused by a parasite which is passed from one person to another by mosquito bites. Lariam interferes with the growth of the parasites in red blood cells. Lariam is effective in preventing malaria and is recommended in certain parts of the world. Recommendations for which anti-malaria prevention is recommended in different countries can be found at the NHS Scotland Fit for Travel website.

No malaria prevention tablet is 100% effective - mosquito bite avoidance measures should also be taken.

Lariam can also be used to treat malaria. Treatment for malaria should only be administered under medical supervision and after a definite blood diagnosis of malaria. The recommended adult dosage for the treatment of P. falciparum malaria is up to 6 Lariam tablets over 24 hours dependent on body weight.

Dr Fox supplies Lariam on prescription only for malaria prevention.

How to take Lariam tablets for malaria prevention

Adults over 45kg: Take one Lariam tablet on the same day each week, starting at least 10 days before entering malaria areas. If you have never taken Lariam before, it is often recommended to start earlier, 2-3 weeks before travel, in case of side effects and needing to swap to a different preventative medication. Continue weekly tablets whilst in the malaria region and for 4 weeks after leaving. The minimum course of treatment is 6 weeks.

Swallow tablets whole with plenty of water, preferably after a meal. Do not suck or chew the tablets.

Lariam should not be taken for longer than 12 months.

Cautions

Checks for suitability are carried out online as part of Dr Fox consultations. Alternatives to Lariam tablets for malaria prevention are available through Dr Fox.

Lariam can be taken by many people, although it is not suitable for everyone. Travel is often stressful and Lariam may exacerbate stress related symptoms.

Who should not take Lariam?

Lariam should not be taken if any of the following apply:

  • Allergy to mefloquine, quinidine, or quinine.
  • You have - or have had in the past - any mental health problems including depression, anxiety, psychosis, suicidal thoughts or attempts, self-harming, schizophrenia.
  • A history of fits or seizures (Lariam may increase the risk of fits and also reduces the effectiveness of antiseizure medications).
  • Severe liver problems.
  • Previous Blackwater fever (a complication of malaria that affects the blood and kidneys).
  • A known heart conduction condition, e.g. heart block, long QT syndrome.
  • You are taking medication which slows the heart rate, or fluconazole, itraconazole, or ketoconazole tablets.
  • A traumatic brain injury - an alternative antimalarial prophylaxis to Lariam should usually be considered.
  • Scuba divers planning to dive during their trip should not take Lariam as it can lower seizure threshold and also affect decompression symptoms.
  • The UK Civil Aviation Authority advises against pilots using Lariam.

Halofantrine (to treat active malaria) should not be used within 15 weeks of taking Lariam as the combination may slow the heartbeat to a dangerous level.

Pregnancy and breastfeeding

Developing malaria at any stage during pregnancy can have very severe consequences including a higher risk of death of mother or baby. Therefore pregnant women are strongly advised not to travel to malarious areas if at all possible. If travel is unavoidable, malaria prevention medication should be used. The risk from malaria is much greater than any risk to the baby from taking antimalarial medication. Lariam can be taken in some circumstances. Dr Fox does not prescribe in pregnancy. A specialist in travel medicine should be consulted.

See also Best use of medicines in pregnancy - Mefloquine.

Breastfeeding whilst taking Lariam is not recommended.

Lariam for children

Lariam can be used in children and babies over 3 months or over 5kg. Dr Fox only prescribes for people 18 years and over. See more information about malaria tablets for children.

Driving and operating machinery

Occasionally Lariam can affect fine coordination or the ability to visually assess distance which may impact driving, piloting an aircraft, or operating machinery. Special care should be taken when doing any of these tasks.

Side effects of Lariam

Most people can take Lariam without significant side effects. The most common side effects of Lariam include:

  • Depression and anxiety.
  • Sleeping problems.
  • Nausea (feeling sick).
  • Vomiting.
  • Dizziness.
  • Headache.
  • Problems with vision.
  • Loss of balance (vertigo).
  • Diarrhoea.
  • Stomach ache (abdominal pain).
  • Itching.

Other side effects are listed in the Lariam patient information leaflet supplied with medicine.

In a few people, depression, dizziness, or vertigo may continue for several months after stopping Lariam.

When should you stop Lariam?

In a very few people Lariam can cause serious psychiatric symptoms.

Stop taking Lariam immediately, consult a doctor, and use a different antimalarial, if you experience any of the following symptoms:

  • Severe anxiety.
  • Paranoia (feelings of mistrust towards others).
  • Depression.
  • Hallucinations (seeing or hearing things that are not there).
  • Insomnia.
  • Abnormal dreams/nightmares.
  • Feeling restless.
  • Confusion or other unusual behaviour.
  • Suicidal thoughts.
  • Self-harming.

Also stop Lariam, swap to a different antimalarial, and consult a doctor, if any of these other problems develop:

  • Changes to your vision.
  • Burning sensation.
  • Tingling.
  • Numbness.
  • Muscle weakness.
  • Breathlessness.
  • Dry cough.

Other measures to prevent malaria

In addition to taking recommended malaria tablets, malaria risk can also be reduced by avoiding mosquito bites.

Mosquitoes can bite at any time of day. Most bites by malaria mosquitoes occur in the evening and overnight between dusk and dawn. In contrast, dengue fever mosquitoes tend to bite during the day.

  • Wear long-sleeved clothing and long trousers if you are out at dusk, dawn, and at night. Several companies sell insect resistant travel clothing pre-treated with insecticide (permethrin).
  • Use insect repellent containing DEET on exposed skin and under thin clothing, particularly around the ankles. The best strength DEET is 50% There is no added benefit to using higher concentrations. Other repellents containing picaridin 20% or lemon eucalyptus 30% are less effective than DEET and must be reapplied very frequently.
  • Insect repellent room sprays, mosquito coils, and heating insecticide impregnated tablets all reduce the risk of bites and should be used to kill mosquitoes in bedrooms before going to bed.
  • Where possible sleep in screened rooms and use a mosquito net, preferably one impregnated with insecticide (permethrin). Mosquitoes are deterred by air conditioning but not fans.

Ultrasound devices, mobile phone apps, garlic, Vitamin B, marmite, homeopathic products, tonic water, alcohol, tea tree oil, and citronella DO NOT prevent bites.

For further information see Travel Health Pro - Insect and tick bite avoidance and NHS - Malaria Prevention.

Patient Information Leaflet

Illustration of patient leaflet from medicine packet

The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine and must be read before taking the medicine. It is written for patients and gives information about taking or using a medicine.

The Patient Alert Card is included in the pack with Lariam tablets. It must be read before taking the medication and should be carried by the patient whilst taking Lariam.

Lariam Patient Leaflet
Lariam Patient Alert Card


Lariam FAQs

Can I get Lariam on the NHS?

Travel medicines, including malaria tablets, are considered lifestyle treatments and not available free on the NHS. Your GP will be able to write a private prescription, but may charge for this. The pharmacy will also charge a fee for supplying the medicine.

How should I store Lariam when travelling?

Tablets are supplied in aluminium foil packs and should be opened individually when needed (weekly). Packs should be kept in the medicine box supplied, along with the patient information leaflet whilst travelling. The patient alert card should be kept with the person. No other special storage conditions are required. Tablets usually have a 3-year shelf life from manufacture, always check the expiry date printed on the medicine pack. Keep medicines out of the reach of children.

Is generic Lariam available?

Generic Lariam is not currently available in the UK (September 2021).

See also malaria and antimalarials FAQs.

Dr Tony Steele

Authored 01 April 2016 by Dr Tony Steele
MB ChB Sheffield University 1983. Former hospital doctor and GP.

Reviewed by Dr A. Wood, Dr C. Pugh, Dr B. Babor, Dr P. Hunt
Last reviewed 08 September 2021
Last updated 18 October 2021

References

Product reviews

Lariam rated 4.25/5 in 4 product reviews

See over 30,000 service reviews of Dr Fox

Mefloquine 250mg

Have been taking this product for over 10 year as I travel to Africa more often and it has never failed me.

10/01/2019 12:55
Anonymous Verified

Mefloquine 250mg

Easy weekly dose - can give nightmares

07/02/2018 11:58
Anonymous Verified

Mefloquine 250mg

fine, no problems

05/12/2016 17:05
Anonymous Verified

Mefloquine 250mg

Once a week as opposed to everyday.

29/11/2016 10:09
Anonymous Verified

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