Malarone or non-branded generic atovaquone/proguanil malaria tablets available to buy online.Start order
How to buy Malarone online
- Read medical information about malaria and how to prevent it
- Answer medical questions to check for eligibility
- Reviewed by doctors - posted from UK pharmacy
A lower cost licensed generic version of Malarone became available in the UK from February 2013. This is non-branded atovaquone/proguanil, also known as 'generic Malarone', and is medically identical to Malarone from GSK. Both available from Dr Fox.
|Quantity (trip length)||Generic Malarone cost||GSK Malarone cost|
|16 tablets (1 week trip)||£19.80||£46.90|
|23 tablets (2 week trip)||£28.15||£63.10|
|30 tablets (3 week trip)||£36.50||£79.30|
|37 tablets (4 week trip)||£44.85||£95.50|
|44 tablets (5 week trip)||£53.20||£114.40|
|51 tablets (6 week trip)||£61.55||£132.60|
|65 tablets (8 week trip)||£77.25||£170.10|
|93 tablets (12 week trip)||£117.65||£218.55|
|193 tablets (6 month trip)||£210.35||£450.00|
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 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|
|Malarone (generic)||Dr Fox*||Pharmacy2U||Med Express||Lloyds||Superdrug||Express Pharmacy|
|16 tablets (1 week trip)||£19.80||£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 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.
What does it do?
Malarone is a combination drug, containing Atovaquone (250mg) and Proguanil (100mg), and each component stops the P.falciparum parasite from reproducing in the blood. It is used as a preventative method against malaria from bites from mosquitoes infected with this parasite.
Stronger doses of the drug are used to treat uncomplicated malaria from the same parasite.
Who is at risk of malaria?
Malaria is a tropical disease carried by mosquitoes in infected areas, and is common in areas such as Southern Asia, Africa, and South America. Before travelling to these climates, it is important to check the malaria risk for the specific location and time of year you are visiting. Consult the NHS Fit for Travel website or consult a travel medicine professional for more advice.
People who previously built up immunity by living in malaria areas can lose that immunity over time. The recommended tablets for an area can change from time-to-time.
Children and women who are pregnant or breastfeeding are at increased risks, including severe and fatal malaria.
See a doctor immediately if you get flu-like symptoms such as a high temperature, headache, body aches, shivering and tiredness after leaving a malaria risk area for up to one year, as this may indicate a malaria infection.
Malarone is one of a choice of anti-malarial drugs that can be prescribed but is particularly effective in high-risk areas where resistance to chloroquine, which targets the same P.falciparum parasite, is prevalent. Its simple dosage means it is suitable for last-minute holidays and trips of shorter duration.
The Fit for Travel website has details of recommended malaria tablets (and other travel health advice) for each destination.
How to take Malarone
After consultation with a doctor, detailing the specifics of your trip, your Malarone prescription needs to be started one to two days before entering an area with malaria risk. Take one tablet every day during your stay and for seven days after leaving the area.
Take the tablet at the same time once a day with food or a milky drink. For the medication to be effective, and to prevent resistance, the whole course of tablets must be completed.
If you forget to take a dose just take your next dose as soon as you remember. Then continue your treatment as before.
How effective is it?
No anti-malarial medication is 100% effective and preventative measures should be taken to decrease the risk of being bitten in high-risk areas. Cover exposed skin, especially during and after dusk, use an insect repellent and mosquito nets at night.
What are the side effects of Malarone?
All medication affects patients individually, with some possible side effects being more common than others. Malarone is very well tolerated compared with other antimalarials. A full list of side effects can be found in the manufacturer's patient information leaflet (PDF) supplied with Malarone tablets.
Common side effects (affecting more than 1 in 10 people) include headaches, nausea, vomiting, diarrhoea and abdominal pain. These side effects can often be alleviated by taking Malarone with food or a milky drink.
Less common side effects (affecting up to 1 in 10 people) include loss of appetite, coughing, dizziness, fever, rash or itching, insomnia, or abnormal dreams, and anaemia.
Uncommon side effects (affecting up to 1 in 100 people) include anxiety, palpitations, swelling and redness of the mouth, hair loss, and hives. Other rare side effects are listed in the patient information leaflet.
What should I do if I experience side effects from Malarone?
- Try to persevere with the medication.
- Take it regularly as directed, with food or a milky drink.
- Stick to plain, bland food stuffs.
- You can treat nuisance side effects with commonly used medicines. Headache can be treated with paracetamol for example. For nausea/vomiting, try an anti-sickness medication such as promethazine.
- Do not stop taking your malaria prophylaxis unless you can possible help it.
- If you are sick (vomit) within 1 hour of taking your Malarone tablet, take another dose straight away.
- If you feel dizzy, do not drive or operate machinery.
- If you are worried you have had a serious side effect from Malarone you must report this to your doctor.
- Adverse reactions should be reported on the Yellow Card Scheme.
Allergic reactions after taking Malarone
If you have any symptoms or signs suggestive of an acute allergic reaction (anaphylaxis), you must get medical help immediately.
Symptoms/signs of an acute allergic reaction include:
- Difficulty breathing, tight chest, wheezing.
- Swelling of the face, eyelids, lips, tongue, or other parts of the body.
- Skin rash - urticaria/hives. Usually treated with anti-histamine.
- Confusion, collapse, unconsciousness.
For more information see NHS - Anaphylaxis.
Who should not take Malarone?
During a Dr Fox online consultation, you will be required to complete an assessment questionnaire to determine your suitability for anti-malarial medication. You should not take Malarone without further consultation with your GP if you:
- Are allergic to atovaquone or proguanil
- Are pregnant or breastfeeding or intend to be during your trip or two months after
- Have been diagnosed with liver disease or severe kidney disease
- Have epilepsy or seizures
- Are currently taking:
- warfarin and other medicines to thin the blood
- metoclopramide, used to treat nausea and vomiting
- the antibiotics, tetracycline, rifampicin, or rifabutin
- efavirenz or certain highly active protease-inhibitors used to treat HIV
- etoposide used to treat cancer
If you start taking any other medicines whilst taking Malarone speak to your doctor or pharmacist.
Malarone Adult tablets are recommended for preventing malaria in people over 40kg. Malarone Paediatric tablets are available for children from 11kg on prescription from GPs, or from specially trained pharmacists.
Dr Fox can only prescribe medicine to adults (18 years or over). Further information about malaria tablets for children.
Patient information leaflet
The 'Patient Information Leaflet' supplied with medication must be read before taking tablets and kept with the medicine.
Branded and generic Malarone
Manufactured by GlaxoSmithKline, Malarone was originally used solely as a treatment for P. falciparum malaria until it was licensed as an anti-malarial drug for preventative use in 2001. Recognised by the Malaria Reference Laboratory, responsible for setting down the UK anti-malarial recommendations, Malarone is included in the published guidelines used by NHS surgeries and travel clinics throughout the UK.
Malarone was under patent protection in the UK until January 2013 when the patent was invalidated by a court, meaning legal versions of generic Malarone have been made available from other pharmaceutical companies such as Mylan and Glenmark.Start order
Should I purchase branded or generic Malarone?
It is common practice in medicine these days, to offer patients a generic drug instead of a brand name product. As a general rule there is no evidence that a generic product will work any less efficiently than a branded one. However, the two products, although they contain identical active ingredients, will differ slightly as they are being manufactured in different settings by different manufacturers. Some patients sometimes state a preference for a branded product. However, the decision is largely down to personal choice and your experience with each product. Generic medicines are usually significantly lower cost than branded originals. Malarone or generic atovaquone/proguanil are not usually available on the NHS and must be purchased privately.
Please also read generic medicines FAQs.
Is Malarone only available on prescription?
Branded Malarone is a prescription only medicine. A new product called Maloff Protect (atovaquone/proguanil) is available to buy without prescription from a pharmacy since 2017.
How should I store Malarone when travelling?
Tablets are supplied in blister packs and should opened individually when needed (daily). Blister packs should be kept in the medicine box supplied along with the patient information leaflet whilst travelling. No other special storage conditions are required. Tablets usually have a 5-year shelf life - always check the expiry date printed on the medicine pack. Keep medicines out of the reach of children.
Can Malarone be used to treat malaria?
Yes. The recommended adult dosage for the treatment of P. falciparum malaria is 4 tablets once daily for 3 days. Treatment should be administered under medical supervision.
See also malaria and anti-malaria tablets FAQs page.
Authored 11 July 2013
by Dr Tony Steele
Last updated 5 March 2019
Malarone: Patient Information Leaflet
Malarone: Summary of Product Characteristics
BNF: Atovaquone with Proguanil Hydrochloride
Journal of Antimicrobial Chemotherapy: A systematic review and meta-analysis of the effectiveness and safety of atovaquone–proguanil (Malarone) for chemoprophylaxis against malaria
NHS: Malaria Antimalarials
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The order process
Answer short medical questionnaire
Choose treatment, register, and pay
Doctor issues prescription online
Medicine posted direct from pharmacy