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Malaria medicines

Mefloquine

Also sold as: Lariam

Prescription neededMalaria medicines
Comes as:Tablet

Usual adult dose

Dose is set by your doctor. For prevention: usually 250 mg once a week, starting before travel and continuing for 4 weeks after return. Take after food with plenty of water.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • dizziness
  • strange dreams
  • trouble sleeping

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • anxiety
  • depression
  • confusion or seeing things that are not there
  • seizures
  • loss of balance

Do not take it, or take care, if

  • Depression, anxiety, psychosis or other mental illness, now or before
  • Epilepsy
  • Heart rhythm problems
  • Recent treatment with quinine (risk to the heart)

Interactions

Medicines that can react with this one.

Serious2 medicinesDo not take these together unless your doctor says so.
  • Chloroquine

    Together they raise the risk of seizures.

  • Quinine

    Together they raise the risk of seizures and dangerous heart rhythms.

Moderate1 medicineTake together only with care. Ask your doctor or pharmacist.
  • Sodium valproate

    Mefloquine can lower valproate levels and the seizure threshold.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Artemether + Lumefantrine
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.