Buy Lariam without prescription

Lariam is the brand name for mefloquine, an antimalarial medicine used to prevent and treat malaria caused by Plasmodium species. For travelers, it’s most commonly prescribed for malaria prophylaxis in regions where the parasite is sensitive to mefloquine.

For adults, the standard prophylaxis is one tablet once weekly. Start at least 2 weeks before entering a malaria area, continue weekly during travel, and keep taking it for 4 weeks after leaving. Take it with food and a full glass of water to reduce stomach upset, and try to take it on the same day each week.

Because mefloquine has a long half-life, protective levels build gradually. Starting 2 weeks before travel helps your body reach steady levels and lets you check your personal tolerance before you’re in a malaria-risk setting.

Do not take Lariam if you have a history of certain psychiatric conditions (such as depression, anxiety disorders, psychosis, or schizophrenia), seizures, or certain heart rhythm problems. If you’re on medicines that affect heart rhythm or lower the seizure threshold, your prescriber will likely recommend an alternative.

Common side effects include nausea, vomiting, diarrhea, dizziness, vivid dreams, insomnia, and headache. Many people tolerate it well, but if you develop troubling neurologic or psychiatric symptoms—such as anxiety, mood changes, confusion, hallucinations, or severe dizziness—stop the drug and seek medical advice immediately.

Yes. Mefloquine carries a boxed warning about neuropsychiatric adverse reactions that can be severe and, in rare cases, persist after stopping the drug. If any worrisome psychiatric or neurologic symptoms appear, discontinue it and consult a clinician promptly.

Lariam is considered an option for malaria prophylaxis in pregnancy when travel is unavoidable, and many guidelines allow its use in all trimesters. Small amounts pass into breast milk, but breastfeeding is generally considered compatible. Always discuss risks and alternatives with your obstetric provider.

Yes, mefloquine can be used in children with weight-based dosing prescribed by a clinician. Tablets can be split or crushed and mixed with a small amount of food or drink to help children take the dose.

In parts of Southeast Asia—especially along the borders of Thailand with Cambodia and Myanmar, and in some areas of Cambodia, Laos, and Vietnam—mefloquine-resistant Plasmodium falciparum has been reported. Travelers to these regions are usually advised to use other antimalarials.

Take it as soon as you remember. If it’s almost time for the next dose, just take one dose and resume your weekly schedule. Do not double up. If you’ve missed by several days, ask your travel medicine clinician about temporary backup measures.

Light to moderate alcohol may increase dizziness or sleep disturbances in some people. Because mefloquine can cause neuropsychiatric effects, it’s sensible to limit alcohol and avoid drinking if you notice worsening side effects.

Important interactions include drugs that prolong the QT interval (some antiarrhythmics, certain antibiotics and antipsychotics), halofantrine (contraindicated), and medicines that lower the seizure threshold (for example, bupropion or tramadol). Always provide your prescriber a complete medication and supplement list.

Until you know how you respond, use caution with activities requiring alertness or balance. Aviators and scuba divers are often advised to avoid mefloquine because side effects like dizziness or disorientation can be hazardous and mimic mission-related conditions.

It protects against blood-stage malaria, including Plasmodium falciparum and P. vivax. However, it does not prevent relapses caused by dormant liver forms (hypnozoites) of P. vivax or P. ovale; some travelers need additional anti-relapse therapy like primaquine or tafenoquine after G6PD testing.

Yes, mefloquine has been used for treatment, but due to resistance in some regions and concern for side effects, other therapies are often preferred. Treatment dosing is different from prophylaxis and should be guided by a clinician familiar with local resistance patterns.

Keep tablets in their original container, protected from excess heat and moisture, and out of children’s reach. Carry them in your hand luggage to avoid loss or extreme temperature exposure in checked bags.

No antimalarial is 100% effective. Use insect repellent with DEET or picaridin, wear long sleeves and pants, sleep under permethrin-treated bed nets, and choose accommodations with screens or air conditioning.

Stop the medicine and contact your travel health provider right away. Depending on your itinerary and timing, you may switch to an alternative like doxycycline or atovaquone-proguanil, with guidance to maintain continuous protection.

Yes, generic mefloquine contains the same active ingredient and is considered therapeutically equivalent when produced by reputable manufacturers. Your pharmacist can confirm availability and cost differences.

Costs vary by country, insurance, and brand versus generic. Generic mefloquine is usually less expensive than atovaquone-proguanil and comparable to or slightly more than doxycycline on a per-trip basis, but prices fluctuate.

Lariam is weekly and started at least 2 weeks before travel, while Malarone is daily, started 1–2 days before, and continued for 7 days after leaving. Malarone is usually very well tolerated but costs more and isn’t recommended in severe kidney disease or during pregnancy; Lariam is weekly and pregnancy-compatible but has neuropsychiatric risks.

Both are effective. Lariam is weekly and pregnancy-compatible but carries risks of neuropsychiatric and vestibular side effects. Doxycycline is daily, cannot be used in pregnancy or in children under 8, and can cause photosensitivity and stomach irritation, but it’s inexpensive and works well in Southeast Asia where mefloquine resistance exists.

Both are weekly. Chloroquine is only appropriate where malaria remains chloroquine-sensitive, which excludes most of the world’s P. falciparum regions. Lariam covers chloroquine-resistant areas but isn’t advised in regions with mefloquine resistance and has more neuropsychiatric cautions.

Both offer weekly dosing convenience, but tafenoquine requires G6PD testing, is not approved for children, and is contraindicated in pregnancy and breastfeeding with unknown infant G6PD status. Tafenoquine also targets dormant liver stages of P. vivax, helping prevent relapses; Lariam does not.

Primaquine (daily) is useful for primary prophylaxis in P. vivax regions and for anti-relapse therapy after exposure, but it requires G6PD testing and is not used in pregnancy. Lariam prevents blood-stage disease but won’t prevent vivax relapses; some travelers use Lariam plus a post-travel course of primaquine if indicated.

Malarone is easier for last-minute departures because you can start 1–2 days before travel. Lariam ideally starts at least 2 weeks prior; if you don’t have that time, most clinicians prefer a daily alternative.

Generic mefloquine (Lariam) is typically less expensive than brand-name atovaquone-proguanil (Malarone), especially for long trips. Actual costs vary by region and insurance coverage, so compare pharmacy prices before deciding.

Doxycycline’s side effects are usually predictable—sun sensitivity, GI upset, and pill esophagitis if not taken with water. Lariam is convenient weekly dosing but can cause neuropsychiatric or vestibular effects in a minority of users; because those can be serious, careful screening is essential.

No. In areas with known mefloquine resistance (parts of Cambodia, Laos, Vietnam, and Thai border regions), doxycycline or atovaquone-proguanil are preferred choices. Your travel clinic will check the latest resistance maps.

Yes, for most pregnant travelers to chloroquine-resistant areas, mefloquine is often preferred because doxycycline is contraindicated and atovaquone-proguanil is generally not recommended due to limited pregnancy data. Always individualize with your obstetric provider.

Many travelers find weekly Lariam easier to remember over months-long itineraries. Daily regimens like doxycycline or Malarone can be equally effective but require stricter adherence and more pills to carry.

Yes, but do it under medical guidance to avoid gaps in protection. Typically, you stop Lariam and start the daily alternative immediately, then continue the new regimen for its full post-travel tail (7 days for Malarone, 4 weeks for doxycycline).

Doxycycline or atovaquone-proguanil are usually preferred. Because Lariam can cause dizziness, disorientation, or sleep disturbances, it’s generally avoided in divers, pilots, and others whose safety depends on flawless balance and cognition.

Lariam doesn’t meaningfully interfere with common travel vaccines. Chloroquine can affect intradermal rabies vaccine responses, but that issue is not a concern with mefloquine, doxycycline, or atovaquone-proguanil. Your travel clinic will time vaccines and meds appropriately.