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From: screwloose@ne*.co* (Dunk, John)
To: J Shepherd <jms@ta*.ed*.ac*.uk*>
Cc: techdiver@terra.net
Subject: Re: Larium anti-malaria and DCI
Date: Tue, 24 Sep 1996 15:44:19 GMT
On Tue, 24 Sep 96 13:46:42 BST, you wrote:


>	More relevant is the mode of action of the prophylactic in
>question, for which we need the advice not of a geneticist, nor a
>doctor, but a phamacologist. 
>
>	Jason

Jason,if we're still on the Larium thread;
the mechanism of action for Larium as an anti-malarial is
unknown.Empirically however,it does work.
If there's some concern here,I did some further checking & found that
Doxycycline (a tetracycline) may also be used for malaria
prophylaxis.Its mechanism of action is well known (inhibits protein
synthesis) and as an antibiotic is probably not highly interactive
with the CNS.
HOWEVER,tetracyclines can cause sensitization to UV rays,so this may
not be a good choice as an anti malarial drug in the tropics unless
you keep covered up.
Actually,as far as i can find,you have three choices for anti-malarial
drugs;those that cause photosensitivity,those with CNS side
efffects,or those whose mechanisms of action are unknown (and
sometimes more than one of these caveats apply).
So,basically,you pays your money and you takes your choice.
I have some further info if you want it,but it really doesnt help in
making a decision as to which of these agents is preferred for use in
diving.
BTW,I'm not a pharmacologist,but I am in my last year of pharmacy
school.Hope this is close enough.
   John L. Dunk                   
   Tallahassee,Fl.                 
   screwloose@ne*.co*     

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