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* Peter Heseltine, M.D., F.A.C.P. *
* Professor of Medicine *
* University of Southern California LAC+USC Medical Center *
* Tel: 213/226-6705 1200 North State Street *
* Fax: 213/226-2479 Los Angeles, CA 90033-1084 *
* Eml: heseltin@hs*.us*.ed* USA *
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---------- Forwarded message ----------
Date: Thu, 3 Oct 1996 09:30:52 +0930
From: David Doolette <ddoolett@ME*.AD*.ED*.AU*>
Reply-To: HyperBaric & Diving Medicine List
<HYPBAR-L@TE*.TE*.AC*.IL*>
To: Multiple recipients of list HYPBAR-L <HYPBAR-L@TE*.TE*.AC*.IL*>
Subject: Re: antimalarials vs decompression
The advice that Peter H. provided is essentially the same advice I got
before a recent Solomon Islands diving trip from the head of our infectious
diseases department who has recently written a review on antimaalrial drugs.
Prophylactic doxycycline, one a day (dose?) starting a couple of days prior
to the trip and continuing for 3-6 weeks after the trip, beware of the sun.
Use a personal insecticide with the highest DEET level you can find.
Don't get bitten by insects.
I also carried an emergency course of mefloquin (Larium tm.). In the event
of really bad (eg cerebral involvement) malaria the idea is to take an
enormous dose and get on a plane to civilization and a hospital. The
potential side effects of mefloquin make it unsuitable for prophylaxis if
diving.
regards,
David Doolette
ddoolett@me*.ad*.ed*.au*
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