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SCUBA-L  November 1999, Week 2

SCUBA-L November 1999, Week 2

Subject:

Re: Malaria - (Loooooong)

From:

Peter van Reeuwijk <[log in to unmask]>

Reply-To:

Scuba diving discussion list <[log in to unmask]>

Date:

Tue, 9 Nov 1999 11:50:04 +0100

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (41 lines)

> -----Original Message-----
> From: Scuba diving discussion list [mailto:[log in to unmask]]On
> Bjorn Vang Jensen wrote:
 
> Kuty wrote:
>
> > >e) MEFLOQUINE (Lariam) 250mg Tablets: Take ONE tablet ONCE
> > > a week, with food. Take on the same day each week, at the
> > >same time. **This drug is recognized as the strongest
> > >preventative treatment currently available,
> >
> > The main problem with this drug is that one of its side effect might be
> > hallucinations and dizziness. In terms of a diving vacation, it can
> > increase the risk of N2 narcosis so it was not recommended by
> doctors who
> > were more familiar with scuba diving.
>
> Hallucinations and dizziness are only two of the vast array of nasty side
> effects of Lariam.
> Several of its known side effects are similar to symptoms
> of DCS, and hence can produce wrong diagnoses. Either the diver can be
> wrongly dianosed with DCS, and miss out on some diving, or the
> diver or the
> doctor attributes the symptoms to the drug, and so does not diagnose DCS,
> which is of course worse. I would suggest re-evaluating your choice of
> diving destination if you really need this drug to go there!
 
I consider your remark of re-evaluating as good advice, but may I remind
you that the above-mentioned side effects are POSSIBLE side effects.
It still depends on a personal susceptibility to the drug if you will
experience them or not.
Since quite some beautiful diving destinations are designated Lariam area,
according to Dutch medical institutes (with W.H.O. info I hope),
it would consiberably limit the possibilities :-(
 
I personally didn't experience any problems with Lariam.
 
Just some additional input.
 
Peter van Reeuwijk

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