malaria prophylaxis for travellers to the Dominican Republic

January 2005

The Public Health Agency of Canada is now recommending malaria prophylaxis for travellers to the Dominican Republic.

Malaria is already a concern in rural parts of the Dominican Republic...but now cases include tourists from RESORT areas.

No drug resistance has been reported...so chloroquine is the drug of choice.

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Table of Contents

concerns over potentially harmful drugs
Antiarrhythmics flecainide (Tambocor) or propafenone (Rythmol) written "take as needed for atrial fibrillation"
Cardiology Reps will be saying that amlodipine (Norvasc) reduces the risk of cardiovascular events
Humira, a new biologic therapy for rheumatoid arthritis
Light therapy is often as effective as antidepressants for seasonal affective disorder (SAD)
Ritalin, Adderall, and other stimulants to enhance test scores
Diabetes Reps will be touting evidence that suggests carvedilol is better than metoprolol for diabetes patients
Multiple Sclerosis Tysabri (tie-SAB-ree), the latest investigational treatment for multiple sclerosis (MS)
Multiple Sclerosis Aricept and other cholinesterase inhibitors for patients with multiple sclerosis
Supplements Cold-fX is getting a LOT of attention for treating and preventing colds
Supplements Is it legal to have melatonin on the shelves in Canada
Women's Health the risk of bone loss in women using Depo-Provera
Women's Health whether testosterone is appropriate for treating sexual dysfunction in women
Hematology & Oncology More women with EARLY breast cancer will be treated with an aromatase inhibitor
Infectious Diseases treatment for gonorrhea has changed
Infectious Diseases malaria prophylaxis for travellers to the Dominican Republic
Practice End of year is a good time to reflect on trustworthy drug information that is relevant to practice.