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Parasites that cause malaria typically enter the body through the bite of a mosquitoMalaria is common in areas such as AfricaSouth Americaand Southern Asia.

Contact your doctor as soon as possible if you have been exposed to malariaor if you have fever or other symptoms of illness during or after a stay in an area where malaria is common.

Protect against mosquito bitesMedicines do not always completely prevent your catching malaria from mosquito bitesSo protect yourself very well against mosquitoesCover your skin with long sleeves and long pantsand use mosquito repellent and bednets while in malaria areasIf you are out in the bushyou may want to pre-wash your clothes with permethrinThis is a mosquito repellent that may be effective for weeks after useAsk your prescriber for other ways to protect yourself.

The labelling also makes it clear that to minimise the risk of these adverse reactionsmefloquine must not be used for malaria prevention in patients with activeor a history ofpsychiatric disturbances such as depressionanxiety or schizophreniaGuidelines from Rochethe makers of Lariamhave recommended individual assessments of risk.

Stephen Chapman does not work forconsultown shares in or receive funding from any company or organisation that would benefit from this articleand has disclosed no relevant affiliations beyond their academic appointment.

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the 1994 roche safety report also attributed suicidal tendencies chiefly to factors such as the progressive break down of traditional values and family structure, substance abuse and unemployment, not to lariam use.

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