The Curbsiders Internal Medicine Podcast PATREON UNLOCKED #39 Exclusive! Travel Medicine
19 snips
Jul 17, 2025 Discover essential tips for safe summer travel as the hosts share humorous anecdotes and discuss common travel health issues. They emphasize infection prevention, especially malaria, while navigating vaccination guidelines and managing diabetes abroad. The conversation touches on the resurgence of wrestling culture alongside music recommendations, including a deep dive into the legacy of Harry Nilsson. Expect lighthearted commentary mixed with valuable medical insights tailored for globetrotters!
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Daily Malaria Prophylaxis Tips
- Use daily malaria prophylactics like doxycycline or atovaquone-proguanil, starting a day or two before travel.
- Counsel about doxycycline's sun sensitivity and contraindications such as pregnancy and childhood.
Weekly Malaria Drugs Guidance
- Start weekly malaria meds such as mefloquine or chloroquine two weeks before travel and continue one month after.
- Avoid mefloquine in patients with severe neuropsychiatric conditions due to side effects including nightmares.
Food and Water Hygiene Abroad
- Avoid street food and raw foods like ceviche to reduce risk of traveler's diarrhea.
- Use bottled water for drinking, brushing teeth, rinsing food, and avoid ice unless from known safe sources.