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If you have been told by your doctor that you have an intolerance to some sugarssuch as lactose or galactoseyou should not take LariamContact your doctor before taking this medicinal product.

Many drugs can interact with LariamNot all possible interactions are listed hereTell your doctor about all your medications and any you start or stop using during treatment with this medicineespecially:

Epilepsy fitsseizures or convulsionsheart problemsespecially changes in heart rhythm liver or kidney problems eye problemse.gloss of fine detailcolours seem fadedsudden loss of visionpoor vision at nightblood or lymphatic disorderabnormal blood test showing a decrease or an increase in white blood cellsa decrease in red blood cells or plateletsneuropathy with signs of e.gpins and needlesweaknessnumbnessnew or worsening clumsiness or unsteadiness on your feetor shaking of the hands and fingers inflammation of the lungsalso known as pneumonitisThis is a seriouspotentially life-threatening allergic reaction in the lungs which may cause feverchillscoughshortness of breath or chest painpreviously contracted malaria even though you were taking Lariam tablets for malaria prevention experienced a mild to serious potential life threatening allergic reaction to Lariam or any of its ingredients low blood glucose due to a pre-existing condition called congenital hyperinsulinemic hypoglycaemia.

If you miss a dosetake it as soon as possibleIf it is nearly time for your next doseskip the missed dose and carry on as beforeDo not take a double dose.

Although retinal abnormalities seen in humans with long-term chloroquine use have not been observed with mefloquine uselong-term feeding of mefloquine to rats resulted in dose-related ocular lesionsretinal degenerationretinal edema and lenticular opacity at 12.5 mg/kg/day and highersee Animal ToxicologyThereforeperiodic ophthalmic examinations are recommended.

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malaria prophylaxis with lariam mefloquine ,malarone atovaquone proguanil , or doxycycline is recommended for all areas below 2000 m 6561 ft , including the cities of iquitos and puerto maldonado, with the exception of the cities of ica, lima, the coast south of lima, and nazca.