How far ahead should I book?
Six to eight weeks. Some vaccination courses take weeks to complete, and some antimalarials must start before departure.
Booking the week before travel limits what is possible — sometimes to nothing useful.
Can you give me the vaccinations?
No — vaccination requires an in-person appointment. We tell you exactly what you need for your itinerary and where to get it.
Ask your own NHS practice first: hepatitis A, typhoid, cholera and tetanus/diphtheria/polio are free there, and people pay travel clinics for them unnecessarily every week.
Can you do yellow fever?
No. Only a designated Yellow Fever Vaccination Centre can vaccinate and issue the international certificate. We can tell you whether your itinerary requires one.
Which antimalarial is best?
The one that matches your destination, your history and what you will realistically take every day.
Doxycycline — cheap, daily, sun sensitivity, four weeks after return, not in pregnancy. Atovaquone/proguanil — well tolerated, shorter course after return, more expensive. Mefloquine — weekly, and unsuitable with a history of depression, anxiety, psychosis or epilepsy.
Resistance patterns vary by country, which is why the itinerary matters more than the price.
Do I really need tablets? I am only going for a week.
Risk depends on the region, the season and what you will be doing rather than on how long you are there. A week in a rural high-transmission area carries more risk than a fortnight in a city.
A single infective bite is enough, and falciparum malaria can be fatal within days.
What if I get a fever after I get back?
This is the most important thing on the page. Fever after travel to a malarial area is a medical emergency.
Seek urgent care the same day and tell them where you have been. Malaria can develop up to a year afterwards, it is frequently mistaken for flu, and having taken your tablets correctly does not exclude it.
Are the tablets enough on their own?
No — no antimalarial is fully effective, and bite avoidance is not the optional half.
DEET 50% applied after sunscreen, covered skin at dusk and dawn, and a treated bed net. This also protects against dengue, Zika and chikungunya, for which there is no preventive tablet at all.
Can I take antimalarials while pregnant?
Some, and it needs individual advice — doxycycline is not among them.
Pregnant women are at higher risk of severe malaria, and travel to a high-risk area during pregnancy is worth reconsidering rather than simply medicating. Zika transmission areas warrant particular caution.
Should I take antibiotics for travellers' diarrhoea just in case?
Not routinely. Most cases settle with fluids and oral rehydration salts, and unnecessary antibiotics drive resistance.
Standby treatment is appropriate for remote travel or high-risk itineraries, with clear criteria for when to use it — several loose stools with fever or blood, not ordinary loose stools.
What about my usual medication?
Take enough for the whole trip plus at least a week, in original labelled boxes, in hand luggage. Check every country you enter or transit, since several restrict medicines that are entirely ordinary here.
We can provide a medication letter, though it is not a permit.
Is my travel insurance enough?
Check that it covers your activities and that every condition is declared — undeclared conditions are the standard reason claims are refused.
A GHIC covers state healthcare in Europe and is free, but it does not cover repatriation and is not a substitute for insurance.