Malaria Prophylaxis — Is Malarone Safe for a Tinnitus Patient?

Discussion in 'Dr. Stephen Nagler (MD)' started by AfroSnowman, Dec 3, 2019.

    1. AfroSnowman
      Balanced

      AfroSnowman Member Podcast Patron Benefactor

      Tinnitus Since:
      April 16 2019
      Cause of Tinnitus:
      Unknown, viral?
      Is long term use of Malarone safe from a tinnitus perspective?
       
    2. Dr. Nagler

      Dr. Nagler Member Clinician Benefactor

      Location:
      Atlanta, Georgia USA
      Tinnitus Since:
      04/1994
      Hello @AfroSnowman -

      I would stay away from chloroquine (Aralen) and similar quinine-based anti-malarials. Atovaquone/proguanil (Malarone) is not quinine-based and does not cause auditory damage. I have seen it on one of the "ototoxic" drug lists (along with a gazillion other drugs) - but since Malarone does not cause auditory damage, I consider it to be safe. As a matter of fact, I took Malarone myself earlier this year for anti-malarial prophylaxis during a trip to East Africa. I am not sure exactly what you mean by "long term" use and would certainly discuss it with a specialist in travel medicine if you were going to need to take it for more than a few weeks.

      I am attaching my thoughts on "Drugs To Avoid" as a pdf file.

      Hope this helps.

      Stephen M. Nagler, M.D.
       

      Attached Files:

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