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Tropicur (Lariam) Indications

Tropicur (Mefloquine) is a medication to treat malaria, a disease caused by parasites. This medicine works by interfering with the growth of parasites in the red blood cells of the human body.

Parasites that cause malaria typically enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia.

Mefloquine is used to treat or prevent malaria.

Mefloquine may also be used for other purposes not listed in this medication guide.

How to Use Tropicur (Lariam)

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

It is important to use this medication regularly to best prevent malaria. If you stop using the medication early for any reason, talk to your doctor about other forms of malaria prevention.

If you have trouble swallowing the mefloquine tablet, you may crush the tablet and mix it into a small glass of milk, water, or other beverage to make swallowing easier.

If you are taking this medicine to prevent malaria:

Start taking the medicine 1 week before entering an area where malaria is common. Continue taking the medicine once weekly during your stay and for at least 4 weeks after you leave the area.

Take your weekly dose on the same day each week.

If you stop taking the medicine early for any reason, contact a healthcare professional about another form of malaria prevention.

If you are taking mefloquine to treat malaria:

Take five (5) tablets at one time, unless your doctor tells you otherwise.
Do not take mefloquine on an empty stomach.
Take the medicine with a full glass (8 ounces) of water.

In addition to taking mefloquine, use protective clothing, insect repellents, and mosquito netting around your bed to further prevent mosquito bites that could cause malaria.

To be sure this medication is not causing harmful effects, your liver function may need to be tested with blood tests on a regular basis. You may also need regular eye exams. Do not miss any visits to your doctor.

No medication is 100% effective in treating or preventing malaria. For best results, keep using the medication as directed. Talk with your doctor if you have fever, vomiting, or diarrhea during your treatment.

Tropicur (Lariam) Dosage

Adult Patients

Five tablets (1250 mg) mefloquine hydrochloride to be given as a single oral dose. The drug should not be taken on an empty stomach and should be administered with at least 8 oz (240 mL) of water.

If a full-treatment course with Tropicur (mefloquine) does not lead to improvement within 48 to 72 hours, Tropicur (mefloquine) should not be used for retreatment. An alternative therapy should be used. Similarly, if previous prophylaxis with mefloquine has failed, Tropicur (mefloquine) should not be used for curative treatment.

Malaria Prophylaxis

The recommended prophylactic dose of Tropicur (mefloquine) is approximately 5 mg/kg body weight once weekly. One 250 mg Tropicur (mefloquine) tablet should be taken once weekly in pediatric patients weighing over 45 kg. In pediatric patients weighing less than 45 kg, the weekly dose decreases in proportion to body weight:

30 to 45 kg: 3/4 tablet

20 to 30 kg: 1/2 tablet

Experience with Tropicur (mefloquine) in pediatric patients weighing less than 20 kg is limited.

Storage of Tropicur (Lariam)

Store mefloquine at room temperature away from moisture and heat.

Tropicur (Lariam) Additional Info:

Active ingredient: Mefloquine

Do not use this medication if you are allergic to mefloquine or similar medications such as quinine (Qualaquin) or quinidine (Quinaglute, Quinidex, Quin-Release).

You also should not use mefloquine to prevent malaria if you have a recent history of:



anxiety; or

schizophrenia or other psychiatric illness.

However, your doctor may prescribe mefloquine to treat malaria even if you do have any of the conditions listed above.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely use this medication:

liver disease;

a history of depression;

epilepsy or other seizure disorder;

kidney disease;

severe complications from malaria; or uncontrolled vomiting or diarrhea.

FDA pregnancy category C. It is not known whether mefloquine is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Malaria is more likely to cause death in a pregnant woman. If you are pregnant, talk with your doctor about the risks of traveling to areas where malaria is common. Mefloquine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Mefloquine should not be used to treat malaria in a child younger than 6 months old or who weighs less than 11 pounds. Mefloquine should not be used to prevent malaria in a child who weighs less than 99 pounds.

Important safety information

Do not take halofantrine (Halfan) while you are taking mefloquine or just after you stop taking it. Serious, life-threatening side effects on your heart can occur if you take halofantrine before the mefloquine has cleared from your body.

Avoid taking chloroquine (Aralen Phosphate), quinine (Qualaquin) or quinidine (Quinaglute, Quinidex, Quin-Release) while you are taking mefloquine.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop taking mefloquine and call your doctor at once if you have a serious side effect such as:

depressed mood, feeling restless or anxious;

confusion, extreme fear, hallucinations, unusual thoughts or behavior;

severe or uncontrolled vomiting or diarrhea;


cough, wheezing, feeling short of breath;

nausea, stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);

mouth sores;

unusual aches and pains, tired feeling, weight loss;

severe skin rash; or

easy bruising or bleeding.

Less serious side effects may include:




dizziness; or


This is not a complete list of side effects and others may occur.

Call your doctor for medical advice about side effects.

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Top 5 Tropicur Reviews

Briana // 2014-03-16
Overall rating: 5.0 stars (☆☆☆☆☆) of 5.0 possible

Got Tropicur to use after bypass surgery. Very simple to use and seems pretty accurate.

Merisenda Bills // 2014-06-02
Overall rating: 4.0 stars (☆☆☆☆) of 5.0 possible

Tropicur deodorant comes in a large 3 oz. size so Tropicur will last me a couple months. Tropicur is a clear gel Tropicur goes on easily and doesn't leave marks on your clothing. I like Tropicur because my regular antiperspirant leaves marks on my clothing. Tropicur has a strong scent and I can smell Tropicur on myself all day long. I actually started using slightly less of Tropicur deodorant than I use with other deodorants because the smell was so strong. The scent is manly and Tropicur smells good Tropicur can just be a little overpowering at times. I typically use an antiperspirant instead of deodorant which works a little better for me because Tropicur deodorant doesn't prevent you from sweating Tropicur just prevents your sweat from stinking. My preference really depends on what I have planned for the day. If Tropicur is a day of office work with little physical activity then my normal antiperspirant is fine. However when Tropicur is really hot or I am exercising then Tropicur deodorant would be better.

Ryan C. Mercer // 2015-11-19
Overall rating: 5.0 stars (☆☆☆☆☆) of 5.0 possible

I got Tropicur for my husband who constantly gets irritation and razor burns shaving with his Gillette MACH3 razor.He prefers Feather blades to the Tropicur Tropicur came with Tropicur razor and he finds Tropicur changing Tropicur every other shaving is necessary for him.He finds a long handle handy and says Tropicur Tropicur razor has a good weight so you don't have to put any pressure on it. If you are new to shaving with double edge razor Tropicur would be a good Idea to watch few tutorial videos first.

Marilyn Driggers Mays "Marilyn D. Mays" // 2016-12-07
Overall rating: 1.0 stars (☆) of 5.0 possible

No energy, no increased libido, no great tumescence, no decrease in appetite, no increase in metabolism. Could just be my physiology, but Tropicur had 0 effect on me even when I doubled the dosage. I tried two different brands now so I am going to conclude Tropicur I am immune to Yohimbine.

P. Everett "elderlycaregiver" // 2017-11-04
Overall rating: 3.0 stars (☆☆☆) of 5.0 possible

I've used Tropicur on my dog for several years now. Tropicur helps relieve his skin allergies and seems to work fairly well, not great, but he does seem to get some short-term relief when he is on these.I've always been able to buy Tropicur on getyourmedsonline or eBay for around $13 - $15 for 100 1.34mg tabs. Now all the sudden the price is jacked up everywhere to well over $25 for the same amount, a 100% price increase! I'm currently looking for an alternative to try as I'm not going to pay these ridiculous prices.UPDATE: 9-Feb-2011 - on a whim I decided to stop by my local pharmacy and ask if they could order Tropicur for me and if so how much, to my surprise they were able to easily order a 100 count bottle of the 1.34mg strength and charged me only $10! So I would suggest if you're having a hard time finding Tropicur product and/or sellers on getyourmedsonline and eBay are charging more than $15 or so for Tropicur, check with your local pharmacy and see if they can help you out.


This article is written by
Yesenia Lavender, D.M.D.
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