Smartset in EPIC
MS Travel Medicine - PRE TRAVEL
Immunizations
- Vaccines Available at IMA: TDaP, Hep A, Hep B, Japanese Encephalitis, Meningococcal, MMR, Pneumococcal, Polio, Rabies, Typhoid, Varicella, Zoster (USE THE SMART SETS)
- We do NOT have the Yellow Fever Vaccine: CDC Link to Find Vaccine
Travel Kit Items
MEDICATIONS YOU MUST PRESCRIBE
- All chronic medications taken regularly (and make sure they have enough for trip)
- Include Epi-Pens and Medical Supplies (insulin pen needles, test strips, etc.) if they use them
- Antibiotics for Traveler's Diarrhea:
- Ciprofloxacin (750mg x 1 day or 500mg BID x 3 days), OR
- Azithromycin (1g x 1 day or 500mg daily x 3 days)
- Antimalarials: Always check resistance patterns prior to prescribing!
- Chloroquine (500mg weekly): Start 1-2 weeks prior to travel, continue 4 weeks after return
- Atovaquone-Proguanil = Malarone (250-100mg tab daily): Start 1-2 days prior to travel, continue for 7 days after return
- Doxycycline (100mg daily): Start 1-2 days prior to travel, continue for 4 weeks after return
- Mefloquine (250mg weekly): Start at least 2 weeks prior to travel, continue for 4 weeks after return
- Treatment for Altitude Sickness: Make sure to address risk of high-altitude travel for your patient
- Acetazolamide (125mg BID): Start day prior, end 2 days after ascent. Not for use in patients with sulfa or PCN allergy
OTC MEDICATIONS YOU CAN PRESCRIBE AND/OR RECOMMEND THEY BRING
- Analgesics/Antipyretics: Acetaminophen, Ibuprofen
- Anti-Diarrheal / GI: Loperamide, Bismuth, Antacids
- Respiratory Supportive Care: Antihistamines, Decongestants, Cough Suppressants
- Motion Sickness Medications