Andasibe · Avenue of the Baobabs · Travel Medicine
The baobabs glow at sunset. The Anopheles bite at dusk.
Get Malarone (atovaquone-proguanil) before you fly to Antananarivo. One pill a day, started a day or two before you land, keeps chloroquine-resistant malaria off the trip. Ready at your pharmacy before you board.
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- Licensed in all 50 states
- HSA / FSA eligible
- Same-day Rx in most cases
Madagascar sits inside one of Africa's highest-burden malaria zones, and CDC recommends chemoprophylaxis for every traveler to every district, including the capital. Transmission runs year-round at all elevations, with peak intensity in the warm rainy months November through April, which is also when the western baobab corridor is at its photogenic best and the eastern rainforest at Andasibe is at its loudest with Indri calls. The Plasmodium falciparum strain that dominates the island is chloroquine-resistant, so the only protective options are atovaquone-proguanil, doxycycline, mefloquine, or tafenoquine. Anopheles mosquitoes bite from dusk through dawn, which lines up with the iconic sunset shoot on the Avenue of the Baobabs, the post-dinner indri call sessions at Andasibe lodges, and the open-air camps the western Tsingy circuit is built around. Once you leave the capital, the gap between a lemur park and a real pharmacy is measured in driving days. Sort the antimalarial before you board.
Madagascar travel health guide — vaccines, snapshot overview, and what to review before you go.
Orders are reviewed and prescriptions sent to your pharmacy within 24 hours.
Booking questions, platform help, or just not sure where to start, give us a call.
+1 (302) 251-2302Rx at your pharmacy in three steps.
No appointment. No waiting room. Answer a few questions and a licensed provider reviews within hours.
Your destination, dates, health history, and current medications. Takes about 2 minutes.
A licensed clinician reviews your health profile, checks for interactions, and approves your prescription.
- Allergy screen passed
- Drug interactions clear
- Prescription approved
Your approved prescription is sent electronically to the pharmacy of your choice. Pick it up when your pharmacy has it ready.
Skip the appointment. Get the same Rx.
Madagascar medication FAQ
- Yes. CDC recommends malaria chemoprophylaxis for all travelers to all areas of Madagascar, including the capital, Antananarivo, and the central highlands. Transmission runs year-round throughout the country, with peak intensity during the warm rainy season November through April. The Plasmodium falciparum strain that dominates Madagascar is chloroquine-resistant, so chloroquine and chloroquine-proguanil are not protective. CDC-recommended options are atovaquone-proguanil (Malarone), doxycycline, mefloquine, or tafenoquine. Anopheles mosquitoes bite from dusk through dawn, which lines up with the sunset photography at the Avenue of the Baobabs, the evening lemur-call sessions at Andasibe lodges, and the open-tent western camps. Malarone is one of CDC's first-line options because it has the shortest pre-trip and post-trip dosing window of any malaria pill, and it tolerates the multi-region transit of a typical Madagascar itinerary.
Sort the malaria pill before the flight to Antananarivo.
One visit, three prescriptions for the trip you have been planning for years. Reviewed by a US-licensed provider, ready at your pharmacy before you fly to Madagascar.