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1) Read all the information below including the Patient Information Leaflet.
2) Select the medicine you want to try.
3) Create an account and checkout.
4) Answer all medical questions during checkout before paying and then a doctor will inform you of his decision.
Please read all the information below (sections 1 to 5) before placing an order, it is very important and you must not skip this step.
Traveller's Diarrhoea
Travellers’ diarrhoea is usually described as passing watery stools three or more times a day, either during or shortly after travelling. It usually lasts for around three to five days.
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About the condition
Travellers' Diarrhoea
Travellers’ diarrhoea is a common but usually mild illness that is spread through poor hygiene. Most cases of travellers’ diarrhoea are caused by bacteria that are passed from faeces (stools) to the mouth. This usually happens when someone does not wash their hands after going to the toilet and then handles food that is eaten by travellers.
How common is travellers’ diarrhoea?
You are at risk of developing travellers’ diarrhoea if you travel anywhere, although the illness is most common in warm countries where standards of sanitation and hygiene are poor. These are usually countries in the developing world, such as parts of Asia and Africa.
* Around 30-50% of people travelling from a developed country to a developing country will experience an incident of travellers’ diarrhoea.
* Around 8-15% of people visiting a medium-risk country, such as Russia, will experience travellers’ diarrhoea.
* Less than 4% of people visiting a low-risk country, such as the USA or western Europe, will experience travellers’ diarrhoea.
Symptoms
Travellers’ diarrhoea is usually described as passing three or more loose stools in one day, either while travelling or shortly afterwards. Other symptoms include:
* abdominal pain or cramps,
* nausea (feeling sick), or
* vomiting.
The symptoms of travellers’ diarrhoea usually start within two to three days of arriving at your destination. Over 90% of cases occur within the first two weeks of a holiday or trip abroad. The symptoms usually get better without medical treatment within three to five days.
In around 5-10% of travellers, the diarrhoea can last for two weeks or longer. For 1-3% of travellers, the diarrhoea can last longer than a month.
Causes
Travellers’ diarrhoea can be caused by:
* a bacterial infection (responsible for 80-85% of cases),
* a virus (10-15% of cases), or
* a parasite (2-10% of cases).
Possible causes include: * Escherichia coli (E. coli): bacteria that are mostly found in undercooked beef and unpasteurised milk.
* Campylobacter: bacteria that are found in raw meat and poultry, unpasteurised milk and unclean water.
* Salmonella: bacteria that are found in raw meat and poultry, and dairy products.
* Shigella: bacteria that are spread through poor hygiene and found in undercooked or raw food.
* Norovirus or rotovirus: viruses that are passed between humans due to poor hygiene.
* Giardia intestinalis: a parasite that is found in contaminated water and spread through poor hygiene.
* Cryptosporidium: a parasite that is found in contaminated food and water.
* Cyclospora: a parasite that is also found in contaminated food and water.
Treatments
The symptoms of travellers’ diarrhoea should clear up without treatment in three to five days. The most important thing that you can do is to make sure that you are drinking enough fluid. See Symptoms for advice about when to seek medical attention.
Drink plenty of fluid
Dehydration (when the normal water content of your body is reduced) can be dangerous, particularly in young children, older people or those with pre-existing medical conditions. If you have diarrhoea, make sure that you drink plenty of sterile (clean) water or diluted fruit juice.
Drink two glasses of fluid each time you have a bowel movement and more if you feel thirsty. Avoid drinking alcohol and caffeinated drinks because they will make you more dehydrated. Take small, frequent sips and try to continue drinking even if you are vomiting as well.
Oral rehydration solutions
Oral rehydration solutions, such as Dioralyte or Electrolade, can be used by anyone who is at risk of dehydration. They are available in pharmacies and should be mixed with sterile water.
Oral rehydration solutions are not a treatment for diarrhoea. They are a way of getting fluid back into the body. They help replace the salt, glucose and other important minerals that you lose through diarrhoea.
Eat as soon as you can
Once you feel able to, eat foods that are high in carbohydrates, such as bread, pasta, rice or potatoes. Eat small, light meals and avoid fatty, spicy or heavy foods.
When you feel like it, start to eat other foods. Salty foods, such as soup, can help replace the salt that has been lost from your system.
Not eating, if you feel too sick to eat, should not do you any harm, but continue to drink fluids and eat as soon as you are able to.
Medication
Some medications are available to help relieve diarrhoea, but avoid taking them if you can. Loperamide (Imodium) or bismuth subsalicylate (Pepto-Bismol) may be useful if the diarrhoea is particularly inconvenient, for example if you have a long journey to make.
These medications stop you from going to the toilet, which means that any bacteria or poisons are trapped within your body. They can also cause constipation (difficulty passing stools) and should not be used for more than one or two days.
Medications to help relieve diarrhoea are available over-the-counter (OTC) in pharmacies across the UK. Always read the manufacturer’s instructions before using them.
Children who are under 12 years of age should not use loperamide. Do not use it if you have an active inflammatory bowel disease, such as ulcerative colitis. It is not suitable if you have a fever or blood in your stools.
Children under 16 years of age should not use Pepto-Bismol®. It should not be used if you have an allergy to aspirin. It is also not suitable if you are taking medication for gout or diabetes, or if you are taking an anticoagulant (blood-thinning medication), such as warfarin.
Antibiotics
In some cases, antibiotics can be used to treat travellers’ diarrhoea. However, they are not always suitable. For example, antibiotics do not work against viruses, so diarrhoea that is caused by a virus cannot be treated with antibiotics.
Most cases of travellers’ diarrhoea are caused by bacteria and antibiotics can be effective in these cases. Evidence suggests that a short course of antibiotics can reduce the severity of the diarrhoea, as well as its duration.
See below.
Advice
* Wash your hands thoroughly before eating or handling food and after using the toilet.
* Dry your hands in the air or on a clean towel after washing them.
* Make sure that any cutlery, plates, cups or glasses you use are sterile.
* On expeditions or while camping, do not allow anyone to do the cooking if they are unwell.
* Short fingernails are easier to keep clean than long ones.
* Take a plastic bottle of soapy water and antiseptic wipes or a hand sanitiser when you are away from running water.
About the Medicine
Treatments
The two most commonly prescribed antibiotics to treat Travellers' Diarrhoea are:
* Azithromycin (single dose)
* Ciprofloxacin (once a week for up to three weeks)
It is important that you follow the patient information leaflet before use.
You can discuss with your GP which antibiotic is the most suitable for you. If you are pregnant, for example, some antibiotics may not be suitable, but alternatives are available. Azithromycin, Amoxicillin and Erythromycin are all suitable for pregnant women.
Side Effects
The side effects of antibiotics are usually mild, the most common side effects include:
* stomach pain,
* diarrhoea, and
* feeling sick.
Ciprofloxacin
Side Effects
Common: More than 1 in 100 people who take Ciprofloxacin
* diarrhoea - if diarrhoea is persistent stop taking Ciprofloxacin and consult your prescriber
* nausea
Uncommon: More than 1 in 1000 people who take Ciprofloxacin
* back pain
* muscle, joint or bone pain
* stomach pain
* abnormal laboratory test results
* blood problems
* chest pain
* feeling agitated
* feeling dizzy
* fever
* flatulence
* gastrointestinal problems
* headaches
* hyperactivity
* indigestion
* itching
* kidney problems
* loss of appetite
* sleeping problems
* taste changes
* urticaria
* vomiting
* weakness
As with other antibiotics ciprofloxacin can reduce the effectiveness of the contraceptive pill. The pill should not be stopped. Alternative contraception should be used whilst taking doxycycline and for 7 days afterwards.
Azithromycin
Side Effects
Serious side effects are unusual, the most common are stomach upset, nausea and diarrhoea.
For details about azithromycin see the patient information leaflet supplied with the tablets.
In the unlikely event that vomiting occurs within an hour of taking azithromycin the treatment should be repeated.
Dosage
Ciprofloxacin
One should be taken ONCE a day for a week, three weeks maximum.
Azithromycin
A single dose (1g).
Manufacturers and Brands
Sandoz is a global generics leader. We save and improve lives by developing, producing and distributing high-quality, affordable pharmaceuticals. Thanks to our global network, Sandoz medicines are now available to 90% of people worldwide. In addition to direct cost savings to patients, we contribute to the stability of healthcare systems worldwide and free up resources for new and innovative medicines.
Teva UK Limited is one of the biggest pharmaceutical companies in the UK. We're proud to be part of the Teva Pharmaceutical Industries group, and we make medicines that help improve lives.
Actavis is one of the world's leading players in the development, manufacture, and sale of first-class generic pharmaceuticals.
Actavis has one of the broadest product portfolios and pipelines in the industry, with over 350 medicines available in the United Kingdom and more than 350 in development.
Product information leaflet
Click on the button below to read the Information Leaflet. Do not exceed the stated dose.
These leaflets are provided for information only and should not be used for treatment or in contradiction with your Doctor or Pharmacist's advice. One Click Doctor will do its best to keep these leaflets up-to-date but will not accept liability for out of date leaflets. You need to refer to the leaflets in the packaging for the latest manufacturer's information.
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Azithromycin 250mg (two courses of treatment) - 8 tablets Azithromycin is in a group of drugs called macrolide antibiotics. Azithromycin fights bacteria in the body. Azithromycin is used to treat many different types of infectio... read more. Size: 8 Max Quantity allowed to purchase: 1 Collect 29 points with this purchase!
£29.40 RRP: £38.00
Ciprofloxacin Tablet 500mg (3 day course) - 6 Tablets Ciprofloxacin is a type of medicine called a quinolone antibiotic. Antibiotics are used to treat infections caused by bacteria. read more. Size: 6 tablets Max Quantity allowed to purchase: 2 Collect 9 points with this purchase!
£9.45 RRP: £15.00
Ciprofloxacin Tablet 500mg (Two 3 day course) - 12 Tablets Ciprofloxacin is a type of medicine called a quinolone antibiotic. Antibiotics are used to treat infections caused by bacteria. read more. Size: 12 tablets Max Quantity allowed to purchase: 1 Collect 12 points with this purchase!
£12.08 RRP: £21.00
The products below can be bought from OneClickPharmacy without a prescription
Avomine Tablets 25mg - 10 tablets Avomine may thicken or dry lung secretions and impair expectoration, it should therefore be used with caution in patients with asthma, bronchitis or bronchiectesis.
... read more. Size: 10 Tablets Max Quantity allowed to purchase: 3 Collect 2 points with this purchase!
£1.54 RRP: £2.16
Avomine Tablets 25mg - 28 tablets Avomine tablets prevent and relieve travel sickness and general nausea. One dose of Avomine can provide up to 24 hours relief and is generally well tolerated and can be used by ch... read more. Size: 28 Tablets Max Quantity allowed to purchase: 1 Collect 5 points with this purchase!
£4.87 RRP: £6.82
Galpharm Entrocalm Loperamide Capsules x 6 Galpharm Entrocalm Loperamide capsules are used for the effective treatment of sudden short lived (acute) attacks of diarrhoea. It works by making the stools more solid and less f... read more. Size: Collect 2 points with this purchase!
£1.87 RRP: £2.62
Imodium Classic Capsules x 12 Imodium is used to treat sudden short-lived (acute) attacks of diarrhoea in adults and children over 12 years old. It works by making the stools more solid and less frequent. read more. Size: 12/Pk Max Quantity allowed to purchase: 2 Collect 5 points with this purchase!
£5.05 RRP: £7.07
Imodium Classic Capsules x 18 Imodium is used to treat sudden short-lived (acute) attacks of diarrhoea in adults and children over 12 years old. It works by making the stools more solid and less frequent. read more. Size: 18/Pk Max Quantity allowed to purchase: 2 Collect 6 points with this purchase!
£6.49 RRP: £9.08
Imodium Classic Capsules x 6 Imodium capsule pack is used to treat sudden short-lived attacks of diarrhoea by making the stools more solid and less frequent. read more. Size: 6/Pk Collect 3 points with this purchase!
£2.54 RRP: £3.55
Imodium Classic Capsules x 8 Imodium Capsules can stop diarrhoea with one dose, quickly and effectively. read more. Size: 8/Pk Collect 4 points with this purchase!
£4.01 RRP: £5.62
Imodium Instant Melts Tablets x 12 Imodium Instant Melts are used to treat sudden short... read more. Size: 12/Pk Max Quantity allowed to purchase: 2 Collect 5 points with this purchase!
£5.44 RRP: £7.61
Imodium Instant Melts Tablets x 6 Imodium Instant Melts used for the symptomatic treatment of acute diarrhoea and acute episode if diarrhoea associated with Irritable Bowel Syndrome diagnosed by a doctor. read more. Size: 6/Pk Collect 3 points with this purchase!
£3.48 RRP: £4.87
Imodium Plus Caplets x 12 Imodium Plus Caplets are uniquely formulated with dual action to stop diarrhoea and calm additional symptoms such as stomach cramps, wind and bloating. read more. Size: 12/Pk Max Quantity allowed to purchase: 2 Collect 4 points with this purchase!
SALE: £4.06 Was: £5.21 RRP: £7.30
Imodium Plus Caplets x 6 Imodium Caplets provide fast and effective relief from the symptoms of diarrhoea including loose stools, stomach cramping and pain. Imodium acts quickly to restore normal bowel fu... read more. Size: 6/Pk Collect 3 points with this purchase!
£3.18 RRP: £4.45
Loperamide 2mg Capsules x 6 Loperamide hydrochloride is used to treat symptoms of diarrhoea. It slows down muscle movements in the gut which leads to more water being absorbed from stools. The stools become ... read more. Size: 6 Capsules Collect 2 points with this purchase!
£2.45 RRP: £3.43
Loperamide 2mg Sandoz Capsules x 30 For effective treatment of sudden short-lived (acute) attacks of diarrhoea. It works by making the stools more solid and less frequent.
Cheaper than the High street guaran... read more. Size: 30/Pk Max Quantity allowed to purchase: 2 Collect 1 points with this purchase!
£1.06 RRP: £7.14
Vantage Diarrhoea Relief - Loperamide Save over £2 on high street chemist prices. This medicine contains the active ingredient loperamide hydrochloride, which is a medicine used to treat diarrhoea. Loperamide wo... read more. Size: 12/Pk Collect 2 points with this purchase!
£1.92 RRP: £3.28
Avomine Tablets 25mg - 10 tablets Avomine may thicken or dry lung secretions and impair expectoration, it should therefore be used with caution in patients with asthma, bronchitis or bronchiectesis.
... read more. Size: 10 Tablets Max Quantity allowed to purchase: 3 Collect 2 points with this purchase!
£1.54 RRP: £2.16
Avomine Tablets 25mg - 28 tablets Avomine tablets prevent and relieve travel sickness and general nausea. One dose of Avomine can provide up to 24 hours relief and is generally well tolerated and can be used by ch... read more. Size: 28 Tablets Max Quantity allowed to purchase: 1 Collect 5 points with this purchase!
£4.87 RRP: £6.82
Galpharm Entrocalm Loperamide Capsules x 6 Galpharm Entrocalm Loperamide capsules are used for the effective treatment of sudden short lived (acute) attacks of diarrhoea. It works by making the stools more solid and less f... read more. Size: Collect 2 points with this purchase!
£1.87 RRP: £2.62
Imodium Classic Capsules x 12 Imodium is used to treat sudden short-lived (acute) attacks of diarrhoea in adults and children over 12 years old. It works by making the stools more solid and less frequent. read more. Size: 12/Pk Max Quantity allowed to purchase: 2 Collect 5 points with this purchase!
£5.05 RRP: £7.07
Imodium Classic Capsules x 18 Imodium is used to treat sudden short-lived (acute) attacks of diarrhoea in adults and children over 12 years old. It works by making the stools more solid and less frequent. read more. Size: 18/Pk Max Quantity allowed to purchase: 2 Collect 6 points with this purchase!
£6.49 RRP: £9.08
Imodium Classic Capsules x 6 Imodium capsule pack is used to treat sudden short-lived attacks of diarrhoea by making the stools more solid and less frequent. read more. Size: 6/Pk Collect 3 points with this purchase!
£2.54 RRP: £3.55
Imodium Classic Capsules x 8 Imodium Capsules can stop diarrhoea with one dose, quickly and effectively. read more. Size: 8/Pk Collect 4 points with this purchase!
£4.01 RRP: £5.62
Imodium Instant Melts Tablets x 12 Imodium Instant Melts are used to treat sudden short... read more. Size: 12/Pk Max Quantity allowed to purchase: 2 Collect 5 points with this purchase!
£5.44 RRP: £7.61
Imodium Instant Melts Tablets x 6 Imodium Instant Melts used for the symptomatic treatment of acute diarrhoea and acute episode if diarrhoea associated with Irritable Bowel Syndrome diagnosed by a doctor. read more. Size: 6/Pk Collect 3 points with this purchase!
£3.48 RRP: £4.87
Imodium Plus Caplets x 12 Imodium Plus Caplets are uniquely formulated with dual action to stop diarrhoea and calm additional symptoms such as stomach cramps, wind and bloating. read more. Size: 12/Pk Max Quantity allowed to purchase: 2 Collect 4 points with this purchase!
SALE: £4.06 Was: £5.21 RRP: £7.30
Imodium Plus Caplets x 6 Imodium Caplets provide fast and effective relief from the symptoms of diarrhoea including loose stools, stomach cramping and pain. Imodium acts quickly to restore normal bowel fu... read more. Size: 6/Pk Collect 3 points with this purchase!
£3.18 RRP: £4.45
Loperamide 2mg Capsules x 6 Loperamide hydrochloride is used to treat symptoms of diarrhoea. It slows down muscle movements in the gut which leads to more water being absorbed from stools. The stools become ... read more. Size: 6 Capsules Collect 2 points with this purchase!
£2.45 RRP: £3.43
Loperamide 2mg Sandoz Capsules x 30 For effective treatment of sudden short-lived (acute) attacks of diarrhoea. It works by making the stools more solid and less frequent.
Cheaper than the High street guaran... read more. Size: 30/Pk Max Quantity allowed to purchase: 2 Collect 1 points with this purchase!
£1.06 RRP: £7.14
Vantage Diarrhoea Relief - Loperamide Save over £2 on high street chemist prices. This medicine contains the active ingredient loperamide hydrochloride, which is a medicine used to treat diarrhoea. Loperamide wo... read more. Size: 12/Pk Collect 2 points with this purchase!
OneClickPharmacy is a GPhC registered online pharmacy, offering prescriptions, medicines and thousands of other health & beauty products at up to 90% off. OneClickPharmacy provides information only and is not a substitute for professional medical help. OneClickPharmacy recommend that you carefully read the information leaflets provided with your medication. You should always seek help from your doctor if you are currently being treated for any conditions and you should always inform your doctor and chemist/pharmacist of any medication you are taking. If you feel that you require further help, contact our online pharmacy team on 0844 44 11 800. Please see our Terms and Conditions for more information.
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