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 Abbey Practice



Abbey Practice - Travelling Medicine Kit


Contact details

107 LONDON RD.,

TEMPLE EWELL,

DOVER,

CT16 3BY

Tel: 01304 821182

Fax: 01304 827673

email:

stellon@btinternet.com


Consultation Fees from 1st January 2010

Consultation Fees

  • Consultation 30 min - £45

There is an additional charge for any medication prescribed

GP Hour fee

  • Consultation 15 min -  £20-00

    Acupuncture Fees ( Dr Stellon )

  • First Acupuncture Appointment/Treatment - £45
  • Subsequent Appointment - £35

Sports Injury Consultations

  • Consultation - £45

Fees for Medicals

(All appointments within 48 hours)

  • MCA Eng 1 Examination £80
  • Taxi Medical £40
  • HGV Medical £50
  • Diving Medical £36
  • Other Medicals Negotiable
  • Drug / Alcohol Screening £30

Minor surgery

  • Hormone Implants £26
  • Ingrowing Toenail removal £35
  • Other surgery depending on lesion £30-35

Vaccinations

  • Yellow Fever £48
  • Hepatitis B (full course x 3) £81
  • Influenza £15
  • Hepatitis A £25
  • Typhoid £20
  • Diptheria / Tetanus / Polio   combined £18

Miscellaneous

  • Cervical smear £25
  • IUD (coil) fitting £30
  • Private sick certificate £15
  • Holiday Cancellation Form £20

Chiropody

  • Nail cutting / foot care service £15

 

  • Please note that any investigations required such as blood tests and ultrasounds etc can be arranged free of charge through the NHS

HERBAL MEDICINE

DO YOU WANT AN ALTERNATIVE

 TO ORDINARY DRUGS?

THEN MAKE AN APPONTMENT

 TO SEE OUR  MEDICAL HERBALIST

FOR A NATURAL ALTERNATIVE



Temple Ewell Parish Council



Anti Malaria

Prevention is better than cure!

Many countries have insects which pose a threat to travellers. Malaria is a blood disease caused by a bite from the insect mosquito. Whilst anti-malaria tablets can reduce the risk of catching malaria they are not 100% effective, so it is essential that you also take steps to avoid being bitten. Therefore follow these simple guidelines.                             

Avoid being bitten by using an insect repellent containing 30% DEET. Lemon and eucalyptus oil on the skin also repels insects. If your accommodation does not have insect screens or windows which close, sleep under a mosquito net. Wear long sleeve clothes and socks if you go out after sunset.

  1. Start anti-malarial tablets one week before; all during your stay and four weeks after leaving the malaria zone.
  2. Remember if you develop fever or febrile symptoms several months after return from a malaria zone, see a doctor and ask if you may have malaria.
  3. In pregnancy travel to malarial zones should be avoided. If travel is unavoidable anti-malaria drugs must be taken but check with your doctor that the drugs recommended for the area you are travelling to are suitable for you.
  4. Please confirm with your doctor the anti-malaria drugs required for the malaria zone you are visiting.
  5. Please remember that anti-malaria drugs may react with other drugs such as anti-epileptics, amiodarone, warfarin and digoxin that you may be taking for other conditions. It is important that your doctor confirms that you are able to take anti-malaria drugs with these drugs.

The following is a short video explaining how to prevent you from contracting malaria coutesy of seafarers health website.

 

 

TABLE 1- Dosages for anti-malarial drugs

Age Body
Weight
Nivaquine
Chloroquine
(tablets)
Paludrine
Proguanil
(tablets)
Lariam
Mefloquine
(tablets)
6 weeks - 11 months
5 - 9 kg   1/2 per day Not recommended
1 - 5 years
10 - 19 kg 3/4 tablet per week 1 per day 1/4 tablet per week
6 - 11 years
20 - 30 kg 1 tablet per week  1 1/2 per day 1/2 tablet per week
6 - 11 years
31 - 45 kg 1 1/2 tablets per week  1 1/2 per day 3/4 tablet per week
Adult or children over 12 years
Greater then 50 kg 2 per week 2 per day 1 tablet per week
In children weight is a better guide to the dose required than age

TABLE 2 - To calculate your Total period of exposure
A B C
Number of weeks you will spend in malaria zone Add 5 weeks
Add 5 because you start taking the drugs 1 week before entering a malaria zone and continue taking drugs for 4 weeks after you exit the malaria zone)
= Total exposure
number of weeks to take the drugs
OR
Number of days you will spend in malaria zone Add 35 days
(Add 35 because you start taking the drugs 7 days before entering a malaria zone and continue taking drugs for 28 days after you exit the malaria zone)

=Total exposure     number of days to take the drugs

TABLE 3 - Anti-Malaria Drugs available through The Abbey Practice
Chloroquine
(Nivaquine)
200mg £1.50 / 14 tablets sold only in packs of 14 tablets
Proguanil Hydrochloride
(Paludrine)
100mg £1-60 /14 tabs sold in strips 14 tablets
Mefloquine
(Lariam)
250mg £2-70 / tablet
Malarone   £2-80 / tablet  
Doxycycline 100mg

£0-30 /capsule 

 

 

Recently...


New drugs have been released for use as prophylaxis against malaria in areas where the disease causing parasites have become resistant to some, or all, of the drugs listed above.

New Drug Notes:
Malarone
  • Start taking 1-2 days before entry into malarial zone
  • Continue taking for 1 week after you leave malarial zone
  • You may only take it for a maximum of 4 weeks away
  • Only recommended for those who weigh over 40kg / 6st
  • Dosage is 1 tablet per day
  • This drug can now be given to children ( please ask for the dose required )
Doxycycline
  • Start taking 1 day before entry into malarial zone
  • Continue taking for 4 weeks after you leave malarial zone
  • This drug is unsuitable for children and pregnant women
  • This drug may cause a rash if you are exposed to sunshine
  • Dosage is one capsule or 100mg / day, best taken with food to avoid nausia

Ordering
If you would like to order your anti-malaria drugs directly from The Abbey Practice, please send your order to:-

The Abbey Practice (MALARIA)
107 London Road
Temple Ewell
Dover
Kent
CT16 3BY

Notes

  • All cheques must be in pounds sterling, drawn on a UK bank and made payable to 'Dr. A. Stellon'
  • Inclusive postage and packaging is available for the UK mainland only.
  • Please make sure you include, along with your cheque Your full name and your full postal address
  • Your telephone number
  • For each drug you wish to order please detail:
    • The name of the drug (see table 3 above)
    • The number of packs you require
    • A subtotal, the amount for the drug (Price X number of packs)
  • Please check that the amount of your cheque is equal to the sum of the subtotals for each individual drug you require.

We will be happy to dispatch your drugs as soon as your cheque is cleared into our account.

Thank you
PS. Please leave your e-mail address if you require an answer to any question.



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