Forms of treatment Pharmacists need to understand the reasons for giving chemoprophylaxis.
Patients with prosthetic heart valves or who have had one previous episode of infective endocarditis should receive chemoprophylaxis according to the current UK recommendations.
In addition cruises that have an overnight stay in any other malaria endemic region of the world require malaria chemoprophylaxis.
A baseline INR should be checked prior to starting chemoprophylaxis, and re-checked after 1 week of taking chemoprophylaxis.
Interactions with other medication together with the individuals ' medical history should be taken into account when deciding on appropriate malaria chemoprophylaxis.