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NHSmail Email Scam

NICE are aware that a spam email is being sent to members of the public regarding cancer test results. Please be assured that this email is not from NICE and they are currently investigating its origin. It is advised that people who have received the email - the subject line of which is important blood analysis result - to delete it without opening it and not to click on any links. The matter is being taken very seriously and has been reported to the police

Medical Kit for Travellers

If you are travelling to remote areas where access to medical care is limited we strongly advise you to carry a medical kit appropriate to the nature of your trip. Sterile medical kits containing syringes, needles, IV giving set, sutures and dressings are from most pharmacies. In addition we suggest that you also carry some of the following items.


  1. Compeed or similar - an adhesive dressing to protect areas prone to blistering on the foot.

  2. Non-stick dressings (perforated film and paraffin gauze) - for application to open wounds.

  3. Elastic cling bandages - to secure dressings to wounds.

  4. Elastic bandage - to dress sprains.

  5. Triangular bandage - to use as arm sling.

  6. Steri-Strips - adhesive skin closures.

  7. Adhesive tape.


  1. Scissors (Be aware of aircraft regulations that will not allow items such as these in carry-on baggage).

  2. Fine Tweezers (Be aware of aircraft regulations that will not allow items such as these in carry-on baggage).

  3. Sharp knife (Be aware of aircraft regulations that will not allow items such as these in carry-on baggage).

  4. Safety pins (Be aware of aircraft regulations that will not allow items such as these in carry-on baggage).

A Swiss Army Knife is an ideal solution to items 1 to 3. Be aware of aircraft regulations that will not allow items such as these in carry-on baggage.


  1. Oil of cloves

  2. Temporary filling


  1. Space blanket

  2. Sunscreen - minimum SPF15

  3. Waterproof matches (Be aware of aircraft regulations that will not allow items such as these in carry-on baggage)

  4. Pencil and paper

  5. Water purification tablets (Iodine tablets or tincture)

  6. Mosquito repellant


When using these follow the instructions carefully on the packet, and be aware that Customs regulations require that drugs must be kept in their original packaging so they can easily be identified. (Suggested quantities are only a guide).

  1. Decongestant - e.g. Sudafed tablets (12), or Otrivine nasal spray (1)

  2. Antihistamine - Chlorpheniramine maleate 4mg (20), or Cetirizine 10mg (20)

  3. Analgesia - Paracetamol or aspirin (also control fever) (30), Ibuprofen is also anti-inflammatory (good for sprains) (20)

  4. Anti-diarrhoeal - Loperamide Hydrochloride 2mg or Co-phenotrope (Lomotil) (both ant-motility / anti-spasmodic agents) (1 packet)

  5. Antifungal cream - Clotrimazole 1% cream (1 tube)

  6. Oral rehydration salts - e.g. Dioralyte (available as dissolving tablets) (1 packet)

  7. Anti-helminth (worm) - Mebendazole 100mg (6)

  8. Anti-malarials - see section lower down on malaria

  9. Antiseptic cream - e.g. Povidone iodine (cream or dry spray)

  10. Antacid tablets (1 packet)

  11. Throat lozenges (1 packet)


If you are planning a long stay in remote areas you may need to consider taking supplies of antibiotics with you. Travellers to high altitude may wish to consider the use of Acetazolamide (see the High Altitude page). You need to make an appointment with a doctor to discuss prescription only drugs, which will be issued as private prescriptions (which allows you to buy the items from a pharmacy).






ACETAZOLAMIDE 250mg tablets

Altitude acclimatisation

250mg twice daily starting 24 hours before ascent and continuing for 24 hours after arrival

Mild diuretic, dry mouth, tingling in hands, feet and face

ASPIRIN 300mg tablets

Pain and fever

300 to 600mg every 4 to 6 hours as required

Rash, gastric irritation. Do not take if there is a history of stomach ulcer or asthma. Not suitable for anyone under the age of 16


Allergy, itchy skin rash, hay fever

4mg every 6 hours as required

Drowsiness (for this reason it should not be taken when ascending significantly as drowsiness is a symptom of altitude sickness)

Zirtek / Cetirizine

10mg once a day

Minimal side effects

CIPROFLOXACIN 250mg tablets

Diarrhoea caused by campolybacter, salmonella or shigella

500mg twice a day for 5 days

Nausea, vomiting, diarrhoea, headache, dizziness, sleep disorder, rash, itching. Interacts with combined oral contraceptive pill

Chest infection

500mg twice a day for 5 days

Urinary tract infection (cystitis)

250mg twice a day for 3 days


Athlete's foot, ringworm, crotch-rot

Apply twice a day for 1 to 2 weeks

Occasional skin irritation

CO-PHENOTROPE 2.5/0.025 tablets

Temporary arrest of diarrhoea to aid rehydration

4 tablets initially followed by 2 every six hours until diarrhoea controlled - 48 hours maximum use

Constipation, persistence of infection


Temporary arrest of diarrhoea to aid rehydration

2 capsules initially followed by one with each further episode of diarrhoea for 48 hours maximum

Constipation, persistence of infection

MEBENDAZOLE 100mg tablets (chewable)


1 tablet

Abdominal pain, diarrhoea, allergy

Roundworm, hookworm, whipworm

1 tablet twice a day for 3 days

METRONIDAZOLE 400mg tablets

Amoebic dysentery

2 tablets three times a day for 5 days

Do not take with alcohol, produces an instant severe hangover. Nausea, vomiting, unpleasant taste, stomach upset, rashes. Interacts with combined oral contraceptive pill


5 tablets daily for 3 days

PARACETAMOL 500mg tablets

Pain and temperature

2 tablets every 4 to 6 hours, to a maximum of 8 tablets in 24 hours

Rare but can cause liver damage in overdose

Source: LSMP


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