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Travel Vaccines and Prophylactic therapy

Twinrix	Use: Active immunisation against hepatitis A and hepatitis B virus infection Adverse Reactions: Local soreness and redness; fatigue; headache; malaise; nausea; others. 1st dose at elected date, 2nd dose 1 month later, 3rd dose 6 months after 1st dose
Havrix	Use: Active immunisation against hepatitis A virus infection in susceptible individuals > 15 years Adverse Reactions: Local soreness, induration, redness, swelling; headache; malaise; fever; nausea, loss of appetite; Interactions: Hepatitis A virus immune serum globulin 1 mL dose IMI into deltoid +/- booster dose 6-12 months later
Typhim Vi	Use: Active immunisation against typhoid fever in adults and children greater than or equal to 2 years Adverse Reactions: Local reactions; fever, headache, malaise, fatigue, joint pain, myalgia, GI upset; others. Interactions: Other vaccines (admin at separate sites) 0.5 mL IMI, greater than or equal to 2 weeks prior to possible exposure.
Vivaxim	Use: Active immunisation against hepatitis A and Typhoid fever infection 1 ML dose at least 14 days before to possible exposure A bosster for Hep A in 6 to 12 months later to long term (>10yrs) cover for Hep A
Doryx	***Pregnancy Category D Use: Infections due to susceptible organisms; malaria prophylaxis (in combination with other agents Contraindications: Concomitant vitamin A, retinoids; pregnancy, lactation, children Precautions: Renal impairment; venereal disease; prolonged use Adverse Reactions: Photosensitivity; superinfection; pseudomembranous colitis; GI disturbances; others. Interactions: Anticoagulants; penicillins; antacids; iron preps; vitamin A, retinoids; barbiturates; anticonvulsants; 100 mg/day; commence 2 days prior to entering a malarious area, continue whilst there and for 2 weeks after leaving malarious area; max. 8 weeks therapy; [Should be taken with food.]
Mencevax ACWY	Use: Active immunisation against meningococcal meningitis (groups A, C, W135, Y) in adults, children > 2 years Precautions: Impaired immune response; acute malaria; pregnancy, lactation Adverse Reactions: Local reactions; lymphadenopathy; fever; URT illness; fatigue; malaise; headache; increased meningococcal carriage rates; neurological reactions 0.5 mL SCI.
Stamaril	Pregnancy Category B2 Use: Immunisation against yellow fever Contraindications: Hypersensitivity to poultry products; acute febrile, chronic disease; immunodeficiency; generalised malignancies; IV admin; infants < 6 months Precautions: Pregnancy; children 6-12 months Adverse Reactions: Local induration, redness, haematoma; asthenia; fever; headache; myalgia Adults, children > 6 months: 0.5 mL (reconstituted vaccine) SCI or IMI provides protection for life.