Formulary

Management of traveller’s diarrhoea

First Line
Second Line
Specialist
Hospital Only

Only consider standby antibiotics for remote areas or people at high-risk of severe illness with travellers' diarrhoea.

If standby treatment appropriate give:

  • Ciprofloxacin 500 mg twice a day for 3 days (private prescription only, not on FP10)

Notes

  1. MHRA Drug Safety Update (November 2018): Systemic and inhaled fluoroquinolones: small increased risk of aortic aneurysm and dissection; advice for prescribing in high-risk patients..
  2. MHRA Drug Safety Update (March 2019): Fluoroquinolone antibiotics: new restrictions and precautions for use due to very rare reports of disabling and potentially long-lasting or irreversible side effects.
  3. MHRA Drug Safety Update (December 2020): Systemic and inhaled fluoroquinolones: small risk of heart valve regurgitation; consider other therapeutic options first in patients at risk.

Refer to 5.1.12 Quinolones for further details.