T minus 3 days

I need to begin taking the malaria pills.  As the nurse said, "Morning? Malaria" as a way to remember.  I had no such reminder for typhoid and ended up taking the first three of four capsules with a 72 hour interval instead of 48.  The Swiss manufacturer sent some studies which had been done with school children in Africa using various schedules, none of which were conclusive, but did seem to reduce the chances of contracting the disease.  Fear of getting too much keeps me from going back for the vaccine (intramuscular - 2 year protection, oral - 4 year protection), so my typhoid protection may be compromised.  I'll ask my GP what she thinks. 

I have to send my trekking guide a photocopy of my passport so he can get the permits to enter the Langtang national park. He also sent a list of non-prescription items that might come in handy:

Acetaminophen or Tylenol for analgesia

Ibuprofen or Advil for analgesia and as an anti-inflammatory agent

Immodium or Lomotil for diarrhea

A nasal decongestant such as Afrin

Pepcid or Zantac for heartburn 

 

This is beyond the prescription meds he and others suggested:

 

azithromycin for bacterial infections in the GI tract

Diamox for altitude sickness

hydrocodone for pain (I hope my pain does not exceed ibuprofen)

I asked for Ambien to help sleep on the trans oceanic flights

malaria pills mentioned above

 

All this plus my daily regimen of supplements and meds I use when staying home. 

I'm a walking Walgreens.

Maybe an Ayurvedic  practitioner in Old Delhi will have an easier solution.

 

I'll publish my itinerary for both countries later.