Know Your Medications with Chula Pharmacists: Essential Medicines for Traveling to India

    As I prepare for an upcoming pilgrimage to India, one of my key concerns is ensuring I have the right medications on hand. Falling ill while traveling can be challenging, even with travel insurance or VIP tour services. Recent news about a Taiwanese actor passing away from the flu while in Japan has further reinforced the importance of being prepared. Navigating healthcare services in a foreign country can be complicated due to language barriers, unfamiliar procedures, and varying standards. In my experience, Thailand remains one of the most accessible places for medical care, not just for locals but for many international visitors as well.

Health Considerations When Traveling to India

    India is a vast country with a hot and humid climate, which raises concerns about hygiene and infectious diseases. Similar to Thailand, travelers may encounter various illnesses that can generally be categorized into four main groups:

Food- and Waterborne Diseases

    Contaminated food and water can lead to infections such as bacterial diarrhea, dysentery, and typhoid fever. Symptoms include diarrhea, stomach pain, nausea, vomiting, and fever. The best prevention is to consume only freshly cooked food, drink clean bottled water, and avoid ice. Hepatitis A, another concern, is caused by a virus transmitted through contaminated food and water. It can be prevented through vaccination and good hygiene practices.

Respiratory Infections

    From the common flu to tuberculosis, respiratory infections are a risk in crowded places. Preventative measures include vaccinations, wearing masks in congested areas, frequent handwashing, and using alcohol-based hand sanitizers.

Insect- and Animal-Borne Diseases

    Mosquitoes in India can transmit diseases such as malaria, dengue fever, and Japanese encephalitis. The best defense is preventing mosquito bites by wearing long-sleeved clothing, using insect repellent, and sleeping under mosquito nets. Vaccines are available for dengue fever and Japanese encephalitis.

Environmental Infections

    Diseases such as leptospirosis, which spreads through contaminated water or soil, can be prevented by wearing waterproof footwear in risk areas and avoiding wading through unclean water.

Preventive Measures Before Traveling

    To minimize health risks, travelers should take the following precautions:

    Get recommended vaccinations – including hepatitis A and B, influenza, Japanese encephalitis, and typhoid. Schedule these well in advance to allow time for immunity to build.

    Practice good hygiene – wash hands frequently and use hand sanitizer when soap and water are unavailable.

    Drink safe water – stick to sealed bottled water and avoid ice.

    Choose food wisely – eat only freshly cooked meals and avoid street food.

    Prevent insect bites – use mosquito repellent, wear protective clothing, and consider vaccinations for mosquito-borne diseases.

    Carry essential medications – bring a well-prepared travel medicine kit.

    The medications you bring should include both essential first-aid supplies and treatments for common travel-related illnesses.

    1. Chronic Disease Medications

    If you take medication for a chronic condition, pack enough for your entire trip—plus a few extra days’ worth in case of delays.

    2. Medications for Digestive Issues

    Antacids & Gas Relief – For those prone to bloating from unfamiliar foods, simethicone or sodium bicarbonate-based antacids can help.

    3. Fever and Pain Relievers

    Paracetamol is the preferred choice for fever and pain relief. If you suffer from migraines or menstrual pain, bring your usual medication.

    4. Antihistamines and Allergy Medications

    Non-drowsy antihistamines such as cetirizine, loratadine, bilastine, or fexofenadine are recommended for allergies.

    5. Motion Sickness Medication

    Dimenhydrinate can help prevent nausea and dizziness from long road trips or boat rides.

    6. First-Aid Supplies

    Antiseptics – Povidone-iodine, alcohol wipes

    Bandages & Plasters – For minor cuts and wounds

    Pain Relief Balms & Oils – Useful for muscle aches

    Inhalers & Nasal Balms – Helps with congestion

    Mosquito Repellent – Ointments or sprays

    Sunscreen – To prevent sunburn and skin irritation

Additional Tips

    Label all medications clearly with their names, dosages, and expiration dates.

    Keep medications in their original packaging, especially if carrying prescription drugs.

    If you develop unusual symptoms during or after your trip, consult a doctor promptly.

    By preparing in advance, practicing good hygiene, and taking necessary precautions, travelers to India can reduce health risks and enjoy their journey with peace of mind. Stay safe and travel smart!

Assoc. Prof. Dr. Nattada Areepiam and Assoc. Prof. Dr. Bodin Tiwasuwan

Faculty of Pharmacy Chulalongkorn University