Comments on: Does Dukoral Work or Not? My Experiences with the Travellers’ Diarrhea vaccine https://goingawesomeplaces.com/to-dukoral-or-not/ Detailed itineraries + travel guides Tue, 31 Jan 2023 18:25:12 +0000 hourly 1 https://wordpress.org/?v=6.1.1 By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-122184 Fri, 07 Feb 2020 16:41:28 +0000 https://goingawesomeplaces.com/?p=6645#comment-122184 In reply to Jim N..

Thanks for sharing your experiences! Good to know that you can get it without prescription. Just curious, where are you from as that might be relevant for others?

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By: Jim N. https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-122104 Tue, 04 Feb 2020 02:01:32 +0000 https://goingawesomeplaces.com/?p=6645#comment-122104 Just to confirm that Dukoral is available without prescription. However, if you have a drug plan, they will probably only reimburse you if you purchased it with a prescription. In this case, have you family doctor write one up for you.

Four of us traveled in India for a month. We all took Dukoral and no one got sick. So I’m a believer!

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119516 Fri, 29 Nov 2019 23:15:33 +0000 https://goingawesomeplaces.com/?p=6645#comment-119516 In reply to Terry.

You’re very welcome!

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By: Terry https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119502 Fri, 29 Nov 2019 16:32:21 +0000 https://goingawesomeplaces.com/?p=6645#comment-119502 In reply to Will Tang.

Thanks Will! I really appreciate your help and expertise!

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119501 Fri, 29 Nov 2019 16:30:25 +0000 https://goingawesomeplaces.com/?p=6645#comment-119501 In reply to Terry.

Hi Terry, this isn’t a guarantee but you can ask the flight attendant to give you a bag of ice. That’s probably the best you’ll be able to do.

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By: Terry https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119496 Fri, 29 Nov 2019 15:05:04 +0000 https://goingawesomeplaces.com/?p=6645#comment-119496 In reply to Will Tang.

Thanks Will but doesn’t it have to be refrigerated and wouldn’t we need the booster one week before we head to Cuba? My concern is if we get it here in Canada before we leave on December 20 it will be unrefrigerated on the plane to Florida.

Sorry to be a pest! It’s been many years since we travelled!

Thanks so much

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119495 Fri, 29 Nov 2019 14:44:45 +0000 https://goingawesomeplaces.com/?p=6645#comment-119495 In reply to Terry.

Hey Terry! Excited for your upcoming trip! Now in terms of getting Dukoral, you can actually get it in Canada before you go by heading over to a travel clinic. This would apply if you’re in the US as well.

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By: Terry https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119490 Fri, 29 Nov 2019 11:53:26 +0000 https://goingawesomeplaces.com/?p=6645#comment-119490 On September 28/19 we took our second dose of Dukoral before going to Cuba on October 5/19.

We are heading back to Cuba in January 3/20 -JUST over the 3 month mark. Do we need a booster dose? Unfortunately one week before our January 3 departure we will be in Florida. Is it possible to get Dukoral in the US without a prescription!

Thanks!

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By: Robert https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119137 Fri, 22 Nov 2019 23:59:04 +0000 https://goingawesomeplaces.com/?p=6645#comment-119137 In reply to Rachael King.

Just remember ..with Dokoral… the protection from heat-labile toxin producing enterotoxigenic E. coli (LT-producing ETEC ..the major source of Traveler’s Diarrhea) only lasts three months… and then you need to do a booster dose. If you’ve gone five years since your last dose… you need to do the full two dose series all over again.
Protection from Cholera is two years.

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119126 Fri, 22 Nov 2019 17:20:21 +0000 https://goingawesomeplaces.com/?p=6645#comment-119126 In reply to S. Diane.

Thanks for sharing these facts! Always good to see both sides of the argument as I know some people swear by it and others that see it more as a placebo effect type of thing.

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119125 Fri, 22 Nov 2019 17:19:16 +0000 https://goingawesomeplaces.com/?p=6645#comment-119125 In reply to Rachael King.

Thanks for sharing your experiences Rachael!

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By: S. Diane https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119120 Fri, 22 Nov 2019 14:45:52 +0000 https://goingawesomeplaces.com/?p=6645#comment-119120 https://www.cfp.ca/content/cfp/65/3/171.full.pdf.
Researched article that sees limited use of Dukoral unless a humanitarian worker in limited areas. States it is a marketing campaign and not efficiency of the vaccine.

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By: S. Diane https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119119 Fri, 22 Nov 2019 14:37:36 +0000 https://goingawesomeplaces.com/?p=6645#comment-119119 “ In the context of travel and tropical medicine practice, the evidence-based use of DUKORAL would be infrequent and not considered a priority except for those working within a cholera outbreak region (eg, humanitarian workers).” I’ll attach the link in my next comment.

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By: Rachael King https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-119108 Fri, 22 Nov 2019 09:02:57 +0000 https://goingawesomeplaces.com/?p=6645#comment-119108 This is just my experience, I have travelled to remote India, nepal, remote parts of China, Thailand, Bali,
Kenya and Tanzania you could say I swear by Dukoral. Never had an issue. And I use old school water purifying tablets for my water. The biggest test yet off to Egypt and Jordan soon, Wish me luck.

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By: Robert https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-114895 Mon, 02 Sep 2019 08:46:22 +0000 https://goingawesomeplaces.com/?p=6645#comment-114895 In reply to Will Tang.

There are many things that can cause “issues”.
Dukoral only protects you from Cholera and E.coli. (IF you took it properly following the instructions)
If you got some other “bug” or something else other than Cholera or E.coli infection.,.then Dukoral can not protect you.

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By: Robert https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-114894 Mon, 02 Sep 2019 08:41:36 +0000 https://goingawesomeplaces.com/?p=6645#comment-114894 In reply to HK Traveller.

I’ve taken the two doses of Dukoral before both my trips to Asia. Followed the instructions exactly.
No side effects from the oral Dukoral vaccine. Might as well have been drinking ordinary clean water.
Also…no traveler’s Diarrhea. 😃
“HK Traveler”’s illness must have been caused by something else.
I’ve known lots of people who have taken Dukoral with no side effects at all.
Dukoral does not protect you against everything out there in the world.
It does not even protect you against all pathogens that can cause Traveler’s Diarrhea and Sickness. It only gives you some protection from Cholera and E.coli ….the most common cause. There are other causes that you can still become infected with.
But eliminating the most common cause by taking your two doses of Dukoral gives you a much higher chance of not getting sick.
I’ll always take my two doses before travel.
HK Traveler’s suggestion of only taking one dose of Dukoral….will not give you proper protection, unless you took your proper two doses of Dukoral within the previous five years.

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By: Robert https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-114892 Mon, 02 Sep 2019 08:22:02 +0000 https://goingawesomeplaces.com/?p=6645#comment-114892 In reply to Cristina.

Instructions for taking Dukoral come with the package. Dosing instructions also available on Dukoral’s website.
dukoral.ca

To be safe, I wait even longer after eating than they say before taking a dose. I wait until three hours after eating. And I don’t eat anything for two hours after taking a dose.

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-114862 Sun, 01 Sep 2019 17:19:24 +0000 https://goingawesomeplaces.com/?p=6645#comment-114862 In reply to Jamie.

That’s definitely new! This must be a new thing because I used to always have to get a prescription for it. Good to know!

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By: Jamie https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-2/#comment-114833 Sat, 31 Aug 2019 19:52:26 +0000 https://goingawesomeplaces.com/?p=6645#comment-114833 Dukoral is available over the counter in Canada, except in Quebec, for prevention of E coli. It is still prescribed for Cholera.

We’ve used it for several trips now – China, Taiwan, Hong Kong, Japan and Mexico and we haven’t run into any issues yet.

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-113466 Thu, 01 Aug 2019 20:12:07 +0000 https://goingawesomeplaces.com/?p=6645#comment-113466 In reply to Robert.

Thank you sharing your experiences! Great to hear a positive experience with Dukoral. I think the lesson is “better safe than sorry”. While it’s never going to be conclusive and some may still get sick but some protection is better than none at all.

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By: Robert https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-113422 Thu, 01 Aug 2019 02:11:25 +0000 https://goingawesomeplaces.com/?p=6645#comment-113422 I also took Dukoral before a four month trip to Thailand in 2013….(including Chiang Mai and an isolated Lisu tribe village in the mountains north west of Chiang Dao I went with a Thai friend. No hotels, no wifi, no cell phone use. No other westerners there)
I never got sick.. and I ate lots of street food and Lisu tribe food also.
Also took Dukoral before a two month trip to Cambodia in 2017.. including staying for a few days with my driver’s very poor relatives in a poverty stricken village and sharing their food. Again… never got sick.
Just plain luck? I don’t know… but I will always take Dukoral before trips like that.
Funny thing is…(actually not funny at all) was the worst case of food poisoning traveller’s diarrhea I ever got was in modern, first world Toronto, Canada many years ago…. diarrhea and throwing up like crazy…. thought that maybe death would be better…. (Macaroni salad bought at an open air market.)
Dukoral ? ? Yes ! ! Absolutely.

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By: Cristina https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-108703 Thu, 02 May 2019 12:45:06 +0000 https://goingawesomeplaces.com/?p=6645#comment-108703 In reply to Will Tang.

Thanks Will.
I’m so happy to have found your site plus you are a Canadian as well. :-)

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-108641 Thu, 02 May 2019 02:26:20 +0000 https://goingawesomeplaces.com/?p=6645#comment-108641 In reply to Cristina.

Hi Cristina! Timing wise, you’re right take the first dose up to 6 weeks before departure. At that point, space out your second dose at least 1 week later but make sure you do it 2 weeks before departure (the official Dukoral prescription). After that you’re all good!

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By: Cristina https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-107512 Mon, 22 Apr 2019 01:47:12 +0000 https://goingawesomeplaces.com/?p=6645#comment-107512 Hi,

Thank you for your opinion and experience on Dukoral. Very informative.

I have a question about the timing of the 2 doses.

First dose should be taken 6 weeks before departure?

Second dose: 1 week before departure? Could I take maybe 2 weeks before departure? (Just in case I experience any terrible side effects & can recover a bit before my actual trip?)

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By: Evan https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-105206 Wed, 27 Mar 2019 19:05:52 +0000 https://goingawesomeplaces.com/?p=6645#comment-105206 In reply to Will Tang.

Right, and you can’t go back in time to see how it would have been with/without the drug. And great point, too, that it ONLY covers cholera and e-coli. Many things can make you sick! We got intestinal parasites when we were in India. Nothing Dukoral could have prevented. Still, combined with adequate food safety awareness, I think it’s a good safeguard.

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-104900 Mon, 25 Mar 2019 18:26:33 +0000 https://goingawesomeplaces.com/?p=6645#comment-104900 In reply to Evan.

Thanks for sharing your experience! I feel like this is one of those tricky things where if nothing happens, you can pinpoint it on Dukoral but if you do get sick, everyone is going to say Dukoral doesn’t work. What makes it challenging as well that Dukoral protects you from only certain things that can cause the general “food poisoning”. That said, I’m glad you played it smart and used it in combination of savvy and safe travel! Thanks for stopping by :)

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By: Evan https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-104849 Mon, 25 Mar 2019 01:46:07 +0000 https://goingawesomeplaces.com/?p=6645#comment-104849 In 6 months of traveling in Asia, I credit an almost complete lack of food poisoning to a combination of Dukoral and general food safety/awareness. We avoided tap water, ice, freshly washed veggies, room-temperature food, etc… But we have traveled before and gotten majorly sick. This time, though we can’t prove it, we assume it was the Dukoral that made the difference!

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-68871 Mon, 18 Dec 2017 06:35:55 +0000 https://goingawesomeplaces.com/?p=6645#comment-68871 In reply to HK Traveller.

Thank you so much for your detailed story. This is really good to know especially with your first-hand experience. I wonder if it’s something where everybody reacts to it differently but a good word of caution for anyone looking into taking it. From my experience, I’ve taken Dukoral 3-4 times at this point and I’ve been ok and will probably continue to take it.

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By: HK Traveller https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-67818 Sun, 10 Dec 2017 03:18:59 +0000 https://goingawesomeplaces.com/?p=6645#comment-67818 Back in 2011 I took Dukoral, one dose 7 days before my trip to HK, then one dose the night before leaving. Seven days into the trip, I had a long day at the beach in HK, though it was a mild day, I didn’t drink a whole lot of water, maybe 8 glasses that day. Sometime in the evening on the 7th day of the trip, I drank some water from the local water fountain at the community centre, I walked the 20 minutes back to where I was staying. I started feeling still very thirsty, then I noticed my arms getting weaker, legs getting weaker. Thus I sat down and with my relative, told him with limited ability as I was very fatigue and started having claw hands where the hands tighten toward the body like I’m becoming physically challenged. There is a term where all the electrolytes leave the cells and your body starts to not be able to communicate and send electrical signals properly. That was occurring and I suspect it was either the fountain water, which the ER doctor said he drinks it all the time, OR the Dukoral gave me severe dehydration which is one of the listed side effects. When, the gatorade request came back as I sent my relative to the closest 7/11 to get some, I tried to sip it but wanted to throw up. I couldn’t swallow it. I asked him to call the ambulance, by then I was pale white according to my wife who came down to see me sitting near the MTR entrance in front while the ambulance came. By the time the ambulance guys loaded me up, they had to lift me in as I couldn’t move and was barely breathing. After they hooked me up to oxygen, I kept asking for my gatorade to my wife. Then the ambulance guys mentioned, does this guy have mental issues? My wife said no. I heard them so I stopped saying anything more about gatorade. The ambulance wasn’t moving so one experienced staff member asked, “Did you feel like throwing up when you drank it”. I said yes. Then he started the engine immediately and drove me to the hospital. I seen tons of people waiting while I’m in a wheel chair being rolled in, all pale white like a white shirt. The guys asked me do you want your oxygen, I said I’m fine. After they took it off, I had trouble again breathing. I thought crap, I wish I told them I needed it.
Needless to say, they gave me a bed immediately. I knew I was dying, so I told my wife to get me some salt water IV. I knew I needed electrolytes. I was phasing in and out of a bit and couldn’t respond to words when I wanted to at times. ER doctor came by and said he needs an IV and authorized it. Upon then sticking in the needle and in 20 minutes I was sitting up, and then after the bag was done, they gave another one. After the second one, I needed the bathroom very badly, but couldn’t walk yet. So I asked the nurse, she gave me a container to take a leak into. I filled it all the way up. She said, “Wow, this guy isn’t dehydrated, look at all this fluid.” So the doc came by and after one hour I and third bag of IV, they cranked the speed up on the drip and I walked my way to the bathroom in two hours. All my skin color was back to Asian. I was out of the ER in three hours total and survived. The ER doc asked me how much water I had, I said 9 glasses approx. that day. He said, he doesn’t know what happened to me, but said if you didn’t come here you would have died for sure. I thanked him and took a cab back home right away with my wife.
Summary of the story, I’ve been drinking HK tap water boiled all the time for 7 days so couldn’t be the water from the fountain. My relative sipped it too and nothing happened to him.

In summary
Dukoral if not needed, take only one dose like the pharmacist told me to. Two doses screwed me up good. After the hospital bout, I ended up with big hemorrhoids for the first time in my life a few days later. Had to get my body all back into sync.
I won’t ever take it again. I’d rather have the runs, take some immodium rather than end up with severe dehydration as a result from taking Dukoral. Or if taken, follow the instructions 14 days before trip, then 7 days next dose before trip.
Happy travels and glad I survived the ordeal.

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By: Will Tang https://goingawesomeplaces.com/to-dukoral-or-not/comment-page-1/#comment-44400 Wed, 17 May 2017 22:48:13 +0000 https://goingawesomeplaces.com/?p=6645#comment-44400 In reply to chissl.

That’s a really good tip! For my trip to Ethiopia, I took Dukoral before the trip BUT it didn’t prevent issues happening later. Luckily I had Cipro which is that antibiotic you’re talking about.

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