I propose to take Questions Nos. 12 and 22 together.
At the outset, let me state categorically that cost is not the basis for determining the prescribing of Lariam to Defence Forces personnel.
I am advised by the military authorities that there are four main chemo prophylactic anti-malaria agents available to the Defence Forces. These are Lariam, Chloroquine, Malarone and Doxycycline. Lariam is considered an effective anti-malaria drugs for the type of malaria our troops were exposed to in Chad and Central African Republic. Troops being administered the drug are informed of its effects and its use is very closely monitored by the military medical authorities. In addition, there is intensive medical screening of troops before Lariam is prescribed along with in theatre monitoring and post mission assessment.
Lariam is an Irish Medicines Board approved drug with a weekly dosing regime. From a compliance viewpoint, it is easier to manage a weekly dosage than a daily medication. While the main recognised disadvantage of Lariam is its side effect profile, I understand that the Irish Medicines Board remains of the view that the benefit/risk profile for the product remains acceptable. The Irish Medicines Board continues to review the safety of this and all medicines on an ongoing basis and updates the product information as appropriate.