To prevent cholera: Adults and children over 6 years of age should receive 2 doses of the vaccine at least 1 week apart and no more than 6 weeks apart. The second dose should be given at least 1 week before departure. Protection lasts for 2 years. A single booster dose can be given if the last dose was given between 2 years and 5 years earlier.
Children from 2 to 6 years of age should receive 3 doses, 1 to 6 weeks apart. The third dose should be given at least 1 week before departure. Protection against cholera lasts for 6 months. A single booster dose can be given if the last dose was given between 6 months and 5 years earlier.
To prevent travellers' diarrhea caused by ETEC: Adults and children 2 years of age and over should receive 2 doses, 1 to 6 weeks apart. The second dose should be given at least 1 week before departure. Protection lasts for 3 months. A booster dose can be given if the last dose was given between 3 months and 5 years earlier.
For all people using this medication, if more than 5 years have passed since last completing the course of vaccination, the complete schedule needs to be repeated.
Many things can affect the dose of medication that a person needs, such as the severity of the condition, body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are receiving the medication without consulting your doctor. It is very important to take this medication exactly as prescribed by your doctor.
The vaccine must be taken by mouth. Avoid food and drink for 1 hour before and 1 hour after taking the vaccine, as food and drink may decrease the effectiveness of the vaccine. Do not take any other medication for 1 hour before and 1 hour after taking the vaccine.
To prepare the vaccine:
Step 1: Dissolve the powder from the sachet in a glass of cool water (approximately 150 mL or 5 oz). Do not use any other liquid. For adults and children 6 years and older, proceed to Step 2. For children 2 years to 6 years old, discard half of the mixture and proceed to Step 2.
Step 2: Shake the small glass vial that contains the vaccine to mix it well.
Step 3: Open the vial and add the vaccine to the liquid in the glass. Stir well and drink immediately. If the mixture is not taken immediately, it should be kept at room temperature and consumed within 2 hours of mixing.
It is important to take this medication exactly as recommend by your doctor or pharmacist. If you forget a dose, it may be taken any time within 6 weeks. If it has been more that 6 weeks since your last dose, contact your doctor or pharmacist for advice.
Before mixing, store the vaccine in the refrigerator. Do not allow it to freeze. The vaccine may be stored at room temperature for up to 2 weeks on one occasion only. The sodium hydrogen carbonate sachet may be stored separately at room temperature if desired.
After mixing, the vaccine should be consumed within 2 hours.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.