Getting Travel Vaccinated: What You Need to Know Before You FlyGetting travel vaccinated before you fly is one of the most important steps you can take to protect your health abroad. Many diseases that pose a risk to travellers are entirely preventable with the right vaccines, yet a significant number of people depart without adequate protection simply because they did not plan ahead. At Birmingham Travel Clinics, our pharmacist-led team provides personalised pre-travel vaccination assessments to ensure you are fully protected before you go. Getting travel vaccinations in Birmingham has never been more straightforward.
Planning a trip? Book a travel vaccination consultation with our team today and travel with confidence.
Travelling exposes you to infectious diseases that are rare or absent in the UK but common in many parts of the world. Some can cause serious illness or death, and treatment options may be limited in remote destinations. Vaccination provides a reliable, evidence-based layer of protection that is far more effective than relying on avoiding exposure alone.
Your standard UK vaccination schedule does not cover most travel-specific diseases. Conditions such as typhoid, hepatitis A, yellow fever, Japanese encephalitis, and rabies require separate vaccinations not included in routine NHS immunisation. You can read more about travel health on the NHS website.

The vaccines recommended for your trip depend on your destination, duration, planned activities, accommodation type, and medical history. Some are recommended for most travellers to certain regions, while others are only advised for specific high-risk itineraries.
| Vaccine | Commonly Recommended For |
|---|---|
| Hepatitis A | Most travellers to Africa, Asia, and Latin America |
| Typhoid | South Asia, Southeast Asia, sub-Saharan Africa |
| Yellow Fever | Required for entry to certain countries in Africa and South America |
| Hepatitis B | Longer stays, healthcare workers, high-risk activities |
| Japanese Encephalitis | Rural travel in Asia, particularly during monsoon season |
| Rabies | Remote areas, outdoor activities, travellers with limited access to post-exposure treatment |
Not sure which vaccines you need for your destination?
Our travel health pharmacists will assess your full itinerary and provide clear, personalised recommendations. Contact Birmingham Travel Clinics to speak with our team today.
Timing is one of the most important factors in travel vaccination. Some vaccines require multiple doses spread over several weeks, and most take at least two weeks to provide full protection after the final dose. Leaving vaccinations until the last minute risks travelling without adequate immunity.
Booking at least six to eight weeks before departure is recommended. Before your appointment, reviewing our travel health checklist is a useful way to prepare for everything your consultation will cover. It is also worth ensuring you have a well-stocked travel first aid kit as part of a complete approach to pre-travel preparation.

Some travel vaccinations, such as hepatitis A and typhoid, may be available on the NHS for travel to high-risk destinations, but availability varies by GP practice. Most travel vaccines are obtained privately through specialist travel health clinics. Birmingham Travel Clinics provides a full range of travel vaccinations at competitive prices across our Kings Pharmacy branches.
Yes. While early booking is always preferable, Birmingham Travel Clinics can often accommodate short-notice appointments. Some vaccines can be given as a single dose and still offer meaningful protection even when administered close to departure. Contact us as soon as possible, and our team will advise on what is achievable given your timeframe.
Previous travel to a destination does not guarantee ongoing protection. Vaccine immunity can wane over time, disease risk levels can change, and new outbreaks can occur. A travel health consultation before every trip ensures your protection is current and appropriate for the current situation at your destination.
Most travel vaccines can be administered at the same appointment without any reduction in safety or effectiveness. Our pharmacists will plan your vaccination schedule to ensure all vaccines are given at the correct intervals and in the correct order where multiple doses are required.
Required vaccines, such as yellow fever for entry to certain countries, are compulsory and you may be refused entry without proof of vaccination. Recommended vaccines are not compulsory but are strongly advised based on the health risks at your destination. Both types are important and should be discussed during your pre-travel consultation.
The right vaccinations, obtained in good time, are one of the most effective investments you can make in your travel health. At Birmingham Travel Clinics, our experienced pharmacist-led team will ensure you are fully protected for your specific destination and itinerary, with no unnecessary vaccines and nothing important missed.
Period Delay Tablets for Travel: How to Postpone Your Period Before You GoPlanning a long-haul flight, beach holiday, or adventure trip only to find your period is due at the worst moment is a common and entirely manageable concern. Period delay tablets offer a safe, effective, and clinically proven way to postpone menstruation for your trip. At Birmingham Travel Clinics, our pharmacist-led team can advise on and prescribe period delay treatment as part of a pre-travel health consultation.
Travelling soon and need period delay tablets? Book a consultation with our team today.
Travelling with your period can be uncomfortable at the best of times, and in certain contexts it becomes a more significant concern. Long-haul flights, limited access to sanitary products in remote destinations, water-based activities such as diving or swimming, and multi-day trekking itineraries are all situations where delaying your period can make a meaningful difference to your comfort. You can read more about Norethisterone on the NHS website.

The most commonly prescribed period delay tablet in the UK is Norethisterone, a synthetic form of the hormone progesterone. It works by maintaining elevated progesterone levels, preventing the uterine lining from shedding and delaying menstruation for as long as the tablets are taken.
Norethisterone is taken three times a day, starting three days before your period is expected. Your period will usually return two to three days after stopping the course. It is important to note that Norethisterone is not a contraceptive. If you are not using reliable contraception, you will still need to use additional protection.
| Detail | Information |
|---|---|
| Medication | Norethisterone 5mg |
| Dosing | One tablet three times daily |
| When to Start | 3 days before the period is due |
| Maximum Duration | Up to 17 days |
| Prescription Required | Yes |
| Acts as a Contraceptive | No |
Need period delay tablets before your trip?
Our pharmacists can assess your suitability and prescribe the right treatment at your pre-travel appointment. Contact Birmingham Travel Clinics to speak with our team.
Norethisterone is suitable for most healthy women but is not appropriate in all circumstances. It is not recommended for those with a history of blood clots, liver disease, certain hormone-sensitive conditions, or those who are pregnant or breastfeeding. Women who use combined oral contraceptives may have alternative options, and your pharmacist will advise on the most appropriate approach during your consultation.
Period delay tablets are just one part of a well-prepared travel health plan. Our pre-travel health checklist is a useful starting point for ensuring nothing is overlooked before you fly. If you are also prone to nausea on long journeys, our guide on motion sickness tablets in Birmingham covers everything you need to know.

We recommend booking at least two weeks before your departure date to allow time for assessment, prescribing, and collection. The tablets need to be started three days before your period is expected, so knowing your cycle dates in advance is helpful when you attend your appointment.
If you take a combined oral contraceptive pill, you may be able to delay your period by running two packs together without taking the pill-free break, though this should be discussed with your clinician. Norethisterone is generally not recommended alongside the combined pill, and our pharmacists will advise on the best option for your contraceptive method.
The most commonly reported side effects include bloating, breast tenderness, mood changes, headache, and spotting or breakthrough bleeding. These are generally mild and resolve once the course is completed. Stop taking the tablets and seek medical advice if you experience any unusual or severe symptoms.
Yes. Your period will typically begin two to three days after stopping Norethisterone and your cycle should return to its normal pattern within one to two months. If your period does not return or you experience unexpected symptoms, consult a healthcare professional.
In most cases, yes. Norethisterone can generally be taken alongside common travel medications such as antimalarials and travel vaccines. A full medication review during your consultation ensures there are no interactions with any other medicines or supplements you are taking.
Your travel experience should not be compromised by something as manageable as your menstrual cycle. Whether you are heading on a diving trip, a long-haul flight, or a beach holiday, Birmingham Travel Clinics can help you travel with confidence. Our pharmacist-led team will assess your suitability, prescribe the right treatment, and cover your full pre-travel health needs in a single appointment.
What are the Best Altitude Sickness Tablets in Birmingham?The most widely recommended and clinically proven altitude sickness tablet is Acetazolamide, commonly sold under the brand name Diamox. It works by stimulating faster, deeper breathing, which helps the body acclimatise to lower oxygen levels at altitude more efficiently. Dexamethasone is occasionally used in place of Acetazolamide for those who are unable to tolerate it, although it is more commonly prescribed as a treatment for existing symptoms rather than a preventative measure. Ibuprofen has also shown some evidence as a preventative measure for mild altitude sickness symptoms, particularly headaches. The experienced travel health team at Birmingham Travel Clinics will carry out a thorough assessment of your individual health needs and recommend the most clinically appropriate altitude sickness medication for your journey.
Planning a high-altitude adventure? Book a consultation with our travel health team today to find out which altitude sickness tablets are right for you.
Altitude sickness, medically referred to as Acute Mountain Sickness (AMS), occurs when the body struggles to adapt to the reduced levels of oxygen found at high altitudes. It typically begins to affect people at elevations above 2,500 metres (8,200 feet), though some individuals may experience symptoms at lower altitudes, particularly if they ascend quickly.
Importantly, altitude sickness does not discriminate. It can affect anyone regardless of age, fitness level, or previous high-altitude experience. In fact, being physically fit provides no guaranteed protection — even elite athletes can be susceptible. Popular travel destinations such as the Himalayas, the Andes, Kilimanjaro, and even some ski resorts in the Alps all carry a risk of AMS for unprepared travellers.
Symptoms typically develop within six to twelve hours of arrival at altitude and include headache, nausea, vomiting, dizziness, fatigue, and difficulty sleeping. In more severe cases, altitude sickness can progress to High Altitude Pulmonary Oedema (HAPE) or High Altitude Cerebral Oedema (HACE) — both of which are medical emergencies requiring immediate descent and treatment.
Acetazolamide — most commonly known by its brand name Diamox — is the first-line medication recommended by travel health professionals for the prevention and treatment of altitude sickness. It belongs to a class of drugs called carbonic anhydrase inhibitors and works by causing the kidneys to excrete bicarbonate, which in turn acidifies the blood and triggers faster, deeper breathing. This allows the body to take in more oxygen and acclimatise more rapidly.
Acetazolamide is typically taken one to two days before ascending to altitude and continued for at least two days after reaching your highest point. The standard preventative dose is 125mg to 250mg twice daily, though your prescribing clinician will advise the most appropriate dose for you based on your health profile and itinerary.
It is important to note that Acetazolamide is a sulfonamide-derived drug, meaning it should be avoided by those with a sulfa allergy. It is also a diuretic, so staying well hydrated while taking it is essential. Common side effects include increased urination, tingling in the hands and feet, and altered taste of carbonated drinks — all generally mild and well tolerated.
Heading to High Altitude? Be Prepared.
Our travel health specialists can prescribe the right altitude sickness medication and give you personalised advice for your trip. Contact us to speak with a travel health expert today.

While Acetazolamide remains the preferred option for most travellers, there are alternative medications worth knowing about:
Dexamethasone is a corticosteroid that can be used to both prevent and treat altitude sickness, particularly in cases where Acetazolamide is contraindicated or not tolerated. However, it does not aid acclimatisation in the same way — it simply masks symptoms — and is therefore generally recommended as a treatment option or emergency medication rather than a routine preventative measure.
Ibuprofen, whilst not a prescription medication, has shown some promise in clinical studies as a preventative for altitude headache, which is the hallmark symptom of AMS. It is not a substitute for Acetazolamide but may be used as a supplementary measure. Always consult a healthcare professional before relying on ibuprofen for altitude sickness prevention.
Nifedipine is occasionally prescribed for the prevention or treatment of HAPE in high-risk individuals, such as those with a history of the condition. It is not used routinely and should only ever be taken under medical guidance.
The table below provides a quick comparison of the main altitude sickness medications to help you understand your options:
| Medication | Primary Use | Prescription Required? | Typical Dose | Key Consideration |
|---|---|---|---|---|
| Acetazolamide (Diamox) | Prevention & Treatment | Yes | 125–250mg twice daily | Avoid if sulfa allergy; stay hydrated |
| Dexamethasone | Treatment / Emergency | Yes | 4mg every 6 hours | Does not aid acclimatisation |
| Ibuprofen | Headache Prevention | No | 400–600mg three times daily | Not a substitute for Acetazolamide |
| Nifedipine | HAPE Prevention/Treatment | Yes | 30mg slow-release daily | For high-risk individuals only |
Altitude sickness tablets are most effective when used as part of a broader acclimatisation strategy. Here are some key prevention tips to follow alongside your medication:
Ascend gradually — the golden rule of altitude travel. Wherever possible, avoid flying directly to high-altitude destinations without allowing time to acclimatise at intermediate elevations. Stay well hydrated by drinking plenty of water throughout your ascent. Avoid alcohol and sedatives in the first few days at altitude, as these can suppress breathing and worsen symptoms. Rest on your first day at a new altitude rather than immediately engaging in strenuous activity. And critically — never ignore symptoms. If AMS develops, stop ascending and consider descending until symptoms resolve.

Altitude sickness tablets raise a lot of questions – and that’s completely understandable. Here’s what our team at Birmingham Travel Clinics gets asked most often.
Acetazolamide (Diamox), the most effective altitude sickness medication, is a prescription-only medicine in the UK and cannot be purchased over the counter. You will need to consult a travel health professional or GP to obtain a prescription before your trip.
It is generally recommended to begin taking Acetazolamide one to two days before you start your ascent to altitude, and to continue for at least two days after reaching your highest point. Starting your course too late may reduce its effectiveness, so it is important to plan ahead.
Acetazolamide is not suitable for everyone — it should be avoided by those with a sulfa allergy, kidney or liver problems, or those who are pregnant or breastfeeding. A travel health consultation will help identify the most appropriate option for your individual health needs.
While Acetazolamide significantly reduces the risk of altitude sickness, no medication can guarantee complete prevention — it should always be used alongside a sensible acclimatisation plan. Gradual ascent, proper hydration, and listening to your body remain essential parts of staying safe at altitude.
Acetazolamide can be used in children in some circumstances, but dosing is weight-dependent and must be determined by a qualified healthcare professional. Parents planning high-altitude travel with children should seek specialist travel health advice well in advance of their trip.
If you or a member of your group develops symptoms of severe altitude sickness — such as confusion, inability to walk in a straight line, or breathlessness at rest — the priority is to descend immediately, regardless of the time of day or conditions. Severe AMS is a medical emergency and should never be managed by waiting to see if symptoms improve at altitude.
Don’t Let Altitude Sickness Ruin Your Adventure
Get the right advice and medication before you travel. Our team at Birmingham Travel Clinics is ready to help you prepare.
Altitude sickness is a real and potentially serious risk for travellers venturing to high-altitude destinations — but with the right preparation, it is largely preventable. Acetazolamide remains the most clinically proven and widely recommended altitude sickness tablet available, and when combined with a sensible acclimatisation strategy, it gives you the best possible chance of enjoying your high-altitude adventure safely and symptom-free.
The key is to plan ahead. Obtaining a prescription, understanding your medication, and allowing adequate time for acclimatisation are all steps that should be taken well before your departure date. At Birmingham Travel Clinics, our experienced travel health team is here to ensure you are fully prepared for the challenges of high-altitude travel — from the right medication to destination-specific health advice. Book now and take the first step towards a safer, healthier adventure.
The Complete Travel Checklist from Birmingham Travel ClinicsA travel checklist is one of the easiest ways to feel organised before a trip, whether you are heading away for a short break, a long haul adventure, or work overseas. When you are busy booking flights, arranging accommodation, and planning activities, it is easy to overlook practical health and safety steps until the last minute. A good checklist helps you stay on top of what matters, reduces stress, and gives you confidence that you are properly prepared.
We support travellers at Birmingham Travel Clinics by offering clear guidance on vaccines, travel health considerations, and travel preparations. Travel health is not just about vaccines, it is also about knowing the risks at your destination and putting sensible measures in place to protect yourself while you are away.
A checklist is useful because travel involves lots of moving parts, and small oversights can cause big problems. Running out of time to book vaccinations, forgetting important medication, or travelling without the right documents can lead to unnecessary expense and disruption. A structured plan allows you to take action early, especially for vaccines that need to be given in advance or as a course.
Another benefit is that it encourages you to think about your health needs in the context of your itinerary. Your risk profile changes depending on where you are going, what you will be doing, and how long you will be away. Contact us if you would like to discuss your destination and receive clear advice on which travel vaccinations may be appropriate.

Starting your travel checklist as early as possible makes preparation smoother. Some items can be handled quickly, while others, such as vaccinations, insurance, or medication planning, are best arranged weeks in advance. The list below covers practical steps that apply to most trips, with extra attention to health planning.
Call us if you would like help building a travel health plan that fits your itinerary and travel style.
Travel vaccinations help protect against infections that may be more common in certain parts of the world. Some vaccines are recommended based on risk, while others may be required for entry into specific countries. The table below provides an overview of some of the travel vaccinations available at Birmingham Travel Clinics.
| Vaccine | Common Travel Risk | Often Considered For |
|---|---|---|
| Hepatitis A | Food and water borne infection affecting the liver | Travel where sanitation or food hygiene standards may vary |
| Hepatitis B | Blood and bodily fluid transmission | Long stays, higher risk activities, or possible medical care abroad |
| Japanese Encephalitis | Mosquito borne viral infection | Rural travel in parts of Asia, especially for longer trips |
| Rabies | Transmission through bites or scratches from infected animals | Remote travel, adventure trips, or limited access to urgent care |
| Typhoid | Food and water borne infection causing fever and illness | Travel to areas with higher typhoid risk and variable hygiene standards |
| Yellow Fever | Mosquito borne viral infection | Travel to certain parts of Africa and South America, including entry requirements |

As departure gets closer, your travel checklist should shift towards final checks and packing. This is the time to confirm vaccination dates, ensure you have any required certificates, and check that medications are packed in their original packaging. It is also worth planning how you will manage jet lag, hydration, and sleep, especially for long haul travel or busy itineraries.
Practical steps such as checking weather forecasts, planning airport transfers, and informing your bank of travel plans can also prevent avoidable issues. If you have a health condition that may require additional planning, it is worth discussing this during your travel consultation so you can travel with confidence.
A travel checklist is most effective when it includes your health planning early, rather than leaving it until the last minute. Vaccinations, malaria prevention, and destination specific advice can all play a role in keeping you well while travelling, and professional guidance helps ensure nothing important is missed.
Book now to schedule a travel health consultation at Birmingham Travel Clinics and ensure your travel checklist includes the right vaccinations and advice for your destination.
How to Use a Tick Remover Tool: Advice for Safe Tick RemovalWhether you’re hiking through the countryside, travelling abroad, or simply enjoying time outdoors, tick bites are a common risk. These tiny parasites can attach themselves to your skin and potentially spread infections such as Lyme disease. Knowing how to remove ticks safely is essential — and that’s where a tick remover tool comes in. At Birmingham Travel Clinics, we want to ensure that you’re well-prepared and protected when it comes to tick bites and removal.
Ticks are small arachnids that feed on the blood of humans and animals. They are typically found in grassy, wooded, or rural areas and can attach themselves to exposed skin. Once attached, ticks can transmit bacteria and viruses, some of which can lead to serious health conditions if not treated promptly.
One of the most well-known infections caused by tick bites is Lyme disease, which can lead to symptoms such as fatigue, fever, headaches, and muscle or joint pain. In some cases, it can cause long-term health issues if left untreated. This is why knowing how to properly remove a tick is so important — doing it the wrong way can increase the risk of infection.
A tick remover tool is a small, specially designed instrument used to remove ticks from the skin safely and efficiently. Unlike using tweezers or fingers, which can squeeze or break the tick, a tick remover is shaped to lift the tick out without leaving its mouthparts embedded in the skin. This helps reduce the risk of infection and irritation.
Tick remover tools are easy to use, compact, and ideal to carry in a first-aid kit, travel bag, or even on a keyring when spending time outdoors.
Whichever type you choose, it’s vital to use the tool correctly and clean the affected area after removal.

Using a tick remover tool is simple and safe when done properly. Here’s a step-by-step guide to removing a tick effectively:
After removing a tick, it’s a good idea to note the date and keep an eye on the bite area for several weeks. If you develop symptoms such as a rash, fever, or joint pain, contact a healthcare professional immediately.
While having a tick remover tool is essential, prevention is always the best protection. Taking simple precautions can significantly reduce your risk of being bitten while travelling or spending time outdoors.
By taking these measures, you can enjoy outdoor activities while staying protected from tick-borne infections.

Ticks are not only found in the UK but also in many parts of Europe, Asia, and North America. When travelling abroad, particularly to rural or forested areas, you may be exposed to additional tick-borne diseases such as tick-borne encephalitis (TBE). In some cases, a tick-borne encephalitis vaccine may be recommended before travel.
At Birmingham Travel Clinics, our team can advise you on tick-borne disease risks in your destination and recommend appropriate vaccinations and preventive measures. We can also provide guidance on managing tick bites, identifying infection symptoms, and knowing when to seek medical care.
Ticks may be small, but they can pose serious health risks if not dealt with properly. Having a tick remover tool and knowing how to use it can make a big difference in preventing infections like Lyme disease or tick-borne encephalitis. Our travel health experts are here to ensure you’re fully prepared before your next trip.
Whether you’re travelling locally or abroad, we can provide advice, vaccines, and travel essentials to keep you safe and healthy wherever you go.
Book now to schedule your travel health consultation and get expert advice on tick prevention, vaccinations, and essential travel health tools.