Skip to main content

Written question asked by Julian Lewis (Conservative) on Monday, 12 January 2026, in the House of Commons. It was due for an answer on Thursday, 15 January 2026 (named day). It was answered by Louise Sandher-Jones (Labour) on Thursday, 15 January 2026 on behalf of the Ministry of Defence.


Veterans: Mefloquine

Question

To ask the Secretary of State for Defence, what steps he has taken with the Secretary of State for Health and Social Care to ensure that NHS practitioners are informed of the vulnerability to suicidal ideation of veterans impacted by Lariam; and what steps veterans can take with his Department to help improve awareness within the NHS of the nature and effects of mefloquine toxicity.

Answer

Mefloquine is recommended as an effective anti-malarial by international health agencies, including the World Health Organisation. Ministry of Defence (MOD) and the National Health Service both follow National Institute for Care and Excellence guidelines on the prescription and management of side effects associated with mefloquine.

The MOD is engaged with NHS England (NHSE) through the NHSE Armed Forces Clinical Reference Group. This group has recently reviewed the clinical management of the side effects associated with mefloquine. As symptoms can resemble acute psychiatric conditions, clinicians are advised to assess patients individually and are expected to take a full drug and alcohol history, including any previous mefloquine use.

In England, Op COURAGE and Op RESTORE provide a broad range of specialist mental health, physical and wellbeing care services to veterans, with similar services available in Scotland, Wales and Northern Ireland.

I would encourage any Veteran who is struggling with their mental health to self-refer or seek the support of their GP to access Op COURAGE, the Veterans' Mental Health and Wellbeing Service. The side effects that may be experienced whilst taking, or with a history of having taken mefloquine, will be treated according to the diagnosis; for example, if the patient is experiencing depressive symptoms, the treatment for depression will be instigated.


Secondary information

Type
Written question
Reference
104604
Session
2024-26
Subjects
Health professions Mental health Veterans Mefloquine
Link
View this Written question on www.parliament.uk