Palawan + Boracay · Travel Medicine
Four lagoons before lunch. White Beach by sundown. The bag that keeps you on the water.
Get azithromycin, the scopolamine patch, and ondansetron prescribed before you fly. Ready at your pharmacy in under 24 hours — three Rx that keep a rough banca crossing or a bad grilled-fish lunch from costing you a day of the trip.
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A Philippines island-hopping trip runs on boats the way a Patagonia trek runs on weather. El Nido Tour A and C circle the Bacuit Bay lagoons. Coron Island tours add Kayangan Lake and the Twin Lagoon. Boracay parasailing and the trip out to Crystal Cove. Plus the inter-island banca, ferry, or RORO crossings stitching it together. CDC ranks traveler's diarrhea as the single most common illness on trips to the Philippines, and motion sickness is the second universal problem on a boat-heavy itinerary like this. The kit travelers actually need is the antibiotic for TD plus the patch for the open-water crossings plus a dissolving anti-nausea tablet for the in-between moments. The right three prescriptions in your bag turn a choppy two-hour banca ride or a questionable beachside lunch into a footnote instead of a lost morning.
Philippines travel health guide — vaccines, snapshot overview, and what to review before you go.
Orders are reviewed and prescriptions sent to your pharmacy within 24 hours.
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+1 (302) 251-2302Rx at your pharmacy in three steps.
No appointment. No waiting room. Answer a few questions and a licensed provider reviews within hours.
Your destination, dates, health history, and current medications. Takes about 2 minutes.
A licensed clinician reviews your health profile, checks for interactions, and approves your prescription.
- Allergy screen passed
- Drug interactions clear
- Prescription approved
Your approved prescription is sent electronically to the pharmacy of your choice. Pick it up when your pharmacy has it ready.
Skip the appointment. Get the same Rx.
Both columns cover the visit and prescribing only. Your pharmacy bills the medication itself on either side.
Medications in the Palawan & Boracay plan
Philippines medication FAQ
- Most travelers will not need them, but the CDC ranks traveler's diarrhea as the most common illness on trips to the Philippines, with 30 to 70 percent of travelers on 2-week Southeast Asia itineraries reporting at least one episode. The El Nido and Coron tour circuits hit both ends of that range — beachside grilled fish lunches, town markets, and shared snorkel-day food. On top of that, almost every day involves a boat: standard El Nido Tour A, B, C, or D visits four to six lagoons, beaches, and snorkel sites by banca outrigger, and the inter-island ferry from Coron to El Nido or the Caticlan crossing to Boracay can be choppy. Having the prescriptions in your bag before you fly means a rough crossing or a bad lunch becomes one slow morning at the resort instead of a hunt for a pharmacy in El Nido town that may not stock what you need.
- Take 500 mg by mouth once daily for 3 days, starting at the first signs of significant diarrhea (typically 3 or more loose stools in 24 hours, or any diarrhea with fever, blood, or severe cramping). Most travelers feel better within 24 hours of the first dose. Take with water, with or without food. If you cannot keep water down because the nausea is severe, the ondansetron in the Travel Pack dissolves on your tongue — take that first, then the antibiotic 30 minutes later.
- Three prescriptions in one visit. Azithromycin 500 mg, taken once daily for 3 days, to treat bacterial traveler's diarrhea — the CDC first-line for Southeast Asia. A Transderm Scop scopolamine patch worn behind the ear for motion sickness; one patch covers 72 hours, so a single patch carries you through a multi-stop El Nido tour day, the Coron-to-El Nido ferry, or a Caticlan-to-Boracay run. And ondansetron (Zofran) dissolving tablets for nausea and vomiting from any cause — breakthrough motion sickness if a banca crossing turns rough, heat-induced nausea on a long beach day, or breakthrough during the antibiotic course. Three risks, three prescriptions, one visit.
- Not for the standard tourist circuit. CDC restricts malaria-prophylaxis recommendations in the Philippines to rural areas of certain Palawan provinces with overnight stays in non-urban settings — generally not the El Nido, Coron, or Puerto Princesa hotel zones, and not Boracay at all. If your trip pushes into remote inland Palawan (deep jungle, indigenous community stays, or southern Palawan beyond the standard tour circuit), talk to your provider about Malarone (atovaquone-proguanil) prophylaxis. For the El Nido Tour A through D circuit, the Coron Island day-tour circuit, and Boracay's White Beach and parasailing scene, no malaria pills are needed. Mosquito-bite avoidance (DEET 20–30% repellent, long sleeves at dusk) covers dengue, which is a separate concern below.
- Dengue is real in the Philippines and present year-round, with case spikes during and after the rainy season (June through November in most regions). There is no prescription that prevents dengue — prevention is mosquito-bite avoidance: EPA-registered repellent (DEET 20 to 30 percent), long sleeves at dawn and dusk, and air-conditioned or screened rooms. If you develop fever within 2 weeks of returning from the Philippines, see a doctor and tell them where you traveled. Wandr's medications treat the bacterial and motion-related problems you can actually pre-prescribe for — dengue is not one of them.
- Apply one Transderm Scop patch to the hairless skin behind your ear at least 4 hours before the boat day. The patch releases scopolamine slowly through the skin and lasts 72 hours, so a single patch carries you through a multi-stop El Nido or Coron island-hopping tour, plus the next day's snorkel run, plus the inter-island ferry if you are moving between Palawan and another island. Wash your hands after handling — getting scopolamine in your eye causes temporary blurry vision. Common side effects are dry mouth and mild drowsiness; if you are sensitive, try one patch at home before the trip. Most travelers find it dramatically more effective than over-the-counter Dramamine for a boat-heavy itinerary.
- If a provider can't safely prescribe (rare, usually due to a contraindication), the visit fee is refunded in full. You only pay if the Rx is sent.
Pack for the lagoons. Pack for the lunch. Pack for the crossing.
One visit, three prescriptions for the Philippines island-hopping trifecta — antibiotic, motion patch, anti-nausea. Reviewed by a US-licensed provider, ready at your pharmacy before you fly.