does interval international have cruises

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Exchange Your Timeshare With Interval International Cruises

• 2 weeks ago
• Brands , Buying , Travel Guides

Are you ready to change the way you vacation and travel across seas? If so, Interval International offers timeshare owners and members the chance to exchange their ownership for vacations at sea! For those unaware, Interval International, or II, is a vacation exchange platform for trading so that owners can travel across the globe. Owners and members save big on airfare, car rentals, and cruises! So, continue reading if you’d like to learn how to exchange your timeshare for Interval International cruises. 

Weeks-Based Interval International Cruise Exchange: Step By Step

Points based cruise exchange: step by step, about interval international cruises.

Interval International offers cruises in exchange for a timeshare. Through Interval International’s exchange program, timeshare owners can exchange towards cruise vacations. As a member of Interval International, you can go to the world’s most sought-after destinations simply by exchanging your timeshare towards Interval International cruises.

Get the full scoop of what Interval International is in our ultimate guide!

How Does Cruise Exchange Work On Interval?

Before discussing how to exchange your timeshare with II cruises, it’s important to note that you must  own a timeshare  to get started, and the resort or brand must affiliate with Interval International. Interval International is meant for owners to deposit their points or weeks on the platform and then exchange it for something of equal or lesser “value.” There are a few different tiers of II membership, but only Interval Gold and Interval Platinum members can exchange towards cruises.

Interval International Tiers

There are three II tiers in total. Folks who sign up for II start at the  standard tier . You do not qualify to exchange your weeks or points for Interval International cruises at the standard tier. So, let’s focus on the two II tiers that allow you to do so. 

Interval International Gold

You can achieve amazing vacations with just the base-level membership of Interval International. However, Interval Gold is a step above regular membership. If you’re looking for Interval International cruises to exchange towards, ask your II representative about Interval Gold. Exchange your timeshare for shorter stays, rather than traditional week-long timeshare stays. Interval Gold offers Interval Options while allowing II owners to trade their points or week towards cruises, tours, golf, spas, and even hotels.

Interval Gold also comes with VIP Concierge, a 24/7 personal assistant for travel planning. When you book an II cruise with Interval Travel, members can even receive cash back on select vacations.

Interval International Platinum

Furthermore, when you upgrade from an Interval International Gold membership to an Interval Platinum membership, there are new perks that you now have access to. With Interval Platinum, you get all the benefits of the Gold membership plus more!

In addition, you can trade your weeks/points for a hotel stay or condo-style-accommodations with “Hotel Exchange.” Use “Interval Experience” to exchange your weeks or points towards different adventures. If you reserve in advance, “Dining Connection” lets you enjoy VIP treatment along with special amenities. If you are an avid golfer, “ Golf Connection ” lets you play at some of the most prestigious courses in the Americas with almost 9,000 private courses.

In short, as an Interval Platinum member, you get up to 70% off hotels, a complimentary Priority Pass airport lounge membership, Platinum Escapes, and Priority Getaway Viewing. Not to mention, you’ll also have the opportunity to exchange points for Interval International cruises too!

• First, go to intervalworld.com and sign in.
• Under the”Exchange” tab, click on “Cruise Exchange”.
• Select the week you would like to use, then click “Cruise Exchange”.
• Search for availability on top cruise lines, then choose a date that works for you.
• Complete your transaction by making your payment.

Use Points to for Exchange Cruises

One of the benefits that come with Interval International Gold membership is the ability to use your points towards cruises. Keep in mind, your points may not be able to cover an entire purchase, but they can help you save for that adventure at sea for sure.

• Click on “Cruise Exchange” under the “Exchange” tab.
• Select how many of your available points that you would like to exchange.
• Search for availability on top cruise lines.
• Lastly, complete your transaction by going through the entire payment process

Become a Member of Interval International With Timeshares Only

If Interval International cruises interest you, consider becoming a member and buying an affiliated timeshare resort. Most major developers are affiliated with some sort of vacation exchange network. However, they are either affiliates of Interval International or RCI , not both. Interval International affiliate brands include:

• Vistana Signature Experiences
• Welk Resorts
• Diamond Resorts

Take a look at the timeshare resales on our resort marketplace. You can find each brand for a fraction of the cost when you buy resale, and with many of the same benefits. If you’re already an owner, learn more about Interval International so you can book cruises, too!

Become an II member with a timeshare resale today!

Adriannah Roman

Adriannah Roman is a Western Washington University graduate with a Bachelor of Arts in Journalism with an emphasis in Public Relations and a double minor in Communication Studies and Anthropology. She is a marketing content writer and has expertise in news writing, copywriting, editing, and project management. While born and raised just outside of Seattle, WA, Adriannah moved to Florida to tackle the Disney College Program and enjoy the exciting numerous world-famous amusement parks. She enjoys traveling, trying new coffee shops, and spending time with her family.

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8 thoughts on “Exchange Your Timeshare With Interval International Cruises”

I own a timeshare at Simpson Bay Resort in St Maarten. I would like to swap a week for a cruise. Where can I find information about cruises available?

Hi Audrey, if you are already a member of Interval International, you can contact them to help you arrange that.

I own a townshare at Jockey Club int Las Vegas. I would like to swap a week for a cruise. How do I do that?

Hello Barbara! The first step would be to be a member of Interval International. From there, you should be able to follow these steps:

1. First, go to intervalworld.com and sign in. 2. Under the ”Exchange” tab, click on “Cruise Exchange”. 3. Select the week you would like to use, then click “Cruise Exchange”. 4. Search for availability on top cruise lines, then choose a date that works for you. 5. Complete your transaction by making your payment.

If you need further assistance, you can reach out to us at [email protected] or contact Interval International directly!

hello do the cruise planner help you in every step like help you with on line check in and prepaid packages

Hi Michelle, I would check with Interval International directly to inquire about their services with online check-in or prepaid packages.

hi there i have a timeshare and it is with an affliated company but before i join you I would like to know what the approx xtra cost is for a cruise as against a timeshare. could you email some examples please thanks in advance

Hello Debbie! I would recommend contacting Interval International directly to learn about the costs of cruises with them. -Lauren

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• Saving Money on Your Cruise - Tips & Advice

Interval International Prices on Cruises

By Animal 57 , August 6, 2007 in Saving Money on Your Cruise - Tips & Advice

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Does anyone have any experience working directly with Interval International in purchasing a cruise? Do they offer any great deals. I know they offer great prices on get aways. I just purchased a time share (Cape Cod) and will be a member of Interval International in a few weeks.

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Not II but I booked a cruise with RCI (II's competition- not the cruiseline).

The price was good. It was a special in thir magazine. I'd recommend comparing their price with the online cruise discounters. It needs to be much cheaper if you are using points or transferring your timeshare for the cruise.

For our very first cruise, I booked through II. We too own on the Cape! There rate was good. However, they are just "Order Takers". If you need help, information, changes etc., then you are dealing with just a customer service representative. They may find the right answer or they may not. When I have subsequentially given them an opportunity to quote a cruise, they are not the best or elast expensive. Major Travel Agencies whether on-line or around the corner, offer much more personalized service for the best rate.

Since we are almost neighbors, if you have any questions, please don't hesitate to ask.

We work with RCI for our exchanges and every time we've checked cruise prices through them, the rates were higher or about the same as if we were booking through a TA. In most cases, we've found it would not be worth it to do an exchange for a cruise. However, we did get a very good price for a Panama Canal Cruise on RCCL by booking with the RCI travel department and not involving our timeshare in any way.

Always do your homework on prices with other agencies before contacting Interval. If you plan to exchange your week for the cruise, you have to do it before depositing it. They also only give you a day or so to make up your mind about accepting the rate they quote you. We have priced a cruise with them as an exchange before, and the price was not less than other agencies and not worth giving up the week.

Thanks for the advice, it seems as if II offers great land vacations, but if you want to go be on the water, online sites seems to do the trick.

Just an an aside, anyone know a good place to find last minute discounts.

• 7 years later...

Question --if you exchange a timeshare wouldn't that subtract the timeshare vacation value from the initial cruise price?

CruiserBruce

Note: 7 year old thread...

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Enjoy Better Vacations with Interval International Cruises

• 4 years ago
• Owning , Traveling

Interval International cruises offer members the opportunity to take once in a lifetime cruise vacations as part of their exchange program. If you love vacations on land and sea, learn how to use the most of your Interval International membership. Additionally, if you aren’t yet, you might consider becoming a member.

Can You Use Points to Exchange Cruises?

How does interval international cruise exchange work.

The cruising side of Interval International works much like all other aspects of the brand. Using your Interval International points, you can trade them in for vacations of equal or lesser value. Depending on how many points you have and where you want to go, you can use your vacation points to book a cruise vacation.

About Interval International

Interval International is one of the world’s leading exchange companies. Even though Interval does not own any timeshare resorts, it does have extensive partnerships with the world’s largest travel clubs. In order to become an Interval International member, you’ll need to own an II affiliated timeshare. Once you own one, you can begin exchanging your timeshare weeks or points for new vacations.

How to Become a Member of Interval International Cruises

To get started using Interval International Cruise Exchange, you must first own a timeshare . So, to take the first step, browse timeshares for sale . It’s important to know that not all timeshare brands are affiliated with II. Some are affiliated with RCI. Below is a list of clubs that are known to be II affiliates. Keep in mind, however, not all resorts are eligible for exchange.

• Vistana Signature Experiences (Starwood)
• Welk Resorts
• Diamond Resorts

Interval Gold

Similar to other vacation programs, Interval International cruises have a tiered membership system. So, if you are ready to take II cruises, you might be interested in becoming an Interval Gold member.

Gold is one step above the regular membership. Additionally, Interval Gold status opens up many more travel opportunities for you. Not to mention, you will also be eligible for Golf Connection, VIP dinners, and points exchange for extra hotel stays throughout the year.

Additionally, one great benefit that comes with Interval International Gold membership is the ability to use your points towards the purchase of a cruise. Sometimes your points may not cover the entire purchase. However, it will definitely help you save some money. Vacation exchange is one of the greatest reasons why people buy a timeshare . This is because you have so much flexibility with where you get to go.

Read Next: How to Find Your Vacation Dreams With Timeshare Exchange

Cruise With Timeshare Resales

If you’re excited about joining Interval International for less, we recommend that you check out the resale market. Timeshares offer incredible vacations, and timeshare resales offer incredible prices. Buying a timeshare can save you thousands on vacations over the years and gains you access to all the exciting perks of vacation ownership .

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Interval International – Everything You Need to Know

Interval International Overview

In the timeshare industry, only a select few timeshare exchange companies can parallel the prestige, luxury, and service of Interval International.

When you take a closer look at the company’s impressive history and infrastructure, you’ll see the reputation is well-earned. The international timeshare exchange program boasts more than 25 years of experience in offering members luxurious, flexible, and exclusive vacations options.

As one of the largest timeshare exchange companies in the world, Interval International features close to 2 million members and 3,200 resort locations in more than 80 different countries. It enables a timeshare holder to trade their Interval International affiliated resort week or points for other Interval International locations or resorts for a fee.

But with Interval International, it’s more than just a numbers game: Their reputation is not merely based on quantity, but also on quality. Their locations include some of the most sought-after timeshare resorts in the industry.

In fact, Interval International goes to extensive lengths to ensure the resorts they are affiliated with meet and adhere to the requirements of their self-developed and enforced Quality Rating System. This ensures, no matter where you stay, you are enjoying the top-quality comfort and luxury that only Interval International can guarantee.

How Does Interval International Work?

The process for exchanging with Interval International is a relatively straightforward and simple: To use the Interval International timeshare program, the timeshare you own must be affiliated with Interval International.

While this may require that you pay an additional membership fee based on the membership level of your choice, it may also already be included in your current membership fee. In fact, many of the world’s top timeshare developers, including Hyatt and Marriott, include Interval International timesharing opportunities in their membership fees.

With an Interval International timeshare membership, each member is given a timeshare week. This week can then be deposited in order to take advantage of Interval’s incredible timeshare network and exchanged for time spent at another resort, allowing members the unique opportunity of spending time in a new resort without purchasing multiple weeks.

This is perhaps the biggest advantage of Interval International membership, because of the huge network they administer, members have the unique opportunity to visit exciting new locations each time they exchange.

Why Choose Interval International?

When it comes to benefits enjoyed by Interval International members, the perks are nearly as endless as the variety of resort choices.

Interval International – Endless Choices

The sheer size of Interval International’s network cannot be overstressed as a huge benefit to members. Unlike the offerings available from smaller competitors, the variety of choices available ensures you always have your pick of options that suit your preferences.

But the variation in selection doesn’t end there. On top of enjoying access to various hotels, as an Interval International member, you have the opportunity to take advantage of other, less traditional vacation offers, including cruises and golf retreats, among others.

Interval International – Quality Control

And not only are your options nearly unlimited, but they are also the cream of the crop. In fact, Interval International members enjoy access to some of the most sought-after and exclusive resorts and travel destinations in the world.

This is thanks to Interval International strict adherence to the policies and requirements set forth in their Quality Rating System concerning their affiliated resorts and timeshares.

Interval International – Choose from Various Membership Levels

In order to be a member of Interval International’s exchange program , you must pay the basic membership fee of $89. This covers you for one year of membership from the date of purchase. You can pay an upgrade fee to receive additional discounts and benefits.

1 year – $89

2 years – $178

3 years – $227

5 years – $356

An upgrade to Gold membership costs $64. A multi-year membership can save you money.

1 year – $64 + Basic Membership Fee $89 = $153

2 years – $128 + Basic Membership Fee = $306

3 years – $163 + Basic Membership Fee = $390

5 years – $256 + Basic Membership Fee = $612

An upgrade to Platinum membership provides you with a $50 discount off each getaway and free guest certificates. The upgrade costs $139 on top of your basic membership.

1 year – $139 + Basic Membership Fee = $228

2 years – $278 + Basic Membership Fee = $584

3 years – $354 + Basic Membership Fee = $581

5 years – $556 + Basic Membership Fee = $912

The following chart shows you the fees and discounts for 1-year, 3-year and 5-year memberships at each level.

To extend your membership on a week-by-week basis, it will cost you $39 per week. However, your expiration date does not change. If you do not renew your membership with 120 days of your expiration date, you may be required to pay a $200 reinstatement fee.

Other Interval International Membership Benefits

• Getaway Discounts for Gold and Platinum Members

Gold members receive $25 off Getaways. Book three a year and you’ve covered your upgrade fee.

Platinum members receive $50 off Getaways. Three Getaways a year is definitely worth the upgrade.

• Hotel Savings for Gold and Platinum Members

Interval International works with Orbitz, and members receive a discount on their hotel reservations. Members must book through the IntervalWorld.com to receive their discount. Gold members receive a 5% discount and Platinum receive a 10% discount. You receive your rebate 10 days after checking out of the hotel.

• Free Guest Certificates for Platinum Members

Platinum members can give their vacations or Getaways to someone else without incurring a fee of $59 for each guest certificate.

• ShortStay Exchanges for Gold and Platinum Members

Interval International ShortStay exchanges for 1-6 nights instead of the regular 7-night minimum requirement. They can be booked up to 30 days before check-in. Fees for an online confirmation range from $129 – $159 and for a call center transaction are $149 – $179.

• Platinum Escapes

These limited time offers are only published a few times a year and are only available for Platinum members. Vacations can be as low as $49 per week, but the inventory is limited.

• Hertz Gold Plus Rewards for Gold and Platinum Members

Enroll in Hertz Gold Plus Rewards for free to earn points each time you rent a car. Once you have accumulated enough points, you earn a free rental.

• Dining Connection for Gold and Platinum Members

Earn special perks from one of Interval International’s 170 partner restaurants. Perks include free appetizers, a table visit from the chef, and kitchen tours.

• Golf Connection for Gold and Platinum Members

This perk gives you access to 900 private North American golf courses. You can also receive a 15% discount on golf equipment and search for tee times online.

• Discount on Cruises for Gold and Platinum Members

Book a $4,000 cruise through IntervalWorld.com and receive a $100 discount. A $1,999 cruise earns a $25 discount.

Enjoy Resorts All Over the World With Interval International

The Interval International resorts and timeshare destinations can be found all over the world, which means your travel possibilities as a member are nearly endless. Just some of the popular destinations among members include:

• Aruba’s Divi Village Golf and Beach Resort

This luxurious 1-bath studio can accommodate a family of four just steps from Aruba’s white sand beaches and warm tropical water. This location is a dream for golfers because it is surrounded by a beautifully landscaped 9-hole golf course and training facility. After a round of golf make your way to the exclusive clubhouse and enjoy the water view from the lounge or dine in one of the gourmet restaurants.

• Portugal’s Clube Praia da Oura

This wonderful retreat is located on the Algarves Golden Beach. With a 24-hour reception and a wide range of incredible on-site facilities that include a beauty salon, piano bar, bowling green, and two swimming pools. The 1-bath studio can comfortably accommodate two people.

• The United Arab Emirate’s Royal Club at Palm-Jumeirah

This stunning resort is located in the prestigious and rapidly-growing vacation destination of Dubai. Enjoy the beautiful beaches and a variety of water sports including a world-class diving center. Experience the shopping, dining, and nightlife of this exciting city in a beautifully appointed 1-bedroom, 1-bath unit.

• Colorado’s Skier’s Edge

With more than 70 miles of ski trails, this is a skier’s haven. But don’t miss out on summer water-rafting and alpine slide rides if you are an outdoorsman. Challenge yourself in the human maze and soak in the tranquility of your surroundings in a studio that accommodates four.

• Hawaii’s Kahana Falls

Beautiful Maui welcomes you to enjoy fishing, sailing, snorkeling and scuba diving from this deluxe 2 -bedroom, 2-bath suite that can accommodate eight.

• Calypso Cay Vacation Villas

This 2-bedroom, 2-bath suite can accommodate eight in Kissimmee, Florida. Kissimmee is the closest town to Walt Disney World, so you will be only a 10-minute drive from all the festivities in a variety of theme parks. This beautiful resort offers a pool with a waterslide, poolside bar, and a family picnic area. Enjoy everything central Florida has to offer from Gatorland to Ripley’s Believe It or Not in a relaxed Caribbean-like atmosphere.

How it Works: Exchanging with Interval International

In addition to your membership fee, regardless of level, you must pay an exchange fee of $189 per week. Members using IntervalWorld.com to book their exchange are eligible for a $10 discount.

Knowing how to successfully and deftly work an exchange with any timeshare exchange program is vital to maximizing the potential of your timeshare ownership.

Think of exchanging skills as a toolset that you can use to either bargain for vacations in various, high-demand locations or during sought-after high-season times. You have several options you can use to get the location, week and size of unit you desire.

• Request First

This feature offered by Interval International enables you to request high-demand weeks without taking your points until a reservation is confirmed. If you cancel your request, your points are returned to you.

• Deposit First

This option requires you to deposit your points before an exchange request can be made. When using request first or deposit first you only have 24 hours to cancel the trade, or you will incur additional fees.

This program enables owners to exchange properties before the general population can make reservations. Hyatt owners cannot use the Interval International exchange program. Instead, they get preference through the Hyatt system.

For a small fee of $54, this new tool enables Interval International members to exchange their confirmed week up to three additional times in order to get the best week for their circumstances. The unit must be the same size, or you may incur an additional fee.

Check out the Interval International Choose2 Program to Get More Out of Your Timeshare

The Choose2 program allows you to gain an extra week of vacation after you exchange into a week. Only some resorts and destinations participate, so the availability is limited and confined to low season destinations, but if you have some flexibility, this is a lucrative opportunity for additional vacation time.

Things to Remember

• Interval International Check-In

With the exception of ShortStay exchanges, check-in is typically Thursday, Friday, Saturday or Sunday.

• Upgrade Fees

To reserve a larger unit than the one you have deposited, you will have to pay an upgrade fee of $99 per upgrade step, so a studio to a 1-bedroom unit is $99. Gold members pay $79, and Platinum members pay $59.

• Exchanging Rental Weeks

Renting your exchange week is strictly forbidden, and your membership can be terminated if you are caught. You can use a guest certificate to gift your exchange week to another individual.

Related Pages:

• Pacifico Diamante PRC In Acapulco Joins Interval International
• FHI Consultant Launches Shared Homes International
• Fractional Homes International Adds New Members

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Interval International Membership

As a vacation owner, you and your family can enjoy great, affordable vacations year after year. And with an Interval membership, you’ll have access to a variety of benefits that will help you make the most out of your vacation time.*

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You’ll experience enhanced cleaning and safety protocols throughout our properties, including hospital-grade disinfectants, hand sanitizing stations, and a host of protective social distancing guidelines. So you can focus on what’s most important: time together.

Interval International Launches Inaugural Member Cruise

Miami, FL, January 22, 2020 – Interval International, a prominent worldwide provider of vacation services, recently hosted its first-ever Member Cruise aboard Symphony of the Seas , one of Royal Caribbean’s newest ships. The seven-night eastern Caribbean sailing catered to nearly 200 participants, who enjoyed a variety of curated activities that ranged from members-only shore excursions to special giveaways. A team of Interval Ambassadors was onboard to share the experience with members and host the private events.

“This wonderful cruise event was an opportunity to build member affinity and a more connected Interval community,” said Sharon Freed. “We know how much our members love to cruise, and it was very rewarding to see how much they also valued the chance to connect with fellow members.”

As part of their booking, members were able to participate in various exclusive events and activities, including two private cocktail receptions, member games and nightly group dining, as well as choose from one of three members-only shore excursions to St. Maarten; San Juan, Puerto Rico; and Stingray City in Bahamas. In addition, they received goodie bags, special giveaways, and an onboard credit per stateroom. Upon arrival, members were greeted by the Interval Ambassadors, who were available to assist with questions throughout the week.

“We love cruising. This was our favorite cruise and a big part of that was Interval and how they paved the way for us to do so many things and get to know other [members].” — Paulette B.

“The cruise, the ship, and the entertainment were very good. But most importantly, the Interval Member Cruise was made tenfold more enjoyable due to the extremely friendly Ambassadors. Without them, it would have been just another cruise.” — Rio I.

“Being able to just share experiences and talk about [our] best travel times and destinations with fellow members was very enlightening, and we even made some friends and hopefully, traveling companions.” — Jeanette V.

“We were very pleased to hear that nearly 90 percent of members who took this Member Cruise would join us on another,” Freed noted. “Members told us that they especially appreciated the personal service from the ambassadors and the carefully selected options that we added to their itinerary.”

Interval offers its members, who own vacation time at Interval-affiliated resorts around the globe, the convenience of booking cruises and other leisure services through Interval Travel, its full-service travel agency. In conjunction with these services, certified cruise specialists help members choose from a variety of cruise lines, itineraries, and experiences — and often at members-only rates. Interval’s Best Price Guarantee also allows them to match pricing before or within 24 hours of booking.  Members can book their cruise vacation by visiting intervalworld.com or contacting Interval Travel at 1-800-622-1540. 

About Interval International Interval International operates membership programs for vacationers and provides value-added services to its developer clients worldwide. Based in Miami, Florida, the company has been a pioneer and innovator in serving the vacation ownership market since 1976. Today, Interval’s exchange network comprises more than 3,200 resorts in over 80 nations. Through offices in 13 countries, Interval offers high-quality products and benefits to resort clients and approximately 2 million families who are enrolled in various membership programs.

CONTACT: Yvette Batalla, 305.925.6519  [email protected]

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Please review our Terms of Use , which changed on May 24, 2024.

• Destinations

Explore the World with Interval International

Vacation exchange.

Discover the different ways you can travel the world with Interval International® Vacation Opportunities.

You can always count on getting the best rate with Interval’s Best Price Guarantee on Getaways. If you find a lower price within 24 hours of booking for the same unit size and resort, for the same time period you reserved, you will be refunded the difference.

Plus, Disney Vacation Club Members have access to Interval Gold® benefits, which include savings on Getaways of four nights or more.

ShortStay Getaways give you the flexibility to enjoy breaks that fit your schedule. And, with Interval’s Best Price Guarantee on Getaways, you can be confident you’re getting the best rate. If you find a lower price within 24 hours of booking for the same unit size and resort, for the same time period you reserved, you will be refunded the difference.

Hotel Exchange

From big-city hotels to mountain lodges, find your dream vacation with this easy-to-use hotel search engine. Filter by travel dates, destination, number of Points and more. Eligible Members interested in exchanging Disney Vacation Club Points with Interval International can book online or call Member Services. Points deposits can also be made online or by calling Member Services for future Vacation Exchange reservations with Interval International.

Search or book now!

MORE ABOUT INTERVAL INTERNATIONAL

• Requesting an exchange far in advance gives Interval more time to find your desired destination. Check the reservation windows above for when you should start planning!
• All exchanges are subject to availability.
• The Disney Vacation Club $95 nonrefundable transaction fee does not apply to Interval Vacation Exchanges and Interval ShortStay Exchanges. Interval Getaways and Interval ShortStay Getaways are subject to rental fees determined by length of stay, seasonal demand, unit size and resort quality. Getaways and ShortStay Getaways are not subject to the $95 nonrefundable transaction fee.

• Please review the hotel’s terms and conditions before completing your transaction, as cancellation policies vary by property. Once your reservation is confirmed, it can also be reviewed under the My History section and on the Transaction Completed page.
• There may be additional fees depending on the hotel selected, length of stay, room type and travel dates.
• Members can use a combination of Points and cash (minimum of 20 Points).
• The $95 exchange fee is nonrefundable.
• One Reservation Point is equivalent to one allotted Vacation Point. Reservation Points have no other relationship with, or comparison to, Vacation Points and are established for convenience of reference only.

• Trip Cancellation or Interruption
• Emergency Medical Expenses
• Primary Coverage
• Baggage & Baggage Delay
• Security Deposit Protection
• Members are provided with the Interval International Buyers' Guide which includes the complete terms and conditions of the exchange program, including applicable fees and restrictions. Please review the terms and conditions carefully before booking. Program terms and conditions are subject to change without notice.
• One week is equal to 7 consecutive nights, except for some international exchanges, including Japan.
• All exchange reservations and deposits of Vacation Points are subject to availability.
• Types of accommodations vary by resort.
• Members should contact Member Services for additional information including additional fees, surcharges, taxes, etc.
• For important booking window guidelines, please see the "Booking Guidelines" page located under the "Plan a Vacation" tab.
• For important cancellation guidelines, please see the "Cancellation and Modification Guidelines" page located under the "Plan a Vacation" tab.

Interval International® and related marks are registered trademarks and/or service marks in the United States and internationally. All rights reserved.

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Featured Benefits

As an Interval member, you receive a number of special benefits to choose how you vacation. Benefits include discounts on hotel bookings — powered by Priceline Partner Solutions TM — car rentals, tours, activities, and more. Being an Interval member also gives you more flexibility and choices. With more than 3,200 member resorts and countless amenities to choose from, you can create the vacation of your dreams.

Interval Travel

Get where you’re going, and save while you’re doing it with Interval Travel ® . Book flights and save on car rentals, hotels, activities, and more. There’s never a need to shop around on other travel sites.

Hotel Discounts

Get up to 70% off select hotel bookings with special Member Deals — powered by Priceline Partner Solutions. Visit friends and family for a few nights or extend your exchange or Getaway vacation!

Enjoy members-only cruise rates and offers on hundreds of sailings — from the Caribbean to the Mediterranean, Alaska to the South Pacific. Get on board and take advantage of an array of activities and dining options.

Car Rentals

Don’t let your next vacation be ruined by the stress of finding a car. Take advantage of Hertz Gold Plus Rewards ® and get a car for your next vacation and enjoy discounts on rentals. You can also earn points on every rental, which you can use to upgrade to higher category, or get free days on your rental. Plus, when you upgrade your Interval membership you’ll find benefits that take you even further!

E-Plus Program

Travel plans change, so flexibility matters. If you’ve confirmed an exchange, but decide you want a different resort, travel date, or destination, use E-Plus ® to retrade your exchange. You can do so up to three times for a low, one-time fee. Just purchase E-Plus anytime from when you place an exchange request up to five days after your exchange is confirmed (as long as the purchase is prior to the check-in date of your original confirmation).

Guest Certificates

If you can’t use your vacation week — or better yet, just want to give the gift of travel — Guest Certificates are the way to go. And they’re available for Getaways, too, so your special someone also can savor weeklong stays, many in spacious condo-style accommodations at low prices.

IntervalWorld.com

Interval International Membership: A 101 Guide from a Happy Timeshare Owner

Are you a timeshare owner at a resort that qualifies for an Interval International Membership, but you haven’t joined it to trade your timeshare for other vacations? Well, this introductory article is for you! 

Interval International & The Timeshare World

Without getting into the whole history of the timeshare industry, I think it is important to know about the biggest timeshare corporations and how these conglomerates create a separation of church and state for owners and users of timeshares and an exchange network.

Personally, I think it is crucial to know all you can about this world before buying a timeshare or spending money on an Interval International Membership. But, unfortunately, I find that many disappointed owners are learning key pieces of information after the fact, and I’m on a mission to help people learn more before opening their wallets. For example, Did you know that timeshare resort chains actually own the two largest timeshare exchange companies? 

RCI is owned by Wyndham Destinations, now named Travel + Leisure

Travel +Leisure (yes, the magazine brand!) also owns

• Club Wyndham
• Worldmark by Wyndham
• Margaritaville Vacation Club
• Shell Vacation Club
• 7 Across (the exchange company formerly known as DAE)
• Timeshare rentals sites Tripbeat by Wyndham and ExtraHolidays

Marriott Vacations Worldwide Corporation owns Interval International

So, in addition to their 60 upscale Marriott Vacation Club resorts worldwide, this company also owns

• Sheraton Vacation Club
• Westin Vacation Club
• The Ritz Carlton Vacation Club
• St. Regis Residence Club
• Hyatt Residence Club
• Trading Places International (another timeshare exchange company)

Why This Is Important

As a timeshare owner who wants to trade her timeshare for vacations in other destinations knowing that Wyndham Vacation Resorts will never be available in Interval International and Marriott Vacation Club resorts will never be available in RCI is a really critical piece of information. See, those large corporations will never deposit weeks from their owned brands into the other’s exchange network. 

So as a timeshare owner who currently owns a resort that is only affiliated with RCI and no other timeshare exchange company, if I want to stay at a Marriott Timeshare resort, I will have to rent it.

When we recently traveled to Fort Lauderdale for a family event and stayed at Marriott Beachplace Towers , I didn’t have access to the exchange network that Marriott Vacation Club uses.  And since the resort was sold out, the only way for me to secure a room for our specific dates was by renting from another owner on Redweek.com . 

But if I had specifically bought a vacation ownership to trade it into Marriott ones but later discovered that the resort only plays with RCI and never Interval International, boy would I be disappointed. That’s just another reason to take your time buying a timeshare.

Think about your travel bucket list, travel preference, and lifestyle before you buy! It’s a buyer’s world in timeshares, so those timeshare deals will still be there when you are ready! Don’t let any timeshare salesperson rush you so they can make their sales quota. 

Now that my mini-rant is over let’s get to learning about Interval International!

Who is Interval International?

Interval International is the second-largest timeshare exchange company, with RCI being the largest. Created in 1976, they now have 2 million members with 3,200 affiliated resorts in 80+ countries.

How Much Does a Membership Cost?

If you own a timeshare that is affiliated with Interval International, you are eligible for membership. While some timeshare exchange companies out there let anyone join and rent their leftover rooms at the last minute, Interval International is not one of them. So if you hear otherwise from someone, that’s a major red flag that they don’t know what they are talking about. 

Fees for a Basic Membership

Fee for each exchange completed.

• Via Phone: $189
• Online: $174
• Guest Certificates to Gift Reservations for Friends and Family:  $59

Fees to Extend Your Week For An Exchange

• 3 months: $59
• 6 months: $89
• 12 months: $169

Interval International Membership deals happen, so add their email to your address book, so their emails on promotions don’t get sent to your spam folder. 

It is a Week for Week Exchange, Unlike RCI

For those familiar with RCI, Interval International also has two programs –  One for Points Members and One for Weeks Members. However, there is one MAJOR difference between RCI and Interval International, which has both its pros and cons. You see, for people in the Interval International week’s program, it’s a week for week exchange.

That’s right! So if you can work the system, there are ways to take a “cheap” vacation ownership week and trade it up for a week at a premium resort, like Marriott. That’s why we personally are interested in finding that unicorn timeshare to buy so that we can do these trade-ups!

But I won’t get too ahead of myself in this introductory article. Instead, let’s take a look at the basics behind an Interval International Membership and exchanging your timeshare week. 

The Deposit First Feature

When you know you want to use your week for a vacation at another resort, go ahead and deposit your timeshare ownership into the system. Interval International gives you a very generous four-year window, allowing you to book an exchange two years before your week all the way to two years after the check-in day of that week.

With this type of “instant” exchange, you’re able to exchange into larger sizer units if they are available. So when searching it is possible that your studio unit will match with a 2 bedroom unit. 

Their Request First Feature

Another difference between an Interval International Membership and RCI is that II allows you to request an exchange first without depositing your vacation ownership week. This way, you don’t have to “give up” your home resort week until you see what you can get on exchange.

However, with this feature, you can only secure exchanges for the two years before your check-in date and only search for a unit size similar to yours (or less). A way around this is to request an exchange into a resort which only has 2 bedroom units.  Here’s how to place this type of request with your Interval International Membership.

More Important Details

If you’re thinking about getting an Interval International Membership, here’s a couple more things to know to help you make a decision about this part of the vacation ownership world.

Disney Vacation Club Now Exclusively Trades with Interval International

After many years of an exclusive agreement with RCI, Disney Vacation Club has returned to Interval International for timeshare exchange. So if you want to exchange your timeshare into the upscale, perk-filled Disney timeshares, then you have to do it with Interval International.

“For the past 30 years, Disney Vacation Club has been a leader in vacation ownership and has provided its Members and guests with exceptional experiences. We are delighted to welcome them back to the Interval network,” said  Jeanette Marbert , president of Interval International. 

Last-Minute Plans

For people who want to reserve a room on short notice, you can do that with Interval International’s Flexchange feature, which offers exchanges 59 days to 24 hours before the check-in date. On the flip side, you can also deposit your week with II in their Flex Deposit program.

You can deposit your week as late as 14 days before check-in as a way to still get value from your week, even if plans change . However, deposits made between 59 days and 14 days from the check-in date are considered “late deposits” and can only be used for exchanges 59 days in advance. 

Regional Restrictions on Timeshare Exchanges

Just like RCI, there are some regional restrictions that limit trades within certain cities. For example, if you own a timeshare in Orlando, you might be restricted from trading to another resort in Orlando. So if you’re planning on getting an Interval International membership as part of a way to travel hack, please look into regional restrictions first. 

What’s an Accommodation Certificate?

If you’ve seen this phrase thrown around but don’t know exactly what it is, Interval International offers these “bonus” weeks to people who have high-value or high-demand timeshare ownership weeks. In a system where a week is straight-up exchanged for another, you can see why owners of high-value weeks might not even deposit theirs. So as a way to get those weeks into the exchange pool, Interval International offers these extra weeks as a motivation. 

However, your exchange options with an Accommodation Certificate will be limited and are, in essence, the leftovers of what other people didn’t take 59 days from the check-in date.  That doesn’t mean there isn’t great stuff in there, but expectations need to be managed.

If you can travel at the last minute, during off-season or shoulder season, there are some scores to be had! These certificates are good for one year and aren’t free to use. The redemption costs are from $229 to $329 based on the size of the room. 

Their System has Trading Filters

Another big difference between RCI and Interval International Membership is that their system has trading filters baked into their website, restricting what you see when you’re searching. I know this sounds radical, but in their world of “ a week for a week,” they put some controls in place so that people weren’t dramatically trading down in quality of resorts. 

So if you have a Gold Crown or another high-quality week, the website won’t even show you lower-quality resorts.  So if you are open to widening your search, you’ll need to call in and have a representative walk you through all the options for an exchange. 

Getaways: Cash-Only Deals

If you’ve heard people talk about Interval International Getaways, these are cash-only last-minute deals on still available resort rooms. You could purchase an Interval International Membership for this feature alone! In fact, some people get an Interval International membership and never deposit their home resort week.

They either use it or rent it and only use their Interval International Membership to book these cash-only Getaway deals. That’s how good some of these are. You have to be able to travel at the last minute and be really flexible on the destination. Still, you can score really upscale resort rooms in Hawaii, Mexico, the Caribbean, Europe, Florida, and California by learning and using this one feature of Interval International membership. 

I hope this introductory article on Interval International Membership has been helpful! As we continue to think about joining, learn more about this part of the timeshare world, I’ll share it all with you.

Happy Timeshare Traveling, ya’ll!

Monica Fish helps her fellow adventurers live a financially savvy life so they can travel and explore our beautiful world no matter their budget. She writes about smart timeshare ownership, vacation tips and tricks, NYC Metro Area trips and activities, and frugal, yet rich, living at PlannerAtHeart.com.

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• The TUGBBS forums are completely free and open to the public and exist as the absolute best place for owners to get help and advice about their timeshares for more than 30 years! Join Tens of Thousands of other Owners just like you here to get any and all Timeshare questions answered 24 hours a day!
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• General Discussion

Using Interval for Cruise Exchange

• Thread starter suzanne
• Start date Jan 23, 2019

Tug Review Crew: Rookie

• Jan 23, 2019

Can someone who has done this tell me how this works. My question is does it cover entire basic cost of a cruise or just a portion of cruise cost? If a portion how is that figured? Thanks, Suzanne  

Check out this thread: https://tugbbs.com/forums/index.php?threads/interval-cruise-exchange.254751/ The general consensus here on TUG is that exchanging your interval for a cruise is a very bad deal unless you book high-end cabins. Then the discount might make sense.  

• Jan 24, 2019

LannyPC said: Check out this thread: https://tugbbs.com/forums/index.php?threads/interval-cruise-exchange.254751/ The general consensus here on TUG is that exchanging your interval for a cruise is a very bad deal unless you book high-end cabins. Then the discount might make sense. Click to expand...

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• Section 2 - Vaccination & Immunoprophylaxis— General Principles
• Section 2 - Yellow Fever Vaccine & Malaria Prevention Information, by Country

Interactions Between Travel Vaccines & Drugs

Cdc yellow book 2024.

Author(s): Ilan Youngster, Elizabeth Barnett

Vaccine–Vaccine Interactions

Travel vaccines & drugs, antimalarial drugs, drugs used for travel to high elevations, hiv medications, herbal & nutritional supplements.

During pretravel consultations, travel health providers must consider potential interactions between vaccines and medications, including those already taken by the traveler. A study by S. Steinlauf et al. identified potential drug–drug interactions with travel-related medications in 45% of travelers taking medications for chronic conditions; 3.5% of these interactions were potentially serious.

Most common vaccines can be given safely and effectively at the same visit, at separate injection sites, without impairing antibody response or increasing rates of adverse reactions. However, certain vaccines, including pneumococcal and meningococcal vaccines and live virus vaccines, require appropriate spacing; further information about vaccine–vaccine interactions is found in Sec. 2, Ch. 3, Vaccination & Immunoprophylaxis—General Principles .

Live Attenuated Oral Typhoid & Cholera Vaccines

Live attenuated vaccines generally should be avoided in immunocompromised travelers, including those taking antimetabolites, calcineurin inhibitors, cytotoxic agents, immunomodulators, and high-dose steroids (see Table 3-04 ).

Chloroquine and atovaquone-proguanil at doses used for malaria chemoprophylaxis can be given concurrently with oral typhoid vaccine. Data from an older formulation of the CVD 103-HgR oral cholera vaccine suggest that the immune response to the vaccine might be diminished when given concomitantly with chloroquine. Administer live attenuated oral cholera vaccine ≥10 days before beginning antimalarial prophylaxis with chloroquine. A study in children using oral cholera vaccine suggested no decrease in immunogenicity when given with atovaquone-proguanil.

Antimicrobial Agents

Antimicrobial agents can be active against the vaccine strains in the oral typhoid and cholera vaccines and might prevent adequate immune response to these vaccines. Therefore, delay vaccination with oral typhoid vaccine by >72 hours and delay oral cholera vaccine by >14 days after administration of antimicrobial agents. Parenteral typhoid vaccine is an alternative to the oral typhoid vaccine for travelers who have recently received antibiotics.

Rabies Vaccine

Concomitant use of chloroquine can reduce the antibody response to intradermal rabies vaccine administered as a preexposure vaccination. Use the intramuscular route for people taking chloroquine concurrently. Intradermal administration of rabies vaccine is not currently approved for use in the United States (see Sec. 5, Part 2, Ch. 19, . . . perspectives: Rabies Immunization ).

Any time a new medication is prescribed, including antimalarial drugs, check for known or possible drug interactions (see Table 2-05 ) and inform the traveler of potential risks. Online clinical decision support tools (e.g., Micromedex) provide searchable databases of drug interactions.

Atovaquone-Proguanil

Antibiotics.

Rifabutin, rifampin, and tetracycline might reduce plasma concentrations of atovaquone and should not be used concurrently with atovaquone-proguanil.

• Anticoagulants

Patients on warfarin might need to reduce their anticoagulant dose or monitor their prothrombin time more closely while taking atovaquone-proguanil, although coadministration of these drugs is not contraindicated. The use of novel oral anticoagulants, including dabigatran, rivaroxaban, and apixaban, is not expected to cause significant interactions, and their use has been suggested as an alternative for patients in need of anticoagulation.

Antiemetics

Metoclopramide can reduce bioavailability of atovaquone; unless no other antiemetics are available, this antiemetic should not be used to treat vomiting associated with the use of atovaquone at treatment doses.

Antihistamines

Travelers taking atovaquone-proguanil for malaria prophylaxis should avoid using cimetidine (an H2 receptor antagonist) because this medication interferes with proguanil metabolism.

Atovaquone-proguanil might interact with the antiretroviral protease inhibitors atazanavir, darunavir, indinavir, lopinavir, and ritonavir, or the nonnucleoside reverse transcriptase inhibitors (NNRTIs) efavirenz, etravirine, and nevirapine, resulting in decreased levels of atovaquone-proguanil. For travelers taking any of these medications, consider alternative malaria chemoprophylaxis .

Selective Serotonin Reuptake Inhibitors

Fluvoxamine interferes with the metabolism of proguanil; consider an alternative antimalarial prophylaxis to atovaquone-proguanil for travelers taking this selective serotonin reuptake inhibitor (SSRI).

Chloroquine

Antacids & Antidiarrheals

Chloroquine absorption might be reduced by antacids or kaolin; travelers should wait ≥4 hours between doses of these medications.

Chloroquine inhibits bioavailability of ampicillin, and travelers should wait ≥2 hours between doses of these medications. Chloroquine should not be coadministered with either clarithromycin or erythromycin; azithromycin is a suggested alternative . Chloroquine also reportedly decreases the bioavailability of ciprofloxacin.

Concomitant use of cimetidine and chloroquine should be avoided because cimetidine can inhibit the metabolism of chloroquine and increase drug levels.

CYP2D6 Enzyme Substrates

Chloroquine is a CYP2D6 enzyme inhibitor. Monitor patients taking chloroquine concomitantly with other substrates of this enzyme (e.g., flecainide, fluoxetine, metoprolol, paroxetine, propranolol) for side effects.

CYP3A4 Enzyme Inhibitors

CYP3A4 inhibitors (e.g., erythromycin, ketoconazole, ritonavir) can increase chloroquine levels; concomitant use should be avoided.

Chloroquine can increase digoxin levels; additional monitoring is warranted.

Immunosuppressants

Chloroquine decreases the bioavailability of methotrexate. Chloroquine also can cause increased levels of calcineurin inhibitors; use caution when prescribing chloroquine to travelers taking these agents.

QT-Prolonging Agents

Avoid prescribing chloroquine to anyone taking other QT-prolonging agents (e.g., amiodarone, lumefantrine, sotalol); when taken in combination, chloroquine might increase the risk for prolonged QTc interval. In addition, the antiretroviral rilpivirine has also been shown to prolong QTc, and clinicians should avoid coadministration with chloroquine.

Doxycycline

Antacids, Bismuth Subsalicylate, Iron

Absorption of tetracyclines might be impaired by aluminum-, calcium-, or magnesium-containing antacids, bismuth subsalicylate, and preparations containing iron; advise patients not to take these preparations within 3 hours of taking doxycycline.

Doxycycline can interfere with the bactericidal activity of penicillin; thus, in general, clinicians should not prescribe these drugs together. Coadministration of doxycycline with rifabutin or rifampin can lower doxycycline levels; monitor doxycycline efficacy closely or consider alternative therapy.

Patients on warfarin might need to reduce their anticoagulant dose while taking doxycycline because of its ability to depress plasma prothrombin activity.

Anticonvulsants

Barbiturates, carbamazepine, and phenytoin can decrease the half-life of doxycycline.

Antiretrovirals

Doxycycline has no known interaction with antiretroviral agents.

Concurrent use of doxycycline and calcineurin inhibitors or mTOR inhibitors (sirolimus) can cause increased levels of these immunosuppressant drugs.

Mefloquine can interact with several categories of drugs, including anticonvulsants, other antimalarial drugs, and drugs that alter cardiac conduction.

Mefloquine can lower plasma levels of several anticonvulsant medications, including carbamazepine, phenobarbital, phenytoin, and valproic acid; avoid concurrent use of mefloquine with these agents.

Mefloquine is associated with increased toxicities of the antimalarial drug lumefantrine, which is available in the United States in fixed combination to treat people with uncomplicated Plasmodium falciparum malaria. The combination of mefloquine and lumefantrine can cause potentially fatal QTc interval prolongation. Lumefantrine should therefore be avoided or used with caution in patients taking mefloquine prophylaxis.

CYP3A4 Enzyme Inducers

CYP3A4 inducers include medications used to treat HIV or HIV-associated infections (e.g., efavirenz, etravirine, nevirapine, rifabutin) and tuberculosis (rifampin). St. John’s wort and glucocorticoids are also CYP3A4 inducers. All these drugs (rifabutin and rifampin, in particular) can decrease plasma concentrations of mefloquine, thereby reducing its efficacy as an antimalarial drug.

Potent CYP3A4 inhibitors (e.g., antiretroviral protease inhibitors, atazanavir, cobicistat [available in combination with elvitegravir], darunavir, lopinavir, ritonavir, saquinavir); azole antifungals (itraconazole, ketoconazole, posaconazole, voriconazole); macrolide antibiotics (azithromycin, clarithromycin, erythromycin); and SSRIs (fluoxetine, fluvoxamine, sertraline), can increase levels of mefloquine and thus increase the risk for QT prolongation.

Although no conclusive data are available regarding coadministration of mefloquine and other drugs that can affect cardiac conduction, avoid mefloquine use, or use it with caution, in patients taking antiarrhythmic or β-blocking agents, antihistamines (H1 receptor antagonists), calcium channel receptor antagonists, phenothiazines, SSRIs, or tricyclic antidepressants.

Concomitant use of mefloquine can cause increased levels of calcineurin inhibitors and mTOR inhibitors (cyclosporine A, sirolimus, tacrolimus).

Anti-Hepatitis C Virus Protease Inhibitors

Avoid concurrent use of mefloquine and direct-acting protease inhibitors (boceprevir and telaprevir) used to treat hepatitis C. Newer direct-acting protease inhibitors (grazoprevir, paritaprevir, simeprevir) are believed to be associated with fewer drug–drug interactions, but safety data are lacking; consider alternatives to mefloquine pending additional data.

Psychiatric Medications

Avoid prescribing mefloquine to travelers with a history of mood disorders or psychiatric disease; this information is included in the US Food and Drug Administration boxed warning for mefloquine.

Table 2-05 Drugs & drug classes that can interact with selected antimalarials

ANTIMALARIALS

DRUGS & DRUG CLASSES THAT CAN INTERACT

Atovaquone- proguanil

• Fluvoxamine
• Metoclopromide
• Tetracycline
• Calcineurin inhibitors
• Ciprofloxacin
• CYP2D6 enzyme substrates 1
• CYP3A4 enzyme inhibitors 2
• Methotrexate
• QT- prolonging agents 3
• Bismuth subsalicylate
• Barbiturates
• Carbamazepine
• Iron- containing preparations
• mTOR inhibitors
• Antiarrhythmic agents
• Beta blockers
• Calcium channel receptor antagonists
• CYP3A4 enzyme inducers 4
• H1 receptor antagonists
• Lumefantrine
• Phenothiazines
• Protease inhibitors
• Tricyclic antidepressants

1 Examples include flecainide, fluoxetine, metoprolol, paroxetine, and propranolol.

2 Examples include antiretroviral protease inhibitors (e.g., atazanavir, darunavir, lopinavir, ritonavir, saquinavir); azole antifungals (e.g., itraconazole, ketoconazole, posaconazole, voriconazole); macrolide antibiotics (e.g., azithromycin, clarithromycin, erythromycin); selective serotonin reuptake inhibitors (SSRIs; e.g., fluoxetine, fluvoxamine, sertraline); and cobicistat.

3 Examples include amiodarone, lumefantrine, and sotalol.

4 Examples include efavirenz, etravirine, nevirapine, rifabutin, rifampin, and glucocorticoids.

Drugs Used to Treat Travelers’ Diarrhea

Antimicrobials commonly prescribed as treatment for travelers’ diarrhea have the potential for interacting with several different classes of drugs ( Table 2-06 ). As mentioned previously, online clinical decision support tools provide searchable databases that can help identify interactions with medications a person may already be taking.

Azithromycin

Increased anticoagulant effects have been noted when azithromycin is used with warfarin; monitor prothrombin time for people taking these drugs concomitantly.

Because additive QTc prolongation can occur when azithromycin is used with the antimalarial artemether, avoid concomitant therapy.

Drug interactions have been reported with the macrolide antibiotics, clarithromycin and erythromycin; antiretroviral protease inhibitors; and the NNRTIs, efavirenz and nevirapine. Concomitant use of azithromycin and these drugs can increase the risk of QTc prolongation, but a short treatment course is not contraindicated for those without an underlying cardiac abnormality. When azithromycin is used with the protease inhibitor nelfinavir, advise patients about possible drug interactions.

Concurrent use of macrolides with calcineurin inhibitors can cause increased levels of drugs belonging to this class of immunosuppressants.

Fluoroquinolones

Concurrent administration of ciprofloxacin and antacids that contain magnesium or aluminum hydroxide can reduce bioavailability of ciprofloxacin.

An increase in the international normalized ratio (INR) has been reported when levofloxacin and warfarin are used concurrently.

Asthma Medication

Ciprofloxacin decreases clearance of theophylline and caffeine; clinicians should monitor theophylline levels when ciprofloxacin is used concurrently.

Immunosuppresants

Fluoroquinolones can increase levels of calcineurin inhibitors, and doses should be adjusted for renal function.

Sildenafil should not be used by patients taking ciprofloxacin; concomitant use is associated with increased rates of adverse effects. Ciprofloxacin and other fluoroquinolones should not be used in patients taking tizanidine.

Rifamycin SV

No clinical drug interactions have been studied. Because of minimal systemic rifamycin concentrations observed after the recommended dose, clinically relevant drug interactions are not expected.

Rifaximin is not absorbed in appreciable amounts by intact bowel, and no clinically significant drug interactions have been reported to date with rifaximin except for minor changes in INR when used concurrently with warfarin.

Table 2-06 Drugs & drug classes that can interact with selected antibiotics

ANTIBIOTICS

• HIV medications
• Antacids containing magnesium or aluminum hydroxide
• Theophylline

No clinical drug interactions have been studied; none are expected

Before prescribing the carbonic anhydrase inhibitor, acetazolamide, to those planning high elevation travel, carefully review with them the complete list of medications they are already taking ( Table 2-07 ).

Acetazolamide

Acetaminophen & Diclofenac Sodium

Acetaminophen and diclofenac sodium form complex bonds with acetazolamide in the stomach’s acidic environment, impairing absorption. Neither agent should be taken within 30 minutes of acetazolamide. Patients taking acetazolamide also can experience decreased excretion of anticholinergics, dextroamphetamine, ephedrine, mecamylamine, mexiletine, and quinidine.

Acetazolamide should not be given to patients taking the anticonvulsant topiramate because concurrent use is associated with toxicity.

Barbiturates & Salicylates

Acetazolamide causes alkaline urine, which can increase the rate of excretion of barbiturates and salicylates and could cause salicylate toxicity, particularly in patients taking a high dose of aspirin.

• Corticosteroids

Hypokalemia caused by corticosteroids could occur when used concurrently with acetazolamide.

Diabetes Medications

Use caution when concurrently administering metformin and acetazolamide because of increased risk for lactic acidosis.

Monitor cyclosporine, sirolimus, and tacrolimus more closely when given with acetazolamide.

Dexamethasone

Using dexamethasone to treat altitude illness can be lifesaving. Dexamethasone interacts with several classes of drugs, however, including: anticholinesterases, anticoagulants, digitalis preparations, hypoglycemic agents, isoniazid, macrolide antibiotics, oral contraceptives, and phenytoin.

Table 2-07 Drugs & drug classes that can interact with selected altitude illness drugs

ALTITUDE ILLNESS DRUG

• Acetaminophen
• Anticholinergics
• Aspirin, high dose
• Dextroamphetamine
• Diclofenac sodium
• Mecamylamine
• Anticholinesterases
• Digitalis preparations
• Hypoglycemic agents
• Macrolide antibiotics
• Oral contraceptives

Patients with HIV require additional consideration in the pretravel consultation (see Sec. 3, Ch. 1, Immunocompromised Travelers ). A study from Europe showed that ≤29% of HIV-positive travelers disclose their disease and medication status when seeking pretravel advice. Antiretroviral medications have multiple drug interactions, especially through their activation or inhibition of the CYP3A4 and CYP2D6 enzymes.

Several instances of antimalarial prophylaxis and treatment failure in patients taking protease inhibitors and both nucleoside and NNRTIs have been reported. By contrast, entry and integrase inhibitors are not a common cause of drug–drug interactions with commonly administered travel-related medications. Several potential interactions are listed above, and 2 excellent resources for HIV medication interactions can be found at  HIV Drug Interactions and HIV.gov . HIV preexposure prophylaxis with emtricitabine/tenofovir is not a contraindication for any of the commonly used travel-related medications.

Up to 30% of travelers take herbal or nutritional supplements. Many travelers consider them to be of no clinical relevance and might not disclose their use unless specifically asked during the pretravel consultation. Clinicians should give special attention to supplements that activate or inhibit CYP2D6 or CYP3A4 enzymes (e.g., ginseng, grapefruit extract, hypericum, St. John’s wort). Advise patients against coadministration of herbal and nutritional supplements with medications that are substrates for CYP2D6 or 3A4 enzymes, including chloroquine, macrolides, and mefloquine.

The following authors contributed to the previous version of this chapter: Ilan Youngster, Elizabeth D. Barnett

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Jabeen E, Qureshi R, Shah A. Interaction of antihypertensive acetazolamide with nonsteroidal anti-inflammatory drugs. J Photochem Photobiol B. 2013;125:155–63.

Kollaritsch H, Que JU, Kunz C, Wiedermann G, Herzog C, Cryz SJ Jr. Safety and immunogenicity of live oral cholera and typhoid vaccines administered alone or in combination with antimalarial drugs, oral polio vaccine, or yellow fever vaccine. J Infect Dis. 1997;175(4):871–5.

Nascimento Silva JR, Camacho LA, Siqueira MM, Freire Mde S, Castro YP, Maia Mde L, et al. Mutual interference on the immune response to yellow fever vaccine and a combined vaccine against measles, mumps and rubella. Vaccine. 2011;29(37):6327–34.

Nielsen US, Jensen-Fangel S, Pedersen G, Lohse N, Pedersen C, Kronborg G, et al. Travelling with HIV: a cross sectional analysis of Danish HIV-infected patients. Travel Med Infect Dis. 2014;12(1):72–8.

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