Indications & Dose:

Snake Venom Abtiserum for the treatment of envenomation caused by bites of the cobra, common Krait, Russell’s Viper and Saw Scaled Viper

DOSAGE:

Initial dose depends upon an estimate of the amount of envenomation ans symptoms shown .

Minimal Envenomation: Progrssive local swelling but no systemic symptoms.: 5 vials (50ml) is recommended

Moderate Envenomation: Swelling beyond the site of the bite, mild systemic symptoms, and hematologic and coagulation abnormalities are present.: 5 -10vials (50ml-100ml) is recommended 

Severe Envenomation: Rapidly Progrssive and extensive local effects, systemic symptoms and evidence of hemolysis or "coagulopathy.: 10-20vials (100ml)-200ml is recommended

Contraindications:

Blood transfusion or immunoglobulin injection within previous three months, concurrent therapy with ACTH or corticosteroid, irradiation, alky-lating agents or antimetabolitis. Blood dyscrasias, leukaemia, malignant neoplasm affecting bone marrrow & lymphatic systems. Primary immunodefficiency states, acute febrile infections. Hypersensi-tivity.

PREGNANCY. Children below 5 years contraindicated.

Special note: Does not afford protection against Salmonella Paratyphii A or B

Cautions:

Precautions:

Preferable to delay the vaccination in fever/acute infection.

Interaction:

Warnings:

Adverse Effects:

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: