Pre-exposure 1 dose IM/ID inj on D0, D7 & D21 or D28 followed by booster dose after 1 yr & subsequent booster dose every 5 yr. Post-exposure Fully immunised patient 1 dose IM inj on D0 & D3. Non-immunised patient Essen regimen: 1 dose IM inj at D0, D3, D7, D14 & D28 or Zagreb regimen: 1 dose IM inj at 2 sites on D0, 1 dose at D7 & D21 or Thai Red Cross regimen: 0.1 mL intradermal inj at 2 sites on D0, D3, D7 & D28.
View Verorab overdosage for action to be taken in the event of an overdose.
Contraindications
Pre-exposure: Hypersensitivity to rabies virus, polymyxin B, streptomycin, neomycin or previous inj. Postpone vaccination in case of febrile or acute diseases.
Known hypersensitivity to polymyxin B, streptomycin, neomycin. Not to be inj intravascularly or into gluteal area; not to be inj intradermally in immunocompromised individuals. Thrombocytopenia, coagulation disorders; anxiety-related reactions eg, syncope, hyperventilation or stress-related reactions; phenylketonuria. Perform blood test 2-4 wk after vaccination in known immunodeficiency due to immunosuppressive disease or concomitant immunosuppressive treatment eg, corticosteroids. May cause allergic reactions due to latex. May affect ability to drive & use machines. Pregnancy. Resp monitoring for 48-72 hr in very premature infants (≤28 gestation wk) & w/ history of resp immaturity.
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10b520bb-d998-43bc-b2b8-a16a00ea75d5.GIF)
