Manufactured by: Incepta Pharmaceuticals Ltd.
Snake Venom Antiserum Similar medicine
**ऐसे लोगों का इलाज करते समय सावधान रहें जिन्हें उत्पाद के किसी भी तत्व से एलर्जी है। कुछ डॉक्टर एलर्जी प्रतिक्रियाओं के जोखिम को कम करने के लिए मरीजों को पहले से एड्रेनालाईन की एक छोटी खुराक (त्वचा के नीचे 0.25 मिलीलीटर) देते हैं। यदि रोगी को हीमोटॉक्सिक सांप ने काटा है (जो रक्त के थक्के जमने को प्रभावित करता है), तब तक मांसपेशियों में इंजेक्शन देने से बचें जब तक कि उनका रक्त सामान्य रूप से जम न जाए। यह त्वचा के नीचे चोट लगने और रक्तस्राव को रोकने में मदद करता है।**
**दवा को सीधे उस क्षेत्र में इंजेक्ट न करें जहां सांप ने व्यक्ति को काटा हो।**
**यदि रोगी टूर्निकेट का उपयोग कर रहा है, तो उसे धीरे-धीरे छोड़ें, लेकिन विषरोधी उपचार शुरू करने के बाद ही।**
जब इस दवा को सल्फोनीलुरिया या इंसुलिन के साथ लिया जाता है तो निम्न रक्त शर्करा की संभावना अधिक होती है।
एंटीवेनम देने से बचने का कोई ज्ञात कारण नहीं है। हालाँकि, जिन लोगों को घोड़े से प्राप्त सीरम से एलर्जी है, उन्हें इसे नहीं लेना चाहिए।
निष्क्रिय टीकाकरण में, रोगी के रक्त में साँप के जहर को बेअसर करने में मदद करने के लिए एंटीवेनम को इंजेक्ट किया जाता है।
प्रारंभिक खुराक नीचे बताए अनुसार जहर की मात्रा के अनुमान पर निर्भर करती है:
1. न्यूनतम विषहरण - प्रगतिशील स्थानीय सूजन लेकिन कोई प्रणालीगत लक्षण नहीं। 5 शीशियाँ (50 मि.ली.) देने की अनुशंसा की जाती है।
2. मध्यम जहर - काटने की जगह से परे सूजन, हल्के प्रणालीगत लक्षण, और/या हेमटोलोगिक और जमावट असामान्यताएं मौजूद हैं। 5 से 10 शीशियाँ (50 से 100 मिली) देने की सलाह दी जाती है।
3. गंभीर जहर - तेजी से प्रगतिशील और व्यापक स्थानीय प्रभाव, प्रणालीगत लक्षण और हेमोलिसिस या कोगुलोपैथी के प्रमाण। 10 से 20 शीशियाँ (100 -200 मि.ली.) या अधिक देने की सलाह दी जाती है।
बच्चों और छोटे वयस्कों (शरीर का वजन 40 किलोग्राम से कम) में स्नेक वेनम एंटीसेरम की 50% तक अधिक खुराक देने की सिफारिश की जाती है।
प्रशासन:
स्नेक वेनम एंटीसेरम को अंतःशिरा में प्रशासित किया जाता है या तो 1 मिलीलीटर प्रति मिनट से अधिक की दर से बिना पतला किया जाता है या 500 मिलीलीटर अंतःशिरा तरल पदार्थ (या तो सोडियम क्लोराइड इंजेक्शन या 5% डेक्सट्रोज इंजेक्शन) में पतला किया जाता है और 1-2 घंटे तक सहन करने योग्य तेजी से प्रशासित किया जाता है। स्नेक वेनम एंटीसीरम को पतला करते समय, झाग से बचने के लिए हिलाने के बजाय धीरे से घुमाकर मिलाएं।
जब तक काटे गए हिस्से में प्रगतिशील सूजन बंद न हो जाए और प्रणालीगत संकेत और लक्षण गायब न हो जाएं, तब तक अतिरिक्त जलसेक हर घंटे दोहराया जाना चाहिए। जब पर्याप्त खुराक मिल जाती है, तो रोगी के नैदानिक लक्षणों में सुधार अक्सर देखा जाता है।
FDA ने अभी तक इस दवा को किसी निर्दिष्ट गर्भावस्था श्रेणी में वर्गीकृत नहीं किया है। हालाँकि इस बात के पर्याप्त प्रमाण नहीं हैं कि गर्भावस्था के दौरान यह दवा लेना हानिकारक है।
यदि आप इस दवा को लेते समय भी गर्भवती होने की कोशिश कर रही हैं तो अपने डॉक्टर से चर्चा करें।
यदि आप इस दवा को लेते समय गर्भवती हो जाती हैं, तो आपको इसे लेना जारी रखना चाहिए और जितनी जल्दी हो सके अपने डॉक्टरों से संपर्क करना चाहिए। वे यह निर्णय लेने में आपकी सहायता कर सकते हैं कि आपको यह दवा लेते रहना चाहिए या नहीं। यदि आप यह दवा लेना छोड़ देते हैं और बीमार हो जाते हैं, तो यह दवा पर बने रहने की तुलना में आपके बच्चे के लिए अधिक हानिकारक होगा।
इस बारे में कोई विशेष जानकारी नहीं है कि यह दवा स्तन के दूध के माध्यम से बच्चे तक पहुंचती है या नहीं। इस दवा के दौरान, यदि आपका बच्चा बहुत अधिक नींद, बेचैनी, थकान महसूस करता है, दूध पिलाने में समस्या प्रदर्शित करता है, तो स्तनपान बंद कर दें और तुरंत अपने डॉक्टरों से बात करें।
10ml vial Price : ৳1000
Manufactured by: Incepta Pharmaceuticals Ltd.
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There are few similar medicines of Antivenom are manufactured by other companies using the same ingredients. Although, it would be good if you are able to use the same medicine, which has been prescribed by your Doctor. Due to availability in the local market, you can try others. Please make sure and contact your Doctor first about alternatives.
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum
Snake Venom Antiserum is indicated for Snake Venom Antiserum is indicated for bites caused by Cobra, Common Krait, Russell's Viper and Saw-Scaled Viper, where the patient presents with one or more of fallowing visible clinical signs and symptoms of envenomation – 1. Local envenomation- a) Presence of bite marks with or without oozing of blood, blistering and change in color of skin. b) Rapidly progressive or massive swelling involving more than half of the bitten limb within few hours of bite (without tourniquet) c) Development of enlarged tender lymph nodes draining the bitten part within couple of hours after bite 2. Systemic envenomation- a) Neurotoxic syndrome- signs of neuro-paralysis like blurring of vision, double vision, and difficulty in swallowing, sleepy feeling, drooping of head, slurring of speech and the voice may become indistinct with shallow breathing, ptosis, ataxia, respiratory paralysis and generalized flaccid paralysis. b) Hemotoxic syndrome- spontaneous systemic bleeding, nausea, vomiting, abdominal pain and abdominal tenderness suggestive of gastro-intestinal or retro-peritoneal bleed and/or renal damage, coagulopathy detected by 20 min WBCT with or without external bleeding and shock.
List of medicines using Snake Venom Antiserum