l INDICATIONS AND DOSE

Systemic envenoming from snake bites | Marked local envenoming

 BY INTRAVENOUS INJECTION, OR BY INTRAVENOUS INFUSION

 Child: Initially 10 mL for 1 dose, then 10 mL after 1–2 hours if required, the second dose should only be given if symptoms of systemic envenoming persist after the first dose, if symptoms of systemic envenoming persist contact the National Poisons Information Service ? Adult: Initially 10 mL for 1 dose, then 10 mL after 1 – 2 hours if required, the second dose should only be given if symptoms of systemic envenoming persist after the first dose, if symptoms of systemic envenoming persist contact the National Poisons Information Service Severe systemic envenoming from snake bites in patients presenting with clinical features

 BY INTRAVENOUS INJECTION, OR BY INTRAVENOUS INFUSION

 Child: Initially 20 mL for 1 dose, if symptoms of systemic envenoming persist contact the National Poisons Information Service  Adult: Initially 20 mL for 1 dose, if symptoms of systemic envenoming persist contact the National Poisons Information Service

l DIRECTIONS FOR ADMINISTRATION

By intravenous injection given over 10 –15 minutes or by intravenous infusion over 30 minutes after diluting in sodium chloride 0 . 9% (use 5 mL diluent/kg body-weight).

l PRESCRIBING AND DISPENSING INFORMATION

To order, email immform@dh.gsi.gov.uk.