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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ideal Dosage For Rabipur HRIG Shots

Hi, I was bitten by a stray dog on 7th of Sept. I washed the wound and I went to the hospital. The doctor there gave me two vaccines. 1. Tetanus 2. Rabipur I ve finished my third dose today. I m due for the other two in the coming weeks. I read only on medicines.org.uk that if I m using Rabipur, I must have the HRIG shots within the next 7 days. But today is the 8th day. I wasn t given nor suggested the extra shot. Should I be worried? Is it too late? Can I still go and get the shot?
Mon, 16 May 2016
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General & Family Physician,  's  Response
Hi & Welcome to HCM.
Incomplete data like the site of the wound not mentioned.

Human rabies immunoglobulin (HRIG) is generally recommended only for Category III of exposure (single or multiple bites especially on the head, neck, face, hands & genitals or contamination of mucous membrane with saliva (i.e. licks).
In such cases, the HRIG shot is given as soon as possible following the dog bite. Anti-rabies vaccines like Rabipur should then be administered,
preferably on the same day, but at a different site (right arm for vaccine and left arm for serum, or vice versa). However, HRIG can be injected up to 7 days after first vaccine dose administration.
If the wound is located on other parts of your body, then there's no need to take HRIG shot.
Rabipur shots should be taken on days 0,3,7,14 & 28 following the dog bite.
Rabipur should be discontinued if the offending animal remains healthy throughout an observation period of 10 days.
Hope I could clear your doubts.
Best wishes.



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Suggest Ideal Dosage For Rabipur HRIG Shots

Hi & Welcome to HCM. Incomplete data like the site of the wound not mentioned. Human rabies immunoglobulin (HRIG) is generally recommended only for Category III of exposure (single or multiple bites especially on the head, neck, face, hands & genitals or contamination of mucous membrane with saliva (i.e. licks). In such cases, the HRIG shot is given as soon as possible following the dog bite. Anti-rabies vaccines like Rabipur should then be administered, preferably on the same day, but at a different site (right arm for vaccine and left arm for serum, or vice versa). However, HRIG can be injected up to 7 days after first vaccine dose administration. If the wound is located on other parts of your body, then there s no need to take HRIG shot. Rabipur shots should be taken on days 0,3,7,14 & 28 following the dog bite. Rabipur should be discontinued if the offending animal remains healthy throughout an observation period of 10 days. Hope I could clear your doubts. Best wishes.