SC/IM Around deltoid muscle of upper arm for SC inj while center area of deltoid muscle or lateral upper part of gluteus maximus for IM inj.
Prophylactic use 1,500-5,000 IU to be given at once.
Adult & childn Repeat inj after 6 days when contamination still persists.
Patient previously immunized w/ tetanus toxoid Give a booster dose of tetanus toxoid only.
Patient w/ previous inj of tetanus toxoid Give ≥1 inj of tetanus toxoid (but not tetanus antitoxin).
Patient who has not had previous tetanus toxoid inj or w/o clear history of immunization Give both antitoxins for prophylaxis & permanent immunity.
IV Use until no untoward reaction occurs after IM or SC inj. Slow IV inj not >1 mL/min & must not exceed 4 mL/min afterwards. Total vol for single dose:
Adult Not >40 mL.
Childn Not >0.8 mL/kg.