Vinrab Dosage/Direction for Use

First-aid treatment: Prompt local treatment of bite wounds and scratches that may be contaminated with rabies virus is important, whatever the time elapsed since the contact. Recommended first-aid procedures are imminent thorough flushing and washing of the wound with soap and water, detergent or other substance of proven lethal effect on rabies virus. The rabies immunoserum should be injected as soon as possible after exposure. (See table.)

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For prevention of rabies, combined immunoglobulin-vaccine treatment is recommended. The recommended dose is 40 I.U./kg of body weight. If anatomically feasible, as much as possible of the dose should be infiltrated around the wounds.
The remainder should be administered intramuscularly (into the gluteal region) in a single dose. The first dose of the vaccine should be inoculated at the same time as immunoglobulin, but in different parts of the body. Children and adults receive the same dose of 40 I.U./kg of body weight. When indicated, begin antitetanus treatment and administer antimicrobial drugs to control infections other than rabies.