RABIES VACCINE in Kathmandu

Posted on : December 28, 2018 by Clinic One on Rabies FAQ

Got a stray or street dog bite or an animal scratch in Kathmandu or in your travels around Nepal? Got a monkey scratch when you visited a temple? Are you concerned about animal contact and scratches during your travels in Nepal, Northern India, and Tibet? 

Be careful and get a Rabies vaccine immediately. In the extreme case, someone bitten may die.

We offer the Rabies vaccine in our clinic or in the comfort of your home in Kathmandu Nepal. Call Clinic One today at 9861966614 or email us at [email protected].

 


Brand Name
Abhayrab

Indication
The rabies vaccine is administered to prevent rabies. It is indicated for active immunization against the rabies virus. Vaccines are effective in humans and other animals. The most effective way to prevent the spread of rabies to humans is to vaccinate dogs.

Route of administration
Intramuscular

Pre-Exposure Prophylaxis: Immunization before possible exposure to a case of high-risk professionals. E.g. Veterinarians, doctors, laboratory personnel, and people who are exposed to the risk of rabies.

Post- Exposure Treatment: Rabies vaccination is part of the post-exposure treatment of individuals after contact with animals that are rabid or suspected to be rabid. Vaccination with rabies vaccine should begin immediately after exposure to rabies, which has been confirmed or suspected. Other post-exposure treatment measure includes first aid and local wound, and administration of rabies immunoglobulin, if indicated. The choice of immunization schedule for post-exposure prophylaxis depends on the type of wound or exposure and the status of the animal.

 


Immunization Schedule

For Intramuscular Vaccination:
Pre-Exposure: 0.5 mL or 1.0 mL of reconstituted vaccine (as per diluent supplied) on days 0,7 and 21 or 28. Only people, whose occupation puts them at continual or frequent risk of exposure, should receive periodic booster doses whenever rabies virus-neutralizing antibody titre drops below 0.5 IU/mL.

Post-Exposure:
– For a new case: 0.5 mL or 1.0 mL of reconstituted vaccine (as per diluent supplied) on days 0, 3, 7, 14, and 28.

– Rabies immunoglobulin should be administered preferably as soon as possible after initiation of post-exposure prophylaxis in case of Category III bites but not beyond 7 days from the first dose of vaccination.

– For previously immunized individuals: One dose (0.5 mL or 1.0 mL, as per diluent supplied) of reconstituted vaccine intramuscularly at one site on day 0 and day 3. The administration of Rabies immunoglobulin is not required in such cases.

– For immunocompromised individuals: They should definitely receive rabies immunoglobulin in addition to a full post-exposure vaccination series as listed above, both in Category II and Category III bites.


For Intradermal Vaccination:
Pre-Exposure: One dose of 0.1 mL of the reconstituted vaccine at one site on days 0, 7 and 21 or 28. Only people, whose occupation puts them at continual or frequent risk of exposure, should receive periodic booster doses whenever rabies virus-neutralizing antibody titre drops below 0.5 IU/mL.

Post-Exposure:
– For a new case: Updated two-site Thai Red Cross Regimen (2-2-2-0-2): 0.1 mL of the reconstituted vaccine at two different intradermal sites on each of days 0, 3, 7 and 28. Vaccine administered intradermally raises a visible and palpable “bleb” in the skin. Intradermal administration must be carried out by staff trained in this technique.

– Rabies immunoglobulin should be administered preferably as soon as possible after initiation of post-exposure prophylaxis in case of Category III bites, but not beyond 7 days from the first dose of vaccination.

– For previously immunized individuals: One dose (0.1 mL) of reconstituted vaccine intradermally at one site on day 0 and day 3. The administration of Rabies immunoglobulin is not required in such cases.

– For immunocompromised individuals: Intradermal administration should not be used for immunocompromised individuals or individuals receiving chloroquine-based antimalarial treatment or long-term corticosteroid or other immunosuppressive therapy.

Immediate wound treatment
Immediate local treatment of all bite wounds and scratches that may be contaminated with rabies virus is important. It is recommended to thoroughly wash the wound with ample water or detergent for 15 minutes and disinfect the site with 70% alcohol or tincture of iodine.

Vaccination of subjects already immunized against rabies
If the vaccine is administered to the subjects within 5 years of previous immunization (cell culture rabies vaccine), two booster doses of vaccine is to be administered via TM route on day 0 and day 3. If the vaccine was administered more than five years ago, vaccination schedule as per Post- Exposure Treatment may be followed.

Additional information
The wound should not be sutured for seven days and RIG (rabies immunoglobulin) should always be administered before suturing. Prescriptions of antibiotics and the status of tetanus vaccination should be checked as per institutional anti-tetanus procedures.

Drugs interaction and other interaction
Corticosteroids and immunosuppressive treatment may interfere with antibody production and may cause the vaccine to fail. In order to avoid possible drug interaction, any ongoing treatment should be reported to your doctors.

Precaution / Contraindication Pre-exposure

  • Febrile infection
  • Pregnancy and lactation
  • Progressive chronic disease
  • Hypersensitivity to any of the ingredients of the vaccine

Post-Exposure: Due to the fatal progression of declared Rabies infection, there are absolutely no contraindications to curative anti- Rabies vaccination.

Side effects

Local reaction: pain, erythema, edema, pruritus, and induration at the injection site may occur.

Systemic reaction: fever, shivering, fainting, asthenia, headache, dizziness, arthralgia, myalgia, gastrointestinal disorder (nausea, abdominal pain) may occur in some cases.

Exceptional cases: Anaphylactic reactions may be observed

Clinic One has walk-in appointments for all kinds of vaccines available at our clinic. We are open on all weekdays except Saturday from 7:00 am to 7:00 pm.

Additional Information at the Center for Disease Control

Back to Vaccination Page.

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24 thoughts on "RABIES VACCINE in Kathmandu"

  1. Nana. T says:

    Namaste.
    I’d like to know the price of vaccine for rabies.

    Hope to hear from you.

    Regard

  2. tyong says:

    I was bitten by a dog five months ago and o received the vaccination but then I got bitten(a very tiny scratch)by a dog again. do I need to get vaccinated again? it says the vaccination works for 1 year in humans. and even the nearby medical doctors told me that it’s okay to not get vaccination?

  3. Subash says:

    Please sir tell me rabies booster dose schedule (ID) And how long will did it works

    1. Clinic One says:

      Please call us at 9861966614 for vaccine inquiries and information.

  4. Subash says:

    Please sir tell me rabies booster dose schedule (ID) And how long will did it works ?

  5. S. Adhikari says:

    What is full form of ARV

    1. Clinic One says:

      Hi, The full form of ARV is Anti Rabies Vaccine.

  6. S. Bajra says:

    Hi, Is ARV the vaccination taken after dog bite or is it a prevention vaccine against any possible bites? And do we need all 6 doses as said above after a bite or 2/3 dose can work depending upon the wound nature? Please help since I got a dog recently so very much curious about it.

    1. Clinic One says:

      Hi,You can take the anti rabies vaccine in both situation i.e. before or after the bite. As rabies is fatal, if you are bitten by a stray or an unvaccinated dog, we recommend you to go to your nearest medical center and take the vaccine immediately.
      For detailed information about the vaccine, you can call us at our Vaccination Hotline Number: 9861966614

  7. Em says:

    Do we need to make an appointment for a rabies vaccine? I am getting as a prevented measure . Looking to come in next week. Thanks

    1. Clinic One says:

      Hi, We have Walk-In Vaccination services at our clinic. You can come anytime between our opening hours for Rabies Vaccination.

  8. arun says:

    मलाई कतिब 2.5 महिना अघि सानो रातो धर्सा देखिने गरि घर कै कुकुर ले खेल्दै दात ले scratch गरेको थियो।रातो धर्सा मात्र देखियो । रगत बगेको थिएन।मैले साबुन पानीले हात धोए । ३/४ घण्टामा त्यो रातो धर्सा नि हराएर गयो । त्यो कुकुर घटनाको १०/१२ दिनमा मर्यो भन्ने सुनियो । मलाई कुनै लक्षण नि देखिएको छैन । मैले vaccine नि लाएको छैन। डर लागेको छ।

  9. arun says:

    नमस्कार । मलाई करिब ७२ दिन अगाडि घरमा कुकुर ले खेल्दै दात ले scratch गरिदियो । औलामा रातो धर्सा देखियो मैले हात धोय । ३/४ घण्टामै त्यो ठिक पनि भयो । त्यस्को केही दिन मा कुकुर मुखबाट फिज निकालेर मर्यो भन्ने सुने । मलाई अहिले सम्न कुनै सामन्य लक्षण नि देखिएको छैन । मलाई एकदम डर लागेको छ म के गरौं ??

    1. Clinic One says:

      नमस्कार, रेबिजको कुनै पनि उपचार नभएका कारण नजिकै को स्वास्थ्य चौकीमा गएर तुरुन्त खोप लगाउनु हुन सल्लाहा दिन्छौ |

  10. Meena biswhakarma says:

    Namaste mero 7year ko babu lai face ma dog le bites gare ko so k garnu parxa plz kehi salaa dinu hos thank you

    1. Clinic One says:

      Please get the Rabies vaccine for your child as soon as possible. Please call for vaccines & inquiries: 9861966614, 01-5400400, 9863393960.

  11. Ramesh says:

    Can i inject vaccine after the 2 days of dog bite pleez ans

    1. Clinic One says:

      Yes, you can get the vaccine but please get it as soon as possible.

      For vaccines & inquiries, please call us at 01-5400400, 9863393960.

  12. suraj joshi says:

    Namaste malai ghar ko dog le bite gareko cha.24 hrs pachi vaccine lagaye huncha?

    1. Clinic One says:

      Yes, you can. Please get the vaccine as soon as possible.

      For vaccination and inquiries, please call us at
      Jawalakhel: 01-5400400, 9861966614
      Suryabinayak: 01-6617401, 9851310113

  13. Sanjib says:

    Hello malai hijo ko 1/2 baje euta kukur le tokeko thiyo tyo kukur ko owner le tyo kukur lai hami le injection diyeko xau kei hunna vannu vako thiyo tyo kukur le tokeko thau bata blood niskeko thiyo ani 7/8 years aagadi pani euta kukur le tokeko thiyo tyo bela maile rabies ko injection lagai sakeko thiye aaile pani lagaunu parxa ki nai vannu hola

    And plz do fast reply it’s an EMERGENCY ??

    1. Clinic One says:

      We always suggest getting vaccinated ASAP after the bite because prevention has always been better than cure.
      So, please consult a healthcare professional and get vaccinated.
      For more inquiries: 01-5400400, 9861966614

  14. Puja says:

    What is the price of hrig

    1. Clinic One says:

      Please call us at 9861966614, 01-5400400, 9863393960 for your inquiries.

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