The Clinical Management of Snake Bites in the South East Asian Region

 

Annex 3 - Antivenoms for treating bites by South East Asian snakes - (listed by country of manufacture)


A
China

Shanghai Institute of Biological Products, Ministry of Health, 1262 Yan An Road (W), Shanghai 200052, China (Tel ++ 8621-62803189; Fax ++ 8621-62801807). Contact: Ms Minzhi Lu, Manager, International Affairs & Trade Department (Tel ++ 8621-62805234)
(liquid antivenoms, 10-15 ml/ampoule)

*     Agkistrodon acutus antivenin (purified) (= Deinagkistrodon acutus, found in North Viet Nam). Recommended dose 8,000 IU (= 4 ampoules)

*     "Agkistrodon halys" antivenin (purified) (said to be active against venoms of Trimeresurus mucrosquamatus and T stejnegeri).Recommended dose 6,000 IU (= 1 ampoule)

*     Bungarus multicinctus antivenin (purified) (said to be effective against the venom of Ophiophagus hannah). Recommended dose for bites by both species 10,000 IU (= 1.25 ampoules)

*     "Naja naja" antivenom (purified) (= Naja atra). Recommended dose 2,000 IU (= 2 ampoules)

B Germany

Knoll AG, Postfach 21 08 05, 67008 Ludwigshafen, Germany (Tel ++ 49621-5892688;
Fax ++ 49621-5893707).
Contact: Mr Lok, Managing Director
(liquid antivenom, 10 ml/ampoule)

*      Cobra monospecific antivenom (Naja naja sputatrix = Malaysian N sumatrana)

C India

*     Bengal Chemicals & Pharmaceuticals, 6 Ganesh Chunder Avenue, Calcutta (Fax ++91 33 2257697)

(liquid antivenom)

*     Polyvalent (Bungarus caeruleus, Naja naja, Vipera russelli, Echis carinatus)

*     Central Research Institute (Simla Hills), 173 204 (HP) Kasauli (Tel ++ 91-17932060;  Fax ++ 91-179272049)

(liquid and lyophilised antivenoms, 10 ml/ampoule)

*     Polyvalent (B caeruleus, N naja, V russelli, E carinatus)

*     Haffkine Biopharmaceutical Company Ltd, Acharya Donde Marg, Parel, Bombay 400012 (Tel ++ 91-224129320 and 234129224; Fax ++ 91 41 68578; Telex 11.71427 HBPC IN)

*     Contact : PR Sharma, Assistant Marketing Manager, Export and Trade Department

(lyopholised antivenoms, 10 ml/ampoule)

*     Polyvalent anti-snake venom serum (B caeruleus, E carinatus, N naja, V russelli)

*     King’s Institute of Preventive Medicine, Guindi, Madras NA5

*     Polyvalent

*     Serum Institute of India Ltd, 212/2 Hadapsar, Pune-411 028 (Tel ++ 91-212672016; Fax ++ 91-212672040; Telex 145-7317 SERA IN, 145-7216 SEAL IN)

*     Contact: Dr SS Jadhav, Executive Director (QA)

(lyopholized antivenoms)

*     Polyvalent (B caeruleus, N naja, V russelli, E carinatus)

*     Bivalent (E carinatus, V russelli)

D Indonesia

Perum Bio Farma (Pasteur Institute), Jl Pasteur 28, Post Box 1136, Bandung40161
(Tel ++ 6222-83755; Fax ++ 6222-210299; Telex 28432
BIOFARIA)
(liquid antivenom, 5 ml/ampoule)

*      Polyvalent antivenom serum (Calloselasma rhodostoma, B fasciatus, N sputatrix)

E Iran

State Serum & Vaccine Institute, Razi Hessarek, bP 656, Teheran (Tel ++ 98 2221 2005)
(liquid antivenoms, 10 ml/ampoule)

*     Polyvalent snake antivenom (equine) (said to neutralise the venoms of two South East Asian species - Naja oxiana and Echis carinatus (probably E sochureki), Vipera lebetina (= Macrovipera lebetina) and Pseudocerastes persicus

F Myanmar (Burma)
Myanmar Pharmaceutical Factory, Yangon
(lyophilized and liquid antivenoms, 10 ml/ampoule)

*     Viper antivenom (V russelli)

*     Cobra antivenom (N kaouthia)

G Pakistan

National Institute of Health, Biological Production Division, Islamabad (Tel ++ 9251-240946; Fax ++ 9251-20797; Telex 5811-NAIB-PK)
Contact: Shahid Akhtar
(liquid and lyophilized antivenoms, 10 ml/ampoule)

*      Polyvalent anti-snake venom serum (B caeruleus, E carinatus, N naja, V lebetina, V russelli)

H Philippines

Biologicals Production Service, Dept of Health, Los Baños, Laguna
(liquid antivenom)

*     Philippine cobra antivenin (Naja philippinensis)

I Taiwan

National Institute of Preventive Medicine, 161 Kun-Yang Street, Nan-Kang, Taipei, ROC 11513 (Tel ++ 8862-7859215; Fax ++ 8862-7853944). Contact: Dr Gong-Ren Wang, Director
(lyophilised antivenoms, 10 ml/ampoule)

*     Bungarus multicinctus and N atra bivalent antivenom

*     Trimeresurus muquosquamatus and Trimeresurus grammineus (= T stejnegeri) bivalent antivenom

*     Agkistrodon acutus (= Deinagkistrodon acutus) antivenom

J Thailand

The Thai Red Cross Society, Queen Saovabha Memorial Institute, 1871 Rama VI Road, Bangkok10330 (Tel ++ 662-2520161-4; Fax ++ 662-2540212; Telex 82535 THRESCO TH)
(freeze dried monovalent antivenoms, 10 ml/ampoule)

*     Cobra antivenom

*     King cobra antivenin

*     Banded krait antivenin

*     Russell’s viper antivenin

*     Malayan pit viper antivenin

*     Green pit viper antivenin

 

 

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