Verorab (Inactivated Purified Rabies Vaccine)

Verorab (Inactivated Purified Rabies Vaccine)

rabies vaccine

Manufacturer:

Kalventis Sinergi Farma
Concise Prescribing Info
Contents
Inactivated purified rabies vaccine prepared on vero cells
Indications/Uses
Dosage/Direction for Use
Pre-exposure vaccination 3 doses of 0.5 mL IM inj on D0, D7, D21 or D28, followed by booster dose after 1 yr & subsequent booster dose every 5 yr. Post-exposure vaccination Non-immunized patients Essen regimen: 5 doses of 0.5 mL IM inj on D0, D3, D7, D14 & D28. Zagreb regimen (schedule 2-1-1): 4 doses of 0.5 mL IM inj on D0, D7 & D21. 1 inj in each of the 2 deltoids or anterolateral thigh sites. Updated Thai Red Cross regimen: 2 doses each of 0.1 mL intradermal inj at different sites on D0, D3, D7 & D28. 1 wk, 4-site regimen: 4 doses each of 0.1 mL intradermal inj at 4 distinct sites on D0, D3 & D7. Fully immunized patients 1 dose of 0.5 mL IM inj or 0.1 mL intradermal inj on D0 & D3.
Contraindications
Pre-exposure: Hypersensitivity to rabies virus, polymyxin B, streptomycin, neomycin or to any antibiotic of the same group, previous administration or to any vaccine containing the same components. Severe febrile infection, acute disease, progressive chronic disease. Post-exposure: No contraindication to curative vaccine. Pregnancy.
Special Precautions
Known allergy to neomycin, polymyxin B, streptomycin or any antibiotic of the same group. May not protect 100% of people vaccinated. Not to be inj intravascularly or into gluteal region. Conduct serological test on persons subject to continuous exposure (every 6 mth) & may be conducted every 2-3 yr after the booster dose after 1 & 5 yr in persons subject to discontinuous exposure according to the assessed exposure risk; may be conducted 2-4 wk following the vaccination for immune deficient subjects. Thrombocytopenia or coagulation disorders. Potential risk of apnoea; monitor resp for 48-72 hr after primary immunization to very premature infants (≤28 wk of gestation) & particularly for those w/ previous history of resp immaturity; do not w/hold or delay vaccination. Anxiety-related reactions eg, vasovagal reactions (syncope), hyperventilation or stress-related reactions. May temporarily affect ability to drive or use machines. Pregnancy & lactation.
Adverse Reactions
Adenopathy/lymphadenopathy; myalgia; inj site pain, fever, malaise. Cutaneous allergic reactions eg, rash, pruritus, oedema; headache, dizziness, somnolence; abdominal pain, nausea; arthralgia, shivering; inj site erythema, pruritus, swelling, haematoma, induration, asthenia, flu-like syndrome. Anaphylactic reactions, serum sickness-like reactions, encephalopathy, convulsions; sudden hearing loss; apnoea in very premature infants; vomiting.
Drug Interactions
May interfere Ab production w/ corticosteroids & immunosuppressor treatments. Perform a neutralizing Ab assay 2-4 wk after last inj. Rabies Ig & vaccine must never be combined in the same syringe or administered at the same site. Administer vaccine contralaterally to the Ig administration sites.
MIMS Class
Vaccines, Antisera & Immunologicals
ATC Classification
J07BG01 - rabies, inactivated, whole virus ; Belongs to the class of rabies viral vaccines.
Presentation/Packing
Form
Verorab (Inacrivated Purified Rabies Vaccine) vaccine (inj) 0.5 mL
Packing/Price
(vial) 10 × 1's; (vial) 1's (Rp347,698/boks)
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