Rabies immunoglobulin (RIG)
For category III bites: human RIG 20 IU/kg or equine 40 IU/kg, infiltrated into and around the wound, on day 0 with the first vaccine.
On this page
Dose
| Product | Dose |
|---|---|
| Human RIG | 20 IU/kg |
| Equine RIG (ERIG) | 40 IU/kg |
Infiltrate as much as possible into and around all wounds. WHO no longer recommends injecting the remainder IM far from the wound. Dilute in saline if wounds are many.
Points
- Give with the first vaccine dose, or up to day 7 after the first dose; not after.
- Watch for allergic reactions with equine RIG; skin testing isn't required (WHO).
- Different syringe and site from the vaccine.
Frequently asked questions
Where is rabies immunoglobulin injected?
Into and around the wound itself, as much as anatomically possible, including fingers carefully.
Used in these guides
Sources
Doses on this page are typical doses from the sources above. Always confirm with a current drug reference, the product leaflet and your hospital protocol, especially in children, pregnancy and kidney or liver disease.