HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

So I Was On My Porch Late One Night And

default
Posted on Mon, 7 Sep 2020
Question: So I was on my porch late one night and had a bat fly at me and grab onto my head. I felt no noticable pain or bite and was able to smack it off and run back inside before there was, and my sister noticed no bite mark on my head after a quick check, and I was assured not to worry by my family. But as the week progressed I felt anxious and decided to play it safe, scheduling to get a rabies shot a week later.

I smoke cannabis nightly the past few months to help deal with anxiety and sleeplessness I experience sometimes, and am now on my second dose (day 3) of the rabies vaccine. I was wondering if smoking cannabis has any effect on the effectiveness of the rabies vaccine or affects how long it takes to become effective. Because while some stress relief would be great at a time as nerve wracking as this, it's not worth compromising my treatment and my health as a result
default
Follow up: Dr. Sudhir Kumar (0 minute later)
So I was on my porch late one night and had a bat fly at me and grab onto my head. I felt no noticable pain or bite and was able to smack it off and run back inside before there was, and my sister noticed no bite mark on my head after a quick check, and I was assured not to worry by my family. But as the week progressed I felt anxious and decided to play it safe, scheduling to get a rabies shot a week later.

I smoke cannabis nightly the past few months to help deal with anxiety and sleeplessness I experience sometimes, and am now on my second dose (day 3) of the rabies vaccine. I was wondering if smoking cannabis has any effect on the effectiveness of the rabies vaccine or affects how long it takes to become effective. Because while some stress relief would be great at a time as nerve wracking as this, it's not worth compromising my treatment and my health as a result
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
There is no need to fear rabies.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

First of all, I would like to reassure that there is no fear of rabies in you. As you clearly explained, there is no bite mark. With the minimal contact you had with the bat, there is little chance of rabies.

Cannabis does not interfere with vaccine efficacy.

Vaccine efficacy is quick to develop and it starts within days of getting the first dose of the post-exposure rabies vaccine.
     
I sincerely hope my reply has helped you.
     
I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,     
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Sudhir Kumar (0 minute later)
Brief Answer:
There is no need to fear rabies.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

First of all, I would like to reassure that there is no fear of rabies in you. As you clearly explained, there is no bite mark. With the minimal contact you had with the bat, there is little chance of rabies.

Cannabis does not interfere with vaccine efficacy.

Vaccine efficacy is quick to develop and it starts within days of getting the first dose of the post-exposure rabies vaccine.
     
I sincerely hope my reply has helped you.
     
I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,     
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Sudhir Kumar (7 hours later)
Thank you very much for your answer! I was also hoping to clarify symptoms that I've been experiencing as well.

After getting my first rabies shot along with the immunoglobulin, the next day I felt a slight sore throat that is now gone 2 days later. And then on the day of my day 3 shot I started to feel rather flushed and warm, but never with a temperature higher than 37.4°C at maximum (though this was in the evening). I have also been experiencing an off-and-on runny nose for the past 2 days as well.

After exposure to a bat to the bare skin of the head and a week between exposure to the bat and receiving the vaccine, should I be concerned about these symptoms? And is there anything I should be on the lookout for in particular?

One thing I have noticed the past few days is an on and off feeling of feeling very warm and flushed as though I'm feverish. But after taking my temperature it's always within normal range (such as this morning, feeling flushed and warm, but my temperature is only 36.4°C)
default
Follow up: Dr. Sudhir Kumar (0 minute later)
Thank you very much for your answer! I was also hoping to clarify symptoms that I've been experiencing as well.

After getting my first rabies shot along with the immunoglobulin, the next day I felt a slight sore throat that is now gone 2 days later. And then on the day of my day 3 shot I started to feel rather flushed and warm, but never with a temperature higher than 37.4°C at maximum (though this was in the evening). I have also been experiencing an off-and-on runny nose for the past 2 days as well.

After exposure to a bat to the bare skin of the head and a week between exposure to the bat and receiving the vaccine, should I be concerned about these symptoms? And is there anything I should be on the lookout for in particular?

One thing I have noticed the past few days is an on and off feeling of feeling very warm and flushed as though I'm feverish. But after taking my temperature it's always within normal range (such as this morning, feeling flushed and warm, but my temperature is only 36.4°C)
doctor
Answered by Dr. Sudhir Kumar (2 minutes later)
Brief Answer:
There is no need to worry about these symptoms.

Detailed Answer:
Thank you for getting back.

I have noted your symptoms. These minor flu-like symptoms are common after vaccinations, including rabies vaccine, and there is no need to worry about them. These should subside soon.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Sudhir Kumar (0 minute later)
Brief Answer:
There is no need to worry about these symptoms.

Detailed Answer:
Thank you for getting back.

I have noted your symptoms. These minor flu-like symptoms are common after vaccinations, including rabies vaccine, and there is no need to worry about them. These should subside soon.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
default
Follow up: Dr. Sudhir Kumar (11 hours later)
Thank you once again for your answer!

I have been feeling a great deal of anxiety lately over this whole situation, so it could very possibly be the cause of some of these symptoms.
Today I was feeling very flushed/hot and visibly red on the cheeks and forehead, but my temperature orally was never greater than 37.4°C, but it has been over 37°C for most of the day, even now it was 37.4°C at 6:00pm. I was also feeling a slight tingling at the back and left side of my head (where I believe the bat grabbed on 2 weeks ago) occasionally today, similar to a "goosebumps" feeling. I also developed a slight bit of throat discomfort. As well, while it's not pain or sensitivity to light in any way, my eyes have felt sort of tender, such as feeling dry/requiring more blinking, with the tenderness being more noticable when there's a breeze (this is all 4 days after the initial rabies shot/immunoglobulin shot in the thigh, yesterday at around 6 when I recieved the second rabies booster shot. And the contact with the bat occurring around a week before the initial rabies shot)

And finally, I was reading about the importance of cytokines in the immune response for the rabies vaccine, and was also reading that cannabis (especially CBD) can suppress cytokine production. Do you think this would be significant in this situation? Thank you very much
default
Follow up: Dr. Sudhir Kumar (0 minute later)
Thank you once again for your answer!

I have been feeling a great deal of anxiety lately over this whole situation, so it could very possibly be the cause of some of these symptoms.
Today I was feeling very flushed/hot and visibly red on the cheeks and forehead, but my temperature orally was never greater than 37.4°C, but it has been over 37°C for most of the day, even now it was 37.4°C at 6:00pm. I was also feeling a slight tingling at the back and left side of my head (where I believe the bat grabbed on 2 weeks ago) occasionally today, similar to a "goosebumps" feeling. I also developed a slight bit of throat discomfort. As well, while it's not pain or sensitivity to light in any way, my eyes have felt sort of tender, such as feeling dry/requiring more blinking, with the tenderness being more noticable when there's a breeze (this is all 4 days after the initial rabies shot/immunoglobulin shot in the thigh, yesterday at around 6 when I recieved the second rabies booster shot. And the contact with the bat occurring around a week before the initial rabies shot)

And finally, I was reading about the importance of cytokines in the immune response for the rabies vaccine, and was also reading that cannabis (especially CBD) can suppress cytokine production. Do you think this would be significant in this situation? Thank you very much
doctor
Answered by Dr. Sudhir Kumar (6 hours later)
Brief Answer:
I agree about the role of anxiety.

Detailed Answer:
Thank you for getting back.

I agree you are anxious and part of the symptoms could be related to that. However, as I reassured you earlier, there is no need to be anxious.

Cannabis could play a role in immunity, however, more research is needed to evaluate its role.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Sudhir Kumar (0 minute later)
Brief Answer:
I agree about the role of anxiety.

Detailed Answer:
Thank you for getting back.

I agree you are anxious and part of the symptoms could be related to that. However, as I reassured you earlier, there is no need to be anxious.

Cannabis could play a role in immunity, however, more research is needed to evaluate its role.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
So I Was On My Porch Late One Night And

So I was on my porch late one night and had a bat fly at me and grab onto my head. I felt no noticable pain or bite and was able to smack it off and run back inside before there was, and my sister noticed no bite mark on my head after a quick check, and I was assured not to worry by my family. But as the week progressed I felt anxious and decided to play it safe, scheduling to get a rabies shot a week later. I smoke cannabis nightly the past few months to help deal with anxiety and sleeplessness I experience sometimes, and am now on my second dose (day 3) of the rabies vaccine. I was wondering if smoking cannabis has any effect on the effectiveness of the rabies vaccine or affects how long it takes to become effective. Because while some stress relief would be great at a time as nerve wracking as this, it's not worth compromising my treatment and my health as a result