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What Should Be Done Incase Of Puppy Bite After 3 Doses Of Rabiwax?

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Posted on Tue, 1 Apr 2014
Question: hey doc 29 days ago my puppy bit me in the lips i went to the doctor after 3 days and he told me there is nothing to worry but still as a precaution gave me 3 doses of rabiwax...1 ml...on days 0,7,21.....my puppy bit me again after 1 week in my hand and day before yesterday in my ears....i am scared like anything...i have asked the same question before but the question which i have right now is...suppose my puppy is actually rabid....will the 3 injections protect me against rabies at all???....i finished my 3rd injection on 5th march wednesday....i have heard that doctors prescribe 2 injections against puppy bites....is it true!!by the way my puppy is all healthy till now ...playing and eating superbly there is no way he came in contact with a rabid animal in the last 2 months....i am scared that it can get rabies from the mother....but talked to the owner of the pup ho says that the mother is healthy and fine.....is it all a scare or there is really a reason to worry...i am having a choking feeling and i have a histpry of anxiety...i went to the appolo clinic and met very competent and experienced doctor....and consulted with 1 more doctor on the internet and 4 vets and about 10 people who has told me nothing to worry...but i am just not convinced.....should i go to another doctor should i take 2 more shots..what should i do to get this out of my mind!!!
doctor
Answered by Dr. Praveen G (35 minutes later)
Brief Answer: You need to take two dose of antirabies vaccine Detailed Answer: Hello, Welcome to Healthcare Magic, I have gone through your history and understand your concern, As you have taken 3 dose of vaccine for previous puppy bite on the lips and once again you are bit by puppy, according to WHO guidelines you will be identified as Re Exposures. Irrespective of rabies status of the puppy you need to take two doses of antirabies vaccine on days 0 and 3. The symptoms of choking what you are having is no where related to puppy bite.The two doses of vaccine will induce protective antibody titres and you will be 100% safe. Hope your doubts are cleared, if you have any further query I will be very much happy to answer them. Thank you
Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Praveen G (33 minutes later)
Thanks doctor would be taking it right away....for me and my wife.....she was also bitten.....i have read in the WHO report that if the dog is healthy after 10 days of bite vaccine can be discontinued.....my puppy is healthy after 29 days of bite.. also tell me if 3 doses of rabiwax was enough to protect me against rabies for the previous 2 bite!!
doctor
Answered by Dr. Praveen G (22 minutes later)
Brief Answer: Three doses are enough as dog is healthy. Detailed Answer: Hello, It is my pleasure to answer your query, As the bitten dog is healthy after 10 days following the bite, 3 doses of rabivax are enough to protect you aginst rabies. For the Re-Exposure you need to take two doses of antirabies vaccine immediately on days 0 and 3. Donot neglect to take 2 doses of antirabies vaccine. Hope you are happy and satisfied with the answer, still if you have any question donot hesitate to post me. I will be happy to answer them. Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Praveen G (2 days later)
i went to the doctor in appolo clinic some other doctor met me.....she said that yes i require 2 more doses of anti rabies....but said since i have taken the 3rd dose of rabiwax on 5th march which was a wek before she said she would consider this as the 4th vaccine which is taken in day 14 of post exposure shots and adviced me to take the 5th on day 28th which is 2 week after the this shot.... what should i do...??? please find the details below: date of bite-9th february 2014.....on lips but no blood.... vaccine suggested-3 by doctor on wednesday 12th march on 0,7,21 took 1st vacine on 12th march 2nd bite-16th february 2014 .......on finger little blood..... took 2nd vaccine on 19th of feb took 3rd vaccine on 5th of march 3rd bite-8th march on ears....lot of blood.... went to doc 11th march internet doctor:take 2 doses on days 0 and 3.... apollo clinic advised:take 1 dose right away....ie on 11th march,and 2nd dose on 25th march puppy health: perfectly fine...playing properly...eating properly...sleeping properly...drinking water(when mixed with cerelac)..... my health: fine...but pain in neck and ears...feverish feeling in the morning and late evning...drinking water normally but nothing recently...from 4 weeks... i make noise by grinding of teeth all night and my jaws make noise when i move them.....but this is my childhood habit should i show a dentist...? pain in jaws recently...anxiety about rabies from the last 1 month.... sorrry for asking so many questions... is there any chance of rabies now? is my health condition a symptom of rabies? do i need to worry at all? plz help thanks
doctor
Answered by Dr. Praveen G (1 hour later)
Brief Answer: Nothing to worry Detailed Answer: Hello, It is my pleasure to answer your query and I can understand your anxiety. Previously as you have taken 3 doses of antirabies vaccines on days 0,7 and 21, which is considered as Pre-Exposure prophylaxis, for these three shots of antirabies vaccine your immune system would have induce protective antibody titres. You required two doses of antirabies vaccines on days 0 and 3, that's all. Don't bother about any thing as the biting animal is healthy after 10 days of bite. You will not develop rabies as you have taken antirabies vaccines and the puppy is healthy without having any symptoms of rabies. No, you are having non specific symptoms and these symptoms are not related with the symptoms of rabies. If you have taken recent 2 doses of antirabies vaccines for Re-Exposure on days 0 and 3, I assure you that you will not develop rabies and you are 100% safe. Hope all your doubts are cleared, i can understand your anxiety still if you have any minute doubts regarding this don't hesitate to post me. Thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Praveen G

Infectious Diseases Specialist

Practicing since :2002

Answered : 2448 Questions

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What Should Be Done Incase Of Puppy Bite After 3 Doses Of Rabiwax?

Brief Answer: You need to take two dose of antirabies vaccine Detailed Answer: Hello, Welcome to Healthcare Magic, I have gone through your history and understand your concern, As you have taken 3 dose of vaccine for previous puppy bite on the lips and once again you are bit by puppy, according to WHO guidelines you will be identified as Re Exposures. Irrespective of rabies status of the puppy you need to take two doses of antirabies vaccine on days 0 and 3. The symptoms of choking what you are having is no where related to puppy bite.The two doses of vaccine will induce protective antibody titres and you will be 100% safe. Hope your doubts are cleared, if you have any further query I will be very much happy to answer them. Thank you