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ARV administered on gluteal region
I started my day 0 dose of five dose ARV schedule for dog bite on 23rd of june and it was given on the gluteal region . Later i read somewhere that it should only be given on the arm on deltoid region. Please help me understand whether i need to repeat my day 0 dose on arm or if i can continue with next dose onwards correctly on deltoid region
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No need to repeat the Day 0 dose. While the deltoid (arm) is the preferred site for anti-rabies vaccine (ARV) in adults, a dose given in the gluteal region is still effective â the vaccine reaches the bloodstream and produces immunity regardless of the injection site. The WHO guidelines prefer deltoid to avoid the thicker fat layer in the gluteal region which can sometimes slow absorption, but studies show the gluteal site still provides adequate protection. Simply continue your remaining doses on the deltoid as planned.
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Continue the remaining doses of your ARV schedule on the deltoid muscle as scheduled â do not skip or repeat any dose. Please consult me directly on Practo for a detailed evaluation.
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Intra muscular dose is recommended for ARV dosing in some patients if they have a very thin deltiod muscle we can advice them to take ARV in gluteal region.that doesn't make any difference whether you take in deltoid or gluteal .
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So continue your schedule as planned so need to take repeat 0 dose
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Just continue with the dose and next one take in your deltoid.
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You are correct. ARVs should never be injected into the gluteal muscle (buttocks). Fatty tissue in this region slows absorption, leading to a weaker immune response. As rabies is 100% killer, so you need urgent medical attention.
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If a rabies vaccine has been given in the buttocks, you must seek immediate medical care to have the dose repeated in the correct anatomical location (the deltoid muscle of the arm or the thigh).
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Do a Google search: whether ARVs can be taken in buttocks? your doubts will vanish and you will rush to complete the course from Day 0.
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Actually their are 2 different regime for ARV
As,you mentioned given in gluteal region then it's im regime ,in this we have to take total 5 doses, so take remaining 4 bysame im route.
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According to who rabies vaccine given in deltoid region in adult and in small children anterolateral area of thigh.
Rabbies vaccine should not be given in gluteal region because of low absorption due to adipose (fat) tissue
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continue your next dose on deltoid region
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No need to start again
Continue with the schedule
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You don't need to start with new vaccine series, instead complete the present vaccine series
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Gluteal region administration of ARV is likely to produce lesser neutralizing antibodies due to poor absorption, no harm if you start anew vaccine schedule 0,3,7 ,14 ,28
Rather I recommend to go for !!! Can contact me on procto app
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start new schedule from today as 0 day
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it is better to be more cautious when risk is more
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Nothing to worry
CT rest dose to deltoid, non dominant hand
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Just continue with your another dose ..,
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Better to read from an authentic medical text . Or take a physician' s advice.
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Kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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No its ok , given in gluteal as pain is less.
Equally effective.
Relax and trust the process.
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Continue your next dose.
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It's not necessary. As you said it's five dose of ARV.. 5 doses comes for IMRV ( intramuscular ) we have 2 type regimen for ARV intradermal which we give on both deltoid and intramuscular which we can take for muscle. Either deltoid or gluteal.. so no need to worry about it.. just continue the same dose as per schedule
Thankyou
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Gluteal reason is a part of body so as deltoid reason.
Why not Gluteal reason?
IT MAY CAUSE LGB SYNDROME MEANS LIMPING AS THIS REASON HAVE LOTS OF LAGE NERVE MAY BE DAMAGED.
SO DON'T WORRY COMPLETE THE COURSE. SITE
DELTOID REASON
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No worry ,its i/m variant not i/d.continue your remaining scheduled dose.
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No need to repeat the Day 0 dose continue the remaining schedule on deltoid region. A consultation can confirm based on your full details.
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There are two different regimens for ARV vaccination , with different sites and different type of injections, kindly consult so that proper history can be taken and further guidance can be provided.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Zaheer Ahmad
General Physician
10 yrs exp
Bareilly
Just take 5 dose
0
3rd day
7th day
14th day
28th days
For deltoid region s/c schedule is different
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its ok
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