I’m not sure if it was a bite or a scratch from a dog last month — it was a minor scratch with a little blood. The doctor advised me to take 3 doses of ARV on days 0, 3, and 7. I took the first two doses on the gluteal region and the third dose on the upper arm. Is that okay, or should I take an additional dose? Since I missed the 14th-day dose, can I take an extra dose on the 28th day?
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extra dose isnt required you can take the missed day dose on the next available day and the 28th day dose can be taken 1-2 days later also its absolutely fine since antibodies production is already started in the body
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It would be better if you complete the vaccination schedule according to standard regimen as 0,3,7,14,28th day(5doses)
Since you have taken 3 doses and missed on 14th day , Take remaining doses ( don't take extra dose)
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There are two types of rabies vaccines, one given to muscle other to sub cutaneous. If ur taking at gluteal it is intra muscular. So according to who it has to be 4 doses. If u have missed last dose please do take it asap
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If you have been completely vaccinated according to the Immunisation Schedule in your childhood, the recent 3 doses are enough to boost your immunity against rabies. No matter where the vaccine is administered, either your glutes or arms, it is the course to be taken.
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If in constant contact with pet or stray animals, it is necessary to have booster shots of Rabies vaccination and Td shots whenever necessary.
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I’ve read your message carefully, and you’ve done well to take the rabies vaccine series — but there are a few important details you should know.
Firstly, the rabies vaccine (ARV) should never be injected on the gluteal region (buttock), because fat in that area reduces vaccine absorption and may compromise protection. The correct sites are the deltoid (upper arm) for adults or the anterolateral thigh for children.
Now, regarding your schedule —
The standard post-exposure vaccination schedule is Days 0, 3, 7, 14, and 28 (the 5-dose Essen regimen).
Since you missed your Day-14 dose, take it as soon as possible, even if today is Day-28 — don’t skip it.
Then, take your final (Day-28) dose after one week of the delayed one. This will help complete your immunity.
You do not need to restart the entire series, but completing all 5 doses correctly is important. Also, if the bite was deep or bleeding, rabies immunoglobulin (RIG) should be considered if not already taken.
To summarize:
Don’t panic — you’re still within the safe window.
Take your next ARV dose now (preferably deltoid).
Ensure future doses are intramuscular in the upper arm.
If you’d like me to personally review your vaccination dates and tell you exactly which dose to take next and when, you can message me directly on WhatsApp —nine three two six zero two zero five three six — for a private consultation.
I’ll help you ensure you’re fully protected and safe from rabies — no need for confusion or fear anymore.
It is ideal to complete 4 doses as per latest protocols.
Days: 0,3,7,28.
Along with a TT injection on Day 0.
Arm/Glutes doesnt matter as long as its taken aspectically.
Care for the affected area is also must. Wash and use antibiotics cream till wound completely healed.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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