Dosage

The initial doses of antivenom recommended are included in the table below, and are based on the average amount of venom injected by each of the snakes concerned. There is evidence, however, that these doses may be insufficient to reverse coagulopathy associated with the bites of several Australian venomous snakes, notably the brown snake and the taipan. Larger initial doses should be considered if there is evidence of severe envenomation (multiple bites, rapidly progressive symptoms, large snakes). The dose of antivenom for children should not be reduced according to their weight, since the amount of venom injected by the snake is independent of the victim’s size.

Species Antivenom Initial Dose
Bardick, Echiopsis curta  Death Adder 1 vial
Black Tiger Snake, island tiger snake, Notechis ater ater  Tiger Snake 1 vial
Blue-Bellied Black Snake, spotted black snake, Pseudechis guttatus  Tiger Snake 1 vial
Broad-Headed Snakes, Hoplocephalus spp.  Tiger Snake 1 vial
Butler's Black Snake, Pseudechis butleri  Black Snake 1 vial
Chappell Island Tiger Snake, Notechis ater serventyi  Tiger Snake 4 vials
Clarence River Snake, rough-scaled snake, Tropidechis carinatus  Tiger Snake 1 vial
Collett's Snake, Pseudechis colletti  Black Snake 1 vial
Coastal Taipan, taipan, Oxyuranus scutellatus  Taipan 1 vial
Copperheads, Austrelaps superbus, A. ramsayi  Tiger Snake 1 vial
Curl Snake, Suta suta  Polyvalent 1 vial
Death Adders, Acanthophis spp.  Death Adder 1 vial
Dugite, Pseudonaja affinis  Brown Snake 1 vial
Eastern Brown Snake, Pseudonaja textilis  Brown Snake 1 vial
Fierce Snake, inland taipan, small-scaled snake, western taipan, Oxyuranus microlepidotus  Taipan 1 vial
Gwardar, western brown snake, Pseudonaja nuchalis  Brown Snake 1 vial
Inland Taipan, fierce snake, small-scaled snake, western taipan, Oxyuranus microlepidotus  Taipan 1 vial
"King Brown" Snake, mulga snake, Pseudechis australis  Black Snake 1 vial
Mainland Tiger Snake, Notechis scutatus  Tiger Snake 1 vial
Mulga Snake, "king brown" snake, Pseudechis australis  Black Snake 1 vial
Papuan Black Snake, Pseudechis papuanis  Black Snake 1 vial
Pygmy Mulga Snake, Pseudechis pailsii  Tiger Snake 1 vial
Red-Bellied Black Snake, Pseudechis porphyriacus  Tiger Snake 1 vial
Rough-Scaled Snake, Clarence River snake, Tropidechis carinatus  Tiger Snake 1 vial
Small-Scaled Snake, fierce snake, inland taipan, western taipan, Oxyuranus microlepidotus  Taipan 1 vial
Speckled Brown Snake, Pseudonaja guttata  Brown Snake 1 vial
Spotted Black Snake, blue-bellied black snake, Pseudechis guttatus  Tiger Snake 1 vial
Stephen's Banded Snake, Notechis stephensi  Tiger Snake 1 vial
Taipan, coastal taipan, Oxyuranus scutellatus  Taipan 1 vial
Western Brown Snake, gwardar, Pseudonaja nuchalis  Brown Snake 1 vial
Western Taipan, fierce snake, inland taipan, western taipan, Oxyuranus microlepidotus  Taipan 1 vial
Whip Snakes, Demansia spp.  Tiger Snake 1 vial

 

 

Last updated: July 2005