Patients

What you need to know about

 

VENOMOUS SNAKEBITES

What effect will the snakebite have on me?


When a poisonous snake bites, it usually injects poison, called venom. The venom can have many serious effects, starting with pain, swelling, and skin damage at the bite location. It can also damage your nervous system, heart, stomach, and other organs and cause dangerous bleeding inside your body.

Quick treatment can prevent permanent damage, including loss of part or all of your fingers or toes, injury to your arms or legs, and severe skin, muscle, and nerve problems.

What treatment will I receive?

 
  • You will receive intravenous CroFab®, a medicine that acts against the snake venom in your body
  • Your first dose of CroFab® (approximately 6 vials) will be followed by up to 60 minutes of observation
    • Tests will tell the doctors how well the treatment is working
    • You may receive additional doses (of approximately 6 vials per dose) of CroFab® if your symptoms are not under control after 60 minutes
  • In order to help lower the risk of long-term snake venom effects, you will receive 3 maintenance doses (2 vials each) of CroFab®. These will be administered every 6 hours

 

When can I leave the hospital?

 

Your doctors will discharge you when:

 
  • You can do typical everyday tasks without help
  • Your pain is under control (with or without pain medicine)
  • You have no other reason to stay in the hospital


After you leave the hospital

 
  • Keep the area of the bite raised above your heart as much as you can to reduce swelling
  • Go for a check-up 2 to 3 days after you leave the hospital and again at 5 to 7 days
  • Call your doctor at once if you have
    • Unusual bleeding (bleeding gums, easy bruising, or dark, sticky bowel movements)
    • Allergic reactions like itching, redness, wheezing, cough, fever, rash, or muscle or joint pain
    • Swelling that gets worse and that is not relieved by raising the limb
  • For 2 weeks after you go home, avoid unnecessary surgery, dental work, and contact sports
  • For more information, visit www.crofab.com or contact your local poison control center


Indication


CroFab® Crotalidae Polyvalent Immune Fab (Ovine) is an antivenin indicated for the management of patients with North American crotalid envenomation. The term crotalid is used to describe the Crotalinae subfamily (formerly known as Crotalidae) of venomous snakes that includes rattlesnakes, copperheads, and cottonmouths/water moccasins. Early use of CroFab® (within 6 hours of snakebite) is advised to prevent clinical deterioration and the occurrence of systemic coagulation abnormalities.


Selected Safety Information


The most common adverse events reported in clinical studies were mild or moderate reactions involving the skin and appendages (primarily urticaria, rash, or pruritus), which occurred in 14 out of 42 patients. Three patients experienced a serious adverse event. Two patients had a severe allergic reaction (severe hives and a severe rash and pruritus) following treatment. One patient had a recurrent coagulopathy due to envenomation, which required rehospitalization and additional antivenin administration.
 

Tell your doctor if any side effect bothers you or does not go away. You may also report side effects to the FDA at 1-800-FDA-1088.

   
TO REPORT AN ADVERSE EVENT OR FOR 24-HOUR MEDICAL INFORMATION, CALL 1-844-293-0007.