Category II and III: Rabies vaccine — intradermal, Rabies vaccine — IM
Category III — add one, into the wounds only: Equine rabies immunoglobulin, Human rabies immunoglobulin, Rabies monoclonal antibody
Previously vaccinated: Rabies vaccine
Wound: Td, Amoxicillin-clavulanate (bite through skin, cat bite, deep, hand or face; monkey bite: add valacyclovir × 7 d)
Advice and when to refer
Wash the wound: Soap and running water for 15 min, then povidone-iodine; do not suture (if unavoidable, after RIG) (NCDC Zoonoses 2025; NRCP 2019, latest)
Investigations
First visit
No blood tests needed — Grade the exposure (Category I–III) — this decides vaccine and RIG; start at once.
Only if indicated
Wound swab culture — Infected wound not settling on antibiotics.
X-ray — Deep bite over a joint or the hand (fracture, tooth fragment).
Locked
The adult dose for each drug
The child dose, where the card gives one
Indian brand names for each drug, with a link to buy
ICU Decoded — original critical-care and internal-medicine pathways by
Dr Javed Akhtar, each cited to a current guideline. For education and quick
reference; verify every dose against local protocols before prescribing.