Anti Tetanus Serum I

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Anti Tetanus Serum I.P.

(A T S)
It is used for both preventing and curing Tetanus.
ATS is a solution of purified antibodies prepared  
from Equine Blood. It is available in Ampoules of
1 ml., 3-4 ml and 5 ml.
 
Enzyme refined equine globulin solution
1500 IU/1ml ampoule
Active Ingredients :
10,000 IU/3.4ml vial
20,000 IU/5ml vial
1ml ampoule X 10,
1ml ampoule X 100 
Packing :  
3.4ml vial X 10 
5ml vial X 10
Category : Passive immunising agent.
By subcutaneous or intramuscular injection Prophylactic not less than
Dosage    :  
1500 units preferably under the cover of antihistamines
Adverse Drug Occasional sensitivity reactions accute anaphylactic shock which needs
Reaction : immediate treatment.
Sensitivity tests should be done whenever possible before
administration.
Precautions :
Antihistamines and treatment for anaphylactic shock should be
kept ready.
TETANUS ANTITOXIN
Tetanus antitoxin is prepared by hyperimmunising horses with tetanus toxin. Blood plasma obtained
from the hyperimmunised horses which is rich in antibodies to tetanus toxin, is enzyme refined
purified and concentrated. The antitoxin has the specific power of neutralising the toxin secreted
by Clostridium tetani, the causative organism of tetanus.
Use in prophylaxis :
A dose of 1500 international units of tetanus antitoxin should be injected subcutaneously or
intramuscularly, after testing for serum sensitivity (see below for reactions to horse serum). It should
be injected as soon as possible after tetanus prone injury, such as wounds contaminated with soil,
dirt etc. Adequate surgical treatment of wounds with the use of suitable antibiotics should be carried
out in addition to the prophylactic injection of antitoxin, if the patient is sensitive to serum or has
been actively immunised previously with tetanus vaccine (adsorbed) the patient should receive the
dose of tetanus vaccine(adsorbed) only and not tetanus antitoxin. The use of antitoxin gives
protection for 1 to 3 weeks only. While tetanus vaccine gives long time immunity and is cheaper and
practically free from reactions. It is also adviced that simultanously with the administration of the
prophylactic dose of tetanus antitoxin active immunization should be started. This is done by
injecting at the same time in another arm, 0.5ml of adsorbed tetanus vaccine (Tet./Vac./P.T.A.P.)
since adsorbed tetanus vaccine is able to actively immunize against tetanus even in the presence of
tetanus antitoxin (B.J.Vakil et al Ind. J.Med. Research, 1968 Vol.56 pp 1188-1201). A second dose
of 0.5ml adsorbed tetanus vaccine only is to be injected between 1 to 2 months after the first dose of
vaccine and a third dose 6 to 12 months after the second dose to produce adequate long term
protection.
Use in treatment of tetanus:
It is recommended that a dose of 10000 to 20000 I.U. of tetanus antitoxin should be injected
intramuscularly soon after admission of patient with symptoms of tetanus such as lockjaw, muscular
spasms, etc. after taking precautions against possible serum reaction. The dose of 10000 to 20000
I.U. is now considered adequate (J.C.Patel et al. proceeding of the first international conference of
tetanus p 346, B.J.Vakil et al ibid, p.337 the study group of tetanus, Bombay 1965). In addition,
symptomatic treatment consisting of antibiotics, sedatives, anticonvulsants and muscle relaxants
may be given. The patient should be actively immunized with adsorbed tetanus vaccine
(Tel/Vac/PTap), at the time of discharge and advised to return after 1 or 2 months for a second dose
of the adsorbed tetanus and 6 to 12 months later for the third dose.

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