Neostigmine Trial for Neurotoxic Snakebite: Doses and Response (WHO and India)

Gives the neostigmine trial doses for neurotoxic snakebite.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Protocol
WHO (SEARO 2016 and AFRO 2010)
Adult or child
Adult
Weight in kg
60
WHO: suspected mamba bite
No
Response so far
Not assessed yet
Neostigmine concentration, mg/mL
0.5
Atropine concentration, mg/mL
0.6

Result: Give atropine 0.6 mg IV, then neostigmine 1.2 mg IM, and watch for 30 to 60 minutes.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Protocol
  • Adult or child
  • Weight in kg
  • WHO: suspected mamba bite (Africa)
  • Response so far
  • Neostigmine concentration, mg/mL (for doses in mL)
  • Atropine concentration, mg/mL (for doses in mL)
How this is calculated

Citation

Warrell DA, for WHO SEARO. Guidelines for the management of snakebites. 2nd ed. 2016, pp. 152-153. WHO AFRO. Snakebite in Africa guidelines. 2010, p. 88. India MoHFW. Standard treatment guidelines: snake bite. 2016, pp. 18, 39. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.