3. DO NOT use venom extractors or other commercial snakebite first aid kits.148–152

4. DO NOT administer test doses of antivenom to check for hypersensitivity as these are ineffective and waste both time and antivenom.60–63

5. DO NOT administer antihistamines or steroids as prophylactic pretreatment for prevention of anaphylaxis or other early adverse reactions (EARs) to antivenom as neither is effective as a premedication.133,134