FIRST LINE (Entire SOUTHCOM AOR): BIOCL-AVT
Instituto Bioclon, Mexico – ANTIVIPMYN-TRI (BIOCL-AVT) (Freeze dried/Unrefrigerated) 251-255:
Feasibility of use in austere environments: Recommended for operational settings. Unrefrigerated storage at ambient tropical temperatures of ≤ 37º C / 98.6º F. Lyophilized product that likely retains stability at higher temperatures for short excursions. Recommend carrying full dose or loading dose (≥ 5 vials) into field on extended operations in austere environments and storing larger quantities at strategically located Role 2 & 3 facilities in SOUTHCOM AOR.
Adverse reactions: High-quality product with low rates of reactions anticipated.
Indications: This broad-spectrum polyvalent can be used to treat hemotoxic and cytotoxic envenomations by more than 14 different species of Central and South American snakes. It may be able to neutralize venom from additional species through paraspecific neutralization but this has not been officially determined. The species listed below are the official treatment indications recommended by the manufacturer:
Pretreatment: Not routinely indicated unless patient is unstable, asthmatic/atopic, known hypersensitivity or other pretreatment criteria met.
Initial dosing by syndrome:
Additional dosing: Additional doses of 5 vials BIOCL-AVT may be given at hours 2, 4, 6, 12, and 24 if needed.
Pretreatment: Not routinely indicated unless patient is unstable, asthmatic/atopic, known hypersensitivity or other pretreatment criteria met. Low risk of severe allergic reactions and other EARs.
Preparation and administration: Dilute the entire dose of antivenom in a single 250 - 500 mL bag of isotonic solution and administer by intravenous infusion over 10 - 30 minutes.
FIRST LINE (SOUTHCOM – Central America/South America): BIOCL-COR
SECOND LINE (SOUTHCOM – South America): BIOCL-COR
Instituto Bioclon, Mexico - CORALMYN (BIOCL-COR) (Liquid/Refrigerated) 256-262:
First Line (SOUTHCOM – Central America): Neurotoxic envenomation in Central America by coral snakes or unknown species (coral snakes are only strictly neurotoxic snakes in SOUTHCOM AOR).
Second Line (SOUTHCOM – South America): May treat some coral snakes in South America but major coverage gaps in that region compared to the first line for South America (INS-AAP).
Feasibility of use in austere environments: Not recommended for operational settings. Requires cold chain refrigeration between 2 - 8 ºC (35.6 - 46.4 ºF). Recommend storing several vials at a small number of strategically located Role 2 & 3 facilities in South America. Likely to retain efficacy for several weeks in the field but should be disposed of after that duration of time outside refrigeration.
Adverse reactions: High-quality product with low rates of reactions anticipated.
Indications: This polyvalent can be used to treat neurotoxic envenomations by most major species of Central American coral snakes from the genus Micrurus.
Initial dosing by syndrome:
Additional dosing: Additional doses of 5 vials BIOCL-COR may be given at hours 2, 4, 6, 12, and 24 if needed.
Pretreatment: Not routinely indicated unless patient is unstable, asthmatic/atopic, known hypersensitivity or other pretreatment criteria met. Low risk of severe allergic reactions and other EARs.
Preparation and administration: Dilute the entire dose of antivenom in a single 250 - 500 mL bag of isotonic solution and administer by intravenous infusion over 10 - 30 minutes.
FIRST LINE (SOUTHCOM – South America): INS-AAP
SECOND LINE (SOUTHCOM – Central America): INS-AAP
Instituto Nacional de Salud, Colombia - Antiveneno Anticoral Polivalente (INS-AAP) (Liquid/Refrigerated) 260-2:
First Line (SOUTHCOM – South America): Broadest efficacy against neurotoxic snake bites by coral snakes or unknown species in South America. Coral snakes are the only strictly neurotoxic species in SOUTHCOM.
Second Line (SOUTHCOM – Central America): Should treat most coral snake species in Central America but will have some coverage gaps compared to the first line for Central America (BIOCL-COR).
Feasibility of use in austere environments: Not recommended for operational settings. Liquid product that requires cold chain refrigeration between 4 - 8 ºC / 39.2 - 46.4 ºF. Recommend storing several vials at a small number of strategically located Role 2 & 3 facilities in South America. Likely to retain efficacy for several weeks in the field but should be disposed of after that duration of time outside refrigeration.
Adverse reactions: High-quality product with low rates of reactions anticipated.
Indications: This polyvalent can be used to treat neurotoxic envenomations by most major species of South American coral snakes from the genus Micrurus as well as some Central American species.
Initial dosing by syndrome:
Additional dosing: Additional doses of 5 vials INS-AAP may be given at hours 2, 4, 6, 12, and 24 if needed.
Pretreatment: Not routinely indicated unless patient is unstable, asthmatic/atopic, known hypersensitivity or other pretreatment criteria met. Low risk of severe allergic reactions and other EARs.
Preparation and administration: Dilute the entire dose of antivenom in a single 250 - 500 mL bag of isotonic solution and administer by intravenous infusion over 10 - 30 minutes.