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