Verorab Special Precautions

As with all vaccines, VERORAB may not protect 100% of people vaccinated.
VERORAB must not be administered via the intravascular route; make sure the needle does not penetrate a blood vessel.
Use with caution if the patient is allergic to polymyxin B, to streptomycin or to neomycin (present in trace amounts in the vaccine) or to any antibiotic of the same class.
As with all injectable vaccines, appropriate medical treatment and supervision must be readily available in case of a rare anaphylactic reaction after vaccine administration.
The need for serological tests (to assess seroconversion in the subjects) should be determined in accordance with official recommendations.
When the vaccine is administered to subjects with a known reduction in immunity (immunodeficiency), due to an immunosuppressive disease or a concomitant immunosuppressive treatment, blood tests must be performed 2 to 4 weeks after vaccination to ensure that a protective immunising response was obtained. In case of post-exposure vaccination, a complete vaccination regimen must be administered. Rabies immunoglobulins should also be administered in association with the vaccine in the event of any category II or III exposure, see Dosage & Administration.
VERORAB should be administered with caution to subjects with a decreased platelet level (thrombocytopenia) or clotting disorders, because of the risk of bleeding that may occur during intramuscular administration.
Talk to the doctor, pharmacist or nurse before using VERORAB.
Verorab, powder and solvent for suspension for injection in prefilled syringe contains phenylalanine, potassium and sodium: Verorab contains 4.1 micrograms phenylalanine in each 0.5 mL dose, which is equivalent to 0.068 microgram/kg for a 60 kg person. Phenylalanine may be harmful if you have phenylketonuria (PKU), a rare genetic disorder in which phenylalanine builds up because the body cannot remove it properly.
Verorab contains less than 1 mmol of potassium (39 mg) and less than 1 mmol of sodium (23 mg) per dose, that is to say essentially 'potassium-free' and 'sodium-free'.
Driving and using machines: Post-vaccination dizziness was frequently reported. This can temporarily affect the ability to drive or use machines.