Treatment after a viper bite: antidote, antidote serum, drugs
Last reviewed: 23.04.2024
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Rest on the nature can spoil the allergy, poisoning, trauma, a viper bite. To minimize the negative consequences, it is necessary to be ready in advance for everything, and be able to provide emergency assistance, adequately respond in a critical situation. Sometimes it can save a person's life.
Viper bite is a common phenomenon, which is increasingly found in modern medicine. Vipers live mainly in forest areas, thickets. The peak of their activity falls on the spring (April, May). During this period, snakes wake after hibernation, they have offspring.
Disturbing snakes at this time is highly discouraged, as they will have to attack in self-defense and defense. One must understand that snakes never attack on their own, they are only protected if they are in danger. Therefore, in a collision with a snake, it is better not to touch it, to give it the opportunity to leave.
The standard of treatment for a viper bite
There are few ways of treating viper bites, they are all standard. The effectiveness of treatment depends on how correctly and quickly the first aid was given. So, you need to suck the poison right after the bite. Then, if possible, Serum Antigadyuka is administered. It starts to act for several hours, after which the poison is removed from the body, neutralized.
After the threat of life has passed, the poison is neutralized, they begin to stabilize the basic vital indicators. At this stage, treatment can already be quite diverse. Apply mainly etiological therapy, which is aimed at eliminating the cause of development of accompanying pathologies. Detoxication therapy is carried out. Requires local treatment aimed at eliminating the effects of bite.
It is also important to eliminate the irritating factors that provoke the further development of the pathological process. For example, if a person has a weak liver, you need to provide her with reliable support. This is due to the fact that any pathology of the liver develops very quickly under the action of the poison, since it is the main organ that neutralizes the action of toxins and removes them. This has a negative effect on the liver itself.
An inflammatory process may develop. As a result, toxic hepatitis is quite common. It is necessary to neutralize the poison, to remove its remains from the body. In some cases this is enough to eliminate pathology, to prevent further progression.
The most common treatment is complex, so monotherapy of one problem is not always able to completely eliminate pathology. The therapy includes mainly medical treatment, physiotherapy, alternative and homeopathic remedies, local treatment (treatment of the place of the snake bite). The basis of treatment is drug treatment, which consists in the use of drugs of local and systematic action. They are mainly used drugs that can support the liver (hepatoprotectors), drugs that reduce the load from the heart, as well as drugs that normalize blood circulation.
Local treatment consists in processing the skin with special ointments and solutions that promote the healing of the bite site. With regular use of drugs and compliance with all the necessary recommendations, treatment will be sufficiently effective.
Local medical procedures such as cryotherapy, in which damaged areas of the skin are frozen with liquid nitrogen, are well recommended. Pilling is used to exfoliate the upper layers of the skin. To prevent the inflammatory and infectious process, various ointments, both hormonal and nonhormonal, are used. In some cases, ointments of plant origin may be required.
Often at the site of a bite develops an acute inflammatory process, suppuration. If the cause is infection, or inflammation, prescribe antiviral, antibacterial, or anti-inflammatory therapy, respectively.
Often, an allergy develops, both at the local and system level. With the development of a general allergic reaction, the administration of antihistamines is required. With irritation of the bite, inflammation and redness of the allergic nature, antiallergic, antihistamine ointments and topical creams are prescribed.
It is also important to adjust the diet, choose the appropriate diet, because without proper nutrition and regime of the day, a full recovery is impossible.
What to do with a viper bite?
The first thing to do is to suck the poison. Start sucking the poison as soon as possible, immediately after the bite.
This is due to the fact that the poison is quickly absorbed, and then spreads throughout the body. If the poison has sucked into the blood, then it has already begun its poisonous effect, and it is pointless to suck it off. Usually, absorption takes place after 3-5 minutes.
Suction is done in the following way: the skin around the bite gathers into a crease, after which it is squeezed. The squeezing should be done until the droplets of blood come out. Then start to suck. In this case, the movements should be sharp and short. Biological material, which is extracted from the wound during suction, must be spit. The duration of suction should be at least 15 minutes. Even in the event that it seems that there is no poison in the wound.
But it must be taken into account that the appearance of the edema indicates that the suction can be stopped, since the poison was absorbed into the surrounding tissues, which caused swelling. Any person who is nearby can suck. But also the victim can and independently render first aid.
The more extreme option is to extract the poison through the incision of the wound surface. So, you should take a sharp knife and cut the bite surface with small sharp movements. This will squeeze out the poison along with the blood. This way you can release about a third of the poison.
It is necessary to disinfect the knife, so as not to infect the infection, and not to worsen the situation. So, fire is the best means of disinfection and disinfection. Therefore, you need to burn (calcine) the knife in the fire, and only after that start to produce a cut.
It is not recommended to wash the knife in water, since water contains a large amount of microflora, contaminants and various additives, which can cause negative reactions, and cause infection, and consequently lead to the development of an inflammatory and infectious disease. The most dangerous infectious disease in this case is considered tetanus, in which bacteria enter the bloodstream and cause an inflammatory reaction. Tetanus is dangerous, this is a deadly disease.
If assistance is provided not by the injured person itself, it is necessary to rinse the mouth with warm water, as saliva may contain various infections. It is better to use a disinfectant - rinse your mouth with potassium permanganate, or a light solution of hydrogen peroxide.
The doctor should always be consulted, since further therapy is required. Only first aid is not enough to prevent negative consequences. The best option is to call an ambulance. As the doctors immediately introduce serum Antigadyuka. This remedy, which helps neutralize the poison (antitoxic serum).
After its introduction, further antitoxic therapy is required, the supervision of a physician that monitors the basic vital signs. It is necessary to treat the bite site in order to avoid getting the infection, the development of the inflammatory process. It is also important to drink a lot, to introduce glucose and other supporting substances if necessary. Food should be gentle, dietary (for people during rehabilitation). Usually a viper bite is already on 5-6 days, provided it is properly treated.
When treating the sting of a viper , complex therapy is recommended, which includes medication, physiotherapy, alternative and homeopathic remedies, phytopreparations. Before applying any non-traditional methods, you should always consult a doctor, consult, because self-medication can be dangerous, and only exacerbate the situation.
First aid
If there was a meeting with this snake, and she bit, you can not linger. We must provide first aid as soon as possible. The effectiveness of further treatment, the speed of recovery depends on how quickly and correctly the first aid was given. So, first of all you need to neutralize and withdraw the poison. For this it is recommended to suck. At the same time, the wound surface should not be burned, as this will only interfere with the healing of the bite site, and will prevent the excretion of the poison.
After the poison is sucked, you need to introduce an antidote. Used serum Antigadyuka, which destroys and removes toxin from the body. However, for the time that the serum acts, the body can already have irreversible consequences. Therefore, the patient is hospitalized for further treatment. First of all, detoxification therapy is carried out, which is aimed at complete elimination of toxin from the body, its neutralization and removal from the body.
Then, supportive therapy is carried out, the essence of which is reduced to the introduction of nutrients and maintenance drugs into the body. Most often implied by infusion therapy, which allows you to avoid excessive stress on the gastrointestinal tract, and also allows you to quickly deliver the necessary substances to the organs and tissues that need them. The basis of infusion therapy is Ringer's solution, glucose, sodium chloride.
To accelerate the removal of toxins from the body, the remains of the products of the decomposition of toxins, by-side metabolites, diuretics and sorbents are introduced. The main drugs of choice are Furosemide, Triface.
Almost all cases require the administration of antihistamines, since almost always the bite is accompanied by the release of a large amount of histamine, which is the main mediator of inflammation. It is through the release of histamine that the inflammatory process develops, the spread and progression of the infectious process, increased edema and the development of an allergic reaction.
The most severe form of an allergic reaction of an immediate type is anaphylactic shock. This is a serious condition, which is accompanied by a sharp drop in blood pressure, hypoxia, a violation of breathing, a reduction in heart rate. This may lead to dizziness, loss of consciousness. The most effective way of injecting drugs is intraspinal administration, because, thus, the drug is quickly incorporated into metabolic processes, into tissue metabolism, which leads to a rapid decrease in the inflammatory process. Antihistamine should be administered at the scene of the incident, before the ambulance arrives. If this is not done, it is necessary to inform the doctor.
During treatment, the patient must be vaccinated against tetanus, regardless of whether the patient was previously vaccinated. This is due to the fact that any snake can be a carrier of tetanus.
The protocol of therapy with the viper bite also includes the mandatory introduction of glucocorticosteroids, which have a powerful anti-inflammatory and antiallergic agent. These drugs include prednisol, prednisolone, dexamethasone. Drugs can be administered orally with a view to providing systemic effects, and may also have local effects at the tissue level.
Sometimes as a complication develops a purulent-septic, inflammatory process. To avoid the progression of the purulent process and prevent the development of sepsis, antibiotic therapy is used. First of all, antibiotics of a wide spectrum of action are chosen because they are practically universal: they are effective both for gram-positive and against gram-negative microorganisms. Then you can conduct a bacteriological study, as a result of which a particular pathogen will be isolated, and its sensitivity to antibacterial drugs is determined. This will allow you to select the optimal dosage, concentration of the substance.
Since the risk of renal, hepatic and cardiac insufficiency increases with a snake bite, appropriate preventive therapy is conducted. This is due to the fact that the toxin creates an additional burden on the body, primarily on the kidneys, liver, heart. Assign in the first place hepatoprotectors, in particular, berlition, hepatitis. The main load falls on the liver, as it neutralizes the toxin and ensures its excretion outside. At the same time, the main liver tissue suffers, hepatocytes are killed and killed, in some cases, they can be regenerated, transformed. Severe intoxication can result in the defeat of internal organs, impairment of their functions, impaired blood circulation, as well as blood composition, hematopoiesis. It may be necessary to carry out a procedure such as hemodialysis.
Heart failure may also require serious treatment. First of all appoint a kodiamin. Caffeine, carry out the appropriate procedures. In some cases, the toxin can provoke bleeding. In this case, the use of powerful hemostatic agents may be required. If they are ineffective, you may need a blood transfusion. Sometimes, if blood circulation is disturbed, additional therapy may be required, aimed at eliminating such adverse events as convulsions, tremors, tremors.
With the bite of the Gabonese adder, ineffective help, but still try to save a person is necessary. It is necessary to try by any means to remove the poison from the body. Suction is ineffective, because the bite is very deep. You can try to make an incision and release the poison along with the blood. If there is an antidote, you need to enter it immediately. It is necessary to call an ambulance, and the victim at the same time to ensure complete immobility. This will slow the absorption of the poison and its spread throughout the body. You can try to provide all possible assistance to the victim.
There are urgent measures that need to be taken urgently - from 15 to 30 seconds, depending on the metabolic rate of the victim, and also depending on the depth of the bite. Help must be given immediately - an injection of adrenaline is made in the heart, the place of the bite is immediately clamped (to prevent the development and further absorption of the poison). Also, immediately remove the poison through the incision. If you all decided to try to suck the poison, you must spit it immediately so that it does not affect the mucous membrane and does not begin to be absorbed. After this, the antidote is introduced (when traveling in such places it is always necessary to have a first aid kit, which will include special antidotes from the snake bite).
Any bite is accompanied by severe swelling, irritation, burning, the appearance of spots in the place of bite. When there is swelling, spots that are strongly itchy and accompanied by burning, give anti-allergic drugs. This will also avoid strong edema, anaphylactic shock, progression of swelling and swelling of tissues, asphyxiation. Any antiallergic agent will do.
For example, suprastin has proven itself well. It is taken as a large slaughter dose in the amount of 2-3 tablets, depending on the severity of the disease and the severity of the symptoms. Also it is possible in 1-2 hours (if there has not come a lethal outcome), to give to the victim even 1-2 tablets, then - on a tablet every 2-3 hours.
If suprastin is ineffective, it is recommended to take loratodine. This is a stronger remedy, besides it relates to drugs with prolonged action. It is taken 1 tablet a day, as it is a drug that acts for a day. Exceed the dosage is not recommended, as strong intoxication may develop. But with the viper bite, two tablets are allowed at the same time (the maximum permissible concentration). Both means are recommended to be carried during the trip, especially if you are planning a trip to the countries where this kind of snake lives.
Locally, zinc ointment can be recommended. She put a thick layer on the skin, at the bite, carefully rubbing. First, they are applied directly after the bite (after the poison has been released). Then, after 20 minutes, apply repeatedly, removing the remains of the ointment, then - after another 10 minutes. Leave on the skin until completely absorbed. Ointment well eliminates any manifestations of undesirable allergic and inflammatory reactions, and also helps to remove inflammation, prevent the attachment and further spread of infection, partially inhibits the spread of the poison.
In the future, for the prevention of infection, especially if deep cutting of damaged tissues was used, immediately prescribe antibiotic therapy. It is recommended to take broad-spectrum antibiotics with a high degree of activity in relation to a large number of microorganisms.
For example, ciprofloxacin is quite effective, it will quickly get rid of bacterial infection and reduce or completely remove any signs of suppuration, sepsis. It is recommended to take approximately 2 tablets at the first dose (1000 mg) once. The second day appoint 500 mg, the third - also 500 mg. The minimum course is treatment for three days. If necessary, the course of treatment can be extended. It is recommended to take a full course, because the bacteria can not be killed completely, and this can not be tolerated, because as a result of the bite the body is already in a weakened state, under stress, and also with reduced immunity. As a result, those bacteria that have not died will become stable, and the pathological process will only increase, the infection can spread to other parts of the body, up to the development of sepsis and complete contamination of the blood, which is also a fatal condition.
Often against the background of a bite, intoxication of the organism develops, which requires immediate detoxification therapy. To eliminate toxins and metabolic products from the body, it is recommended to take enterosgel. For oral administration in the first day 2-3 tablespoons of the drug dissolve in a glass of water and drink in one or two meals. Then, the dosage is reduced to 1 tablespoon per serving. In the first day you need to drink 3-4 times the drug, then you can go to a two-time reception. As a result, the body clears, the symptoms of poisoning gradually disappear.
With a bite of a noisy viper, you need to provide first aid as soon as possible. You can not hesitate in this case: every second counts, which can cost the life of the victim. First aid should be given in the first 30 seconds after the bite. Otherwise, its effectiveness is reduced and a fatal outcome may occur.
First you need to suck the poison, then introduce an antidote, which will help neutralize the poison. Then, after the first aid is given, you can start supporting and restorative therapy. First of all, it is necessary to monitor the status of the main vital indicators.
At the stage of recovery, complex therapy may be required, which includes medication, physiotherapy, alternative and homeopathic remedies, as well as various phytopreparations.
Physiotherapy tools are quite effective and allow in a relatively short time to overcome all the main manifestations and symptoms of the disease, the effects of bite. It is used as part of complex therapy, or after the basic vital signs came to normal, but the skin left scars from the bite.
Most often, physiotherapy is aimed at eliminating external injuries, scars that have remained after the bite, to restore internal injuries that have arisen as a result of a damaging bite, poisoning. Also, physiotherapy can overcome the effects of bites that have affected the internal organs: damage to the kidneys, liver, blood disorders, the consequences of intoxication.
The main methods of physiotherapy are ultrasound, microcurrents, waves of different lengths. Electrophoresis is used. The essence of this method is that with it, drugs are injected directly into the damaged tissue. The depth of their penetration is regulated by a microcurrent.
Homeopathic remedies are widely used that not only can overcome the symptoms of external damage, but also cope with the symptoms of poisoning at the system level. Nevertheless, they are also quite dangerous, especially when used incorrectly. Therefore, it is important to follow all safety precautions. First, you must follow all the recommendations of a doctor, adhere to the prescribed scheme. This is very important, since the body after the bite of the snake is weakened, it has a high level of intoxication processes, which negatively affect both the tissue and the organism level as a whole.
Secondly, it is recommended to select medicines only after all the necessary diagnostics and a definite diagnosis have been carried out, all the features and the sphere of damage to surrounding tissues and organs have been determined. Otherwise, there may be side effects, up to the deterioration and progression of the disease. Especially intensively this occurs against the background of a high level of intoxication processes in the body, as well as against a background of reduced immunity.
Quickly remove the inflammation, swelling, pain, stains, irritation will help the grinding of tar and honey. Take 5 ml of pure tar, mix with a tablespoon of honey, mix until a uniform mass is formed. Then the product is rubbed into the stains until the heat appears. You can apply such a tool under the compress (top on the ointment impose cellophane, on top of it a thin layer of ordinary tissue, then - insulated fabric, and at the top - a woolen scarf, or scarf). Keep the compress for 30 minutes. Remove and lubricate with petroleum jelly, or other remedy on a greasy basis.
To eliminate the effects of bite, another ointment is used. You need to take as a basis all known balm "Asterisk", mix it with 1 tablespoon of Vaseline or glycerin, add half a teaspoon of ground coffee. All this thoroughly mix until a uniform state is formed, apply a small layer on the affected area of the body.
For external use, the following oil has also proved its worth: the usual baby cream (about 100 ml) is taken, one teaspoon of ground cinnamon, a pinch of ground ginger, a pinch of ground nutmeg, a teaspoon of ground coffee is added to it. All this is thoroughly mixed, applied a thin layer on the surface of the affected area.
You can use another ointment: as a basis, melted butter is used, into which are added a few drops of fir extract, 2-3 drops of essential oil of sage, a few drops of sea buckthorn oil and one tablespoon of jojoba. All this is heated in a water bath. Stir thoroughly, allow to boil for 30-40 seconds at boiling, and then remove. Allow to cool to a warm state (closer to hot), then apply a thin layer on the skin, up to 5 times a day. It is better to use a compress: put on top a layer of cellophane, a layer of linen cloth, a layer of warm woolen fabric.
There is another recipe that allows deep tissue warming and quickly eliminates the viper bite and its effects. Take 10 tablespoons of purified sand, mix with 5 tablespoons of pure sea buckthorn oil, 2 tablespoons of ecocide, 2-3 tablespoons of castor oil and 1 tablespoon of burdock oil. All this must be insisted for half an hour. Before application, mix, apply to damaged areas up to 3 times a day. You can simply apply a thin layer on the skin, you can use as a base under the compress. The compress is held for 30 minutes. After removal, the skin is lubricated with a thin layer of baby cream or petroleum jelly.
[1], [2], [3], [4], [5], [6], [7], [8], [9], [10]
Antidote for the viper bite
There is a special serum that neutralizes the action of the viper venom. It is called "Antigadyuka", it is an antidote. If this serum is not with you during the campaign, then you need to call an ambulance, or contact the nearest medical institution. The components that make up the serum neutralize the poison. You need to inject the antidote as quickly as possible. It will be most effective if introduced in the first 15-20 minutes after the bite.
The effect of the drug should not be expected immediately, it begins to have a positive effect only a few hours after the administration. All this time you need to be under the care of a doctor. Perhaps, additional treatment will be needed, which will be aimed at neutralizing the poison, maintaining basic vital signs.
What to sting with a viper bite?
The main remedy, which is stabbed immediately after the snake has bitten is antitoxic serum Antigadyuka. It must be stabbed in strict accordance with the instructions, and the faster. The better, since the poison begins to act in the very first minutes after ingestion. This remedy koljat at a stage of rendering of the first aid.
After this, the victim must be hospitalized. In a medical institution, treatment is carried out in accordance with those symptoms, and the pathogenetic process that is currently observed.
For example, there is often a need for a course of antibiotic therapy, during which antibiotics are given a different spectrum of action. Most often the need for prescribing antibiotics occurs in case of infection of the wound, the development of a strong inflammatory process, edema. It is recommended to take antibiotics of a wide spectrum of action. For example, ciprofloxacin, amoxiclave will quickly relieve bacterial infection and reduce or completely remove the scar from the bite, an inflammatory process in this area.
These antibiotics are recommended to prick at a concentration of 500 mg of active ingredient at a time. Normally, they are normally pricked once a day for three days. It is very important to undergo a full course of treatment, for a full three days, as the bacteria can not be killed completely. And this is dangerous due to the fact that subsequently they will become stable, and the pathological process will only increase.
The most dangerous complication is gangrene, tissue necrosis around the site of the bite, as well as sepsis, in which the infection spreads to neighboring areas first, and then - enters the blood, forms new foci of infection in other organs. This condition is also known as infection of the blood and often ends in a fatal outcome.
Also, with severe allergic reaction, severe swelling, koljat anti-allergic drugs, for example, suprastin, eufillin and others.
Tablets from the viper bite
It is not recommended to use any tablets, because in combination with the poison they can form stable complexes that only increase the poisoning, and can cause severe disruption of the kidneys and liver function. Also increase the burden on the heart. The exception is antiallergic (antihistamines), which prevent the development of edema, allergic reaction, anaphylactic shock.
For example, the first drug of choice is suprastin. It is taken 1 tablet 2-3 times a day, depending on the severity of the bite and the severity of the symptoms. With a strong attack of allergy, severe swelling, you can take 2 tablets once, then 5-6 hours later - 2 more, after another 6 hours - 1 tablet. After this, you need to immediately call an ambulance, because the bite requires professional treatment. Self-medication can be dangerous.
If suprastin is ineffective, it is recommended to take loratodine. It is taken 1 tablet a day, as it is a product of prolonged action, which acts during the day. With a strong reaction, you can drink twice a day, but with a mandatory interval between meals at 12 hours. Exceed the dosage is not recommended, as strong intoxication may develop.
After the main symptoms have been removed, the threat of life has passed, and even basic detoxification therapy has been carried out, local drugs can be used. So, topically, zinc ointment can be recommended. It is applied a thin layer on the skin. Razirayut in a few minutes, until completely absorbed. Apply up to three times a day. Ointment can easily eliminate bite symptoms, and also allows to remove inflammation, prevent attachment and further spread of the infection, relieves itching, irritation, burning, swelling, redness.
To eliminate toxins and metabolic products from the body, it is recommended to take enterosgel. To ingest 1 tablespoon of the drug dissolve in a glass of water and drink in one or two meals. As a result, the body is cleaned, restored. It is recommended to take within one month after the main therapy. It should not be taken together with other drugs, as their action becomes meaningless. Enterosgel binds and takes out toxins and chemicals, including medicines, as well.
Physiotherapeutic treatment
Physiotherapy, of course, is not a means of first aid. It is used at the hospital stage as part of complex therapy, or during the recovery period. Physiotherapy helps quite effectively and in a short time to cope with the consequences of a bite, restore the body.
It is used as part of complex therapy, or after the basic treatment is completed, but the skin remains stained and scars from the bite, or if some functional disorders of the internal organs manifest themselves.
The main methods of physiotherapy are ultrasound, microcurrents, waves of various lengths, light radiation. Electrophoresis is used, with which drugs are injected directly into the damaged tissue. The depth of their penetration is regulated by a microcurrent. Cryoprocedures, thermal procedures, and pilling are indicated. Diamond pilling, grinding is used. Laser procedures, phototherapy, hydromassage baths, aromatherapy have proved themselves well.
Alternative treatment
Let's consider some recipes that have proven themselves as effective agents, which allow to remove the inflammatory process and edema.
- Recipe number 1.
Birch tar with chalk powder quite quickly eliminates inflammation and reduces visible holes, injuries after a snake bite. To prepare this product in a small bowl of tar, melted in a water bath, put a teaspoon of chalk, previously mashed into powder. If you can not completely melt the tar, you need to add a small amount of water (quantity - see for yourself, so that the water covers the top of the tar, and contributed to its firebox). Then thoroughly mix all this mixture, and put on the skin 3-4 times a day until the symptoms completely disappear.
- Recipe number 2.
Oil from sea-buckthorn can quickly heal injuries, damage, helps to eliminate traces and scars in a short period. Take a glass of sea buckthorn oil and pour 2 tablespoons of alcohol, which helps extract valuable substances from the sea-buckthorn, vitamins. Allow to stand under a tightly closed lid for 2-3 hours, after which you can rub into the bite until completely absorbed.
- Recipe number 3.
It has long been known such a tool as cabbage, which helps quickly remove inflammation, cure the inflammatory process, eliminate the effects of intoxication. Fresh cabbage leaf is pre-moistened in boiling water, shake off water and put on the place of bite. It can be held for several minutes, with a tight hand. But you can also use cabbage for a compress. To do this, a leaf of cabbage is tightly wound with a wide bandage, covered with dry heat. Keep such a compress for an hour.
- Recipe number 4.
The main anti-inflammatory agent of natural origin is the medicinal sage. Its advantage is that it is suitable for both oral and external application. Apply sage in the form of a decoction or infusion.
To prepare the broth for a glass of boiling water add one tablespoon of herbs. Pour, brew for an hour. It is better to keep it in a thermos. Then divide into 2 halves. One half of a glass is drunk during the day, with small sips, the other - used to lubricate the affected areas.
Before lubricating it is necessary to warm up (the broth should be warm). On the first day, lubricate every 30 minutes, the second day can be every 1.5-2 hours. Then they switch to a three-time lubrication until pain symptoms, irritation and redness disappear completely.
For the preparation of infusion approximately 2 tablespoons of sage grass is poured a glass of vodka or alcohol, placed in a dark place for two days. After that, you can drink on a tablespoon three times a day, and also apply for rubbing the place where there was a bite of a viper.