RIG in Bali: Rabies immunoglobulin (RIG) is used for eligible patients with a Category III rabies exposure who have not previously completed rabies vaccination. It should be given as soon as possible after starting rabies PEP, and no later than Day 7 after the first vaccine dose. Dosing depends on the RIG product used and body weight, and as much as possible is infiltrated into and around the wound. Dewa Medical can check current availability for same-day home-visit treatment in Bali. Cost typically IDR 10,000,000–15,000,000 per ampoule, with total cost depending on body weight since more than one ampoule is often needed. Open daily 9AM–9PM — after-hours WhatsApp requests welcome.
If a clinic or pharmacy tells you RIG isn't in stock, don't delay wound washing or the first vaccine dose while you search — RIG can still be given later, up to Day 7. Contact us to check availability and get assessed without losing time on the vaccine.
Dr. I Dewa Gede Angga Triadi Nata, GP · STR: VX00001499498410 · SIP: MR51032507002112
Guidance below follows current WHO rabies PEP position and CDC ACIP recommendations. Medically reviewed September 2026.
Wash the wound
Soap and running water for about 15 minutes. This is the single most effective first step.
Apply antiseptic if available
Iodine or alcohol-based antiseptic. Wound closure decisions should be left to the clinician who treats you.
Get assessed for PEP now
Contact a rabies PEP provider immediately for exposure assessment — don't wait to see if symptoms appear.
Don't wait on RIG to start the vaccine
The first vaccine dose should never be delayed just because RIG isn't immediately on hand.
WHO exposure categories, combined with prior vaccination history, determine whether RIG applies to your case. This is an assessment for a clinician, not a self-diagnosis.
Category I — No vaccine or RIG
Touching or feeding animals. Licking on intact skin. No skin break, no mucous membrane contact.
Category II — Vaccine, generally no RIG
Minor scratches or abrasions without bleeding; nibbling of uncovered skin. Vaccine is started; RIG is generally not required unless the clinician finds reason to escalate.
Category III — Vaccine + RIG (if unvaccinated)
Transdermal (skin-penetrating) bites or scratches, contamination of mucous membranes or broken skin with saliva, or a qualifying bat exposure. Wounds on highly innervated areas — head, face, neck, hands — may be prioritized for RIG when supply is limited, but location alone doesn't define the category.
This page describes general WHO/CDC-referenced guidance for information purposes. It is not a substitute for an in-person clinical assessment, which determines the exact protocol and timing for your specific exposure.
Ready-made antibodies against the rabies virus.
Provides immediate, passive protection at the wound site.
Given once, as early as possible (up to Day 7 if delayed).
Only indicated for eligible Category III cases in unvaccinated patients.
Trains the body to build its own antibodies over roughly 7–14 days.
Given as a multi-dose series (4 doses if unvaccinated, 2 if previously vaccinated).
Should be started on the day of exposure, regardless of RIG availability.
Required for essentially all Category II and III exposures.
Dosing depends on the specific RIG product used and body weight — there is no fixed amount regardless of size.
Human RIG (hRIG): typically 20 IU per kilogram of body weight.
Equine RIG (eRIG), where used instead: follows a different, higher dosing schedule — the doctor will specify which product is used and dose accordingly.
As much of the calculated dose as anatomically feasible is infiltrated into and around the wound(s) — this is the priority.
Handling of any remaining product follows that product's specific instructions and the applicable clinical protocol — not a single fixed rule.
RIG, per ampouleIDR 10,000,000–15,000,000
Rabies vaccine, per dose≈ IDR 1,300,000
Home visit feeConfirmed on booking
Doctor consultationIncluded
Total cost confirmed before treatment begins.
Completing a pre-exposure rabies vaccination course before any bite happens generally removes the need for RIG later — even after a Category III exposure — leaving only 2 follow-up vaccine doses (Day 0 and Day 3) if bitten.
See PrEP Schedule & PricingIllustrative examples of exposure types seen in Bali and how they're generally assessed — not records of specific patients.
A monkey bite that breaks the skin and bleeds, on the hand, in a person never vaccinated for rabies, is a Category III exposure. RIG is generally indicated alongside the start of the vaccine series, with dosing calculated by weight and infiltrated around the wound.
A bleeding dog bite where the first clinic contacted had no RIG in stock. In this situation, the correct approach is to start the vaccine series immediately rather than wait, then continue trying to source RIG — which can still be given up to Day 7 after the first dose.
Waking to find a bat in the room, with no visible bite or scratch, still warrants medical assessment — bat exposure can qualify as Category III even without a visible mark, and the decision on PEP and RIG is made by the examining clinician.
Doctor arrives with RIG (subject to availability), vaccine, and wound care supplies together. Typical ETA below — actual time depends on traffic, exact location, and current availability, and is confirmed before booking.
Typical ETA 30–50 min — closest to our base clinic in Kerobokan.
Typical ETA 45–70 min. High monkey-bite volume in this area.
Typical ETA 50–80 min. Temple monkey exposures are common here. Share a Google Maps pin for cliff villas.
Typical ETA 35–50 min.
Typical ETA 40–55 min. BIMC Nusa Dua is also an option for severe cases needing hospital-level care.
If you received the vaccine but not RIG, contact us — RIG may still be indicated up to Day 7 after the first dose.
Dewa Medical can check current availability for same-day home-visit treatment. Stock varies by provider since RIG is imported and weight-dosed — the vaccine should never be delayed while checking.
Generally, unvaccinated patients with Category III exposure — transdermal bites/scratches, mucous membrane contact with saliva, or qualifying bat exposure. Previously vaccinated patients generally don't need it.
Ideally yes, alongside the first vaccine dose. If not possible, it may still be given up to and including Day 7 after the first vaccine dose. It should never be a reason to delay the vaccine itself.
hRIG is commonly 20 IU/kg of body weight; eRIG follows a different schedule. Most of the dose is infiltrated directly into and around the wound; handling of any remainder follows the specific product's protocol.
IDR 10,000,000–15,000,000 per ampoule. Since dosing is weight-based, adult patients often need more than one ampoule, so total RIG cost depends on body weight — confirmed before treatment along with the vaccine dose and home visit fee.
Completing a pre-exposure (PrEP) vaccination course before any bite generally means only 2 follow-up vaccine doses if later bitten, with no RIG required.
💉 Rabies Vaccine Bali
Full PEP & PrEP schedules and pricing
🩹 Wound Care Bali
Bite wound cleaning and dressing at villa
👨⚕️ Doctor Home Visit
Full medical assessment at your accommodation
🐕 Rabies Vaccine Canggu
Area-specific ETA and exposure context
🐒 Rabies Vaccine Ubud
Monkey Forest & jungle bite response
🧪 Lab Testing Bali
Blood tests at your hotel or villa
Educational only — not a substitute for a doctor's assessment. Reviewed by Dr. I Dewa Gede Angga Triadi Nata, GP (STR: VX00001499498410) · September 2026.
Doctor at your villa · RIG availability checked · Open 9AM–9PM · STR: VX00001499498410
Emergency WhatsApp — +62 823 4091 9695WHO/CDC-referenced guidance · Same-day home visits · All Bali areas