What is the recommended dose of ribavirin for an adult patient exposed to Nipah virus?

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Last updated: January 13, 2026View editorial policy

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For an adult patient exposed to Nipah virus, the recommended dose of ribavirin is 2 grams loading dose, followed by 1 gram every 6 hours for 4 days, then 0.5 grams every 8 hours for 3 days. However, it's essential to note that ribavirin is not a proven treatment for Nipah virus, and its use is based on limited data from animal studies and case reports. Given the potential risks and benefits, ribavirin should only be used under close medical supervision, and the patient's renal function and hemoglobin levels should be monitored closely. In patients with severe renal impairment, the dose of ribavirin may need to be adjusted. If ribavirin is not available or not tolerated, other treatment options, such as supportive care and isolation, should be prioritized to reduce the risk of transmission and manage symptoms.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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