Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment specialist Home Care pain in adults pain in children warning signs

Spider Bite Brown Recluse Home Care

Home care for a brown recluse spider bite may include:


Tetanus Considerations
A tetanus shot is necessary right away if you have not had three tetanus shots in the past.

If you have received three tetanus shots in the past, you need a tetanus shot within three days if you have not had a tetanus shot in the past five years.

Spider Bite Brown Recluse Pain in Adults

Medications commonly used to control pain and inflammation in adults with a brown recluse spider bite include:


Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.

Aspirin

Ibuprofen

Naproxen

Ketoprofen

NSAID Precautions

Spider Bite Brown Recluse Pain in Children

Common medications used at home for pain in children with a brown recluse spider bite include:


Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

Acetaminophen
  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.

Ibuprofen
Always follow the package instructions.

Naproxen

Spider Bite Brown Recluse Warning Signs

Notify your doctor if you have a brown recluse spider bite and any of the following:

Last Updated: Dec 13, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor

PubMed Spider Bite Brown Recluse References
  1. Mold JW, Thompson DM. Management of brown recluse spider bites in primary care. J Am Board Fam Pract. 2004 Sep-Oct;17(5):347-52. [15355948]
  2. Wendell RP. Brown recluse spiders: a review to help guide physicians in nonendemic areas. South Med J. 2003 May;96(5):486-90. [12911188]
  3. Wright SW, Wrenn KD, Murray L, Seger D. Clinical presentation and outcome of brown recluse spider bite. Ann Emerg Med. 1997 Jul;30(1):28-32. [9209221]
FreeMD is provided for information purposes only and should not be used as a substitute for evaluation and treatment by a physician. Please review our terms of use.