Stephen J. Schueler, M.D.

Overview Incidence Symptoms skin infection Evaluation Treatment specialist Home Care pain in adults pain in children warning signs Prevention Outlook Underlying Cause

Spider Bites Home Care

Home care for spider bites includes:

Spider Bites Pain in Adults

Medications commonly used to control pain and fever in adults with a 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 Bites Pain in Children

Common medications used at home for pain in children with a 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

Naproxen

Spider Bites Warning Signs

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

Continue to Spider Bites Prevention

Last Updated: Jan 5, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Spider Bites References
  1. Cohen J, Bush S. Case report: compartment syndrome after a suspected black widow spider bite. Ann Emerg Med. 2005 Apr;45(4):414-6. [15795721]
  2. Hawdon GM, Winkel KD. Spider bite. A rational approach. Aust Fam Physician. 1997 Dec;26(12):1380-5. [9470291]
  3. 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]
  4. Pantanowitz L, Guidozzi F. Management of snake and spider bite in pregnancy. Obstet Gynecol Surv. 1996 Oct;51(10):615-20. [8888039]
  5. Wendell RP. Brown recluse spiders: a review to help guide physicians in nonendemic areas. South Med J. 2003 May;96(5):486-90. [12911188]
  6. 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]
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