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I Am Alcoholic And Smoker. Undergoing The Anti-rabies Course Of Injections. Is It Safe To Have Intercourse?

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Posted on Tue, 6 Nov 2012
Question: Iam 50, weighs 74 kg - overweight for my height of 5 ' 4''
I has been taking medicine for hypertension for the past 14 years, habits of alcohol and smoking and TGL above borderline ( no medicines)
No history of diabtes.
I have been bitten by a stray dog recently ( F3 wound) and iam presently undergoing the anti-rabies course of injections ( XP Rab - 3/5 over). Pl advise me if it would be okay for me to engage in sex and to continue smoking and alcohol
doctor
Answered by Dr. Mayank Bhargava (1 hour later)
Hi XXXXXXX
Thanks for posting your query.
I think you can continue having sexual intercourse. Smoking and alcohol can also continue, but as a physician, it is my duty to warn you about their long term side effects. At best, alcohol should be restricted to a minimum and smoking should be stopped.
Rabies virus spreads by way of nervous system from the bite tissue to the central nervous system (brain and spinal cord).
Close approximation of bite on body with nervous system along with severity of affected virus predisposes to occurrence of rabies in future.
As such there is no supportive study available addressing role of sex and alcohol with severity of rabies.
As such there is no contraindication of hypertension medicines with use of anti rabies vaccine.
As you have contact with stray dog, status of vaccinations can't be judged and treatment of F3 wound include use of anti rabies vaccine along with human rabies immunoglobulin.
Let me know if you have any more questions.
Take care,
Dr. Mayank Bhargava
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Mayank Bhargava (13 hours later)
Is there any risk of the rabies virus passing on to the female sexual partner through the body fluids of the infected male partner

XXXXXXX
doctor
Answered by Dr. Mayank Bhargava (7 hours later)
Hi XXXXXXX,
Rabies virus is primarily confined to infected animals and transmission between human beings is practically not possible.
Rabies in a infected person is life threatening and generally leads to death of victim.
Rabies virus entering at bite tissue then travels through nerve fibers to the central nervous system and ultimately by way of nerve fibers again travel up to peripheral nervous system.
So theoretically spread is possible but practically not possible as patients generally dies after development of rabies.
Thanks,
Dr. Mayank Bhargava
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mayank Bhargava

Internal Medicine Specialist

Practicing since :2003

Answered : 1658 Questions

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I Am Alcoholic And Smoker. Undergoing The Anti-rabies Course Of Injections. Is It Safe To Have Intercourse?

Hi XXXXXXX
Thanks for posting your query.
I think you can continue having sexual intercourse. Smoking and alcohol can also continue, but as a physician, it is my duty to warn you about their long term side effects. At best, alcohol should be restricted to a minimum and smoking should be stopped.
Rabies virus spreads by way of nervous system from the bite tissue to the central nervous system (brain and spinal cord).
Close approximation of bite on body with nervous system along with severity of affected virus predisposes to occurrence of rabies in future.
As such there is no supportive study available addressing role of sex and alcohol with severity of rabies.
As such there is no contraindication of hypertension medicines with use of anti rabies vaccine.
As you have contact with stray dog, status of vaccinations can't be judged and treatment of F3 wound include use of anti rabies vaccine along with human rabies immunoglobulin.
Let me know if you have any more questions.
Take care,
Dr. Mayank Bhargava