NOT TO BE GIVEN IN GLUTEAL REGION.
A DOSE OF 10-20 MCG OF ANTIGEN PROTEIN FOR ADULT AND CHILDREN 10 YEARS AND OLDER. 2.5-10 MCG OF ANTIGEN PROTEIN IN 0.4 ML SUSPENSION FOR NEONATES, INFANTS AND CHILDREN BELOW 10 YEARS. THREE DOSE SHOULD BE GIVEN :- 1ST DOSE AT ELECTED DATE, 2ND DOSE 1 MONTH LATER AND 3RD DOSE AFTER 6 MONTH AND BOOSTER DOSE AT 12 MONTHS. IT MUST NOT BE GIVEN INTRAVENOUSLY OR IN GLUTEAL REGION BY INTRAMUSCULAR INJECTION (SEE NOTE BELOW), 3 DOSES OF 20 MICROGRAMS, THE SECOND 1 MONTH AND THE THIRD 6 MONTHS AFTER THE FIRST DOSE; NEONATE (EXCEPT IF BORN TO HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER, SEE BELOW) AND CHILD 1 MONTH-16 YEARS, 3 DOSES OF 10 MICROGRAMS
ACCELERATED SCHEDULE, SECOND DOSE 1 MONTH AFTER FIRST DOSE, THIRD DOSE 2 MONTHS AFTER FIRST DOSE AND FOURTH DOSE 12 MONTHS AFTER FIRST DOSE; EXCEPTIONALLY (E.G. FOR TRAVELLERS DEPARTING WITHIN 1 MONTH), ADULT OVER 18 YEARS, SECOND DOSE 7 DAYS AFTER FIRST DOSE, THIRD DOSE 21 DAYS AFTER FIRST DOSE, AND FOURTH DOSE 12 MONTHS AFTER FIRST DOSE
ALTERNATIVE SCHEDULE FOR CHILD 11-15 YEARS, 2 DOSES OF 20 MICROGRAMS, THE SECOND DOSE 6 MONTHS AFTER THE FIRST DOSE (THIS SCHEDULE NOT SUITABLE IF HIGH RISK OF INFECTION BETWEEN DOSES OR IF COMPLIANCE WITH SECOND DOSE UNCERTAIN)
NEONATE BORN TO HEPATITIS B SURFACE ANTIGEN-POSITIVE MOTHER (SEE ALSO NOTES ABOVE), 4 DOSES OF 10 MICROGRAMS, FIRST DOSE AT BIRTH WITH HEPATITIS B IMMUNOGLOBULIN INJECTION (SEPARATE SITE) THE SECOND 1 MONTH, THE THIRD 2 MONTHS AND THE FOURTH 12 MONTHS AFTER THE FIRST DOSE
RENAL INSUFFICIENCY (INCLUDING HAEMODIALYSIS PATIENTS), BY INTRAMUSCULAR INJECTION (SEE NOTE BELOW) 4 DOSES OF 40 MICROGRAMS, THE SECOND 1 MONTH, THE THIRD 2 MONTHS AND THE FOURTH 6 MONTHS AFTER THE FIRST DOSE; IMMUNISATION SCHEDULE AND BOOSTER DOSES MAY NEED TO BE ADJUSTED IN THOSE WITH LOW ANTIBODY CONCENTRATION; NEONATE (EXCEPT IF BORN TO HEPATITIS B SURFACE ANTIGEN POSITIVE MOTHER, SEE ABOVE) AND CHILD 1 MONTH- 16 YEARS 3 DOSES OF 10 MICROGRAMS, SECOND DOSE 1 MONTH AND THIRD DOSE 6 MONTHS AFTER FIRST DOSE OR ACCELERATED SCHEDULE, 4 DOSES OF 10 MICROGRAMS, SECOND DOSE 1 MONTH, THIRD DOSE 2 MONTHS AND FOURTH DOSE 12 MONTHS AFTER FIRST DOSE; IMMUNISATION SCHEDULE AND BOOSTER DOSES MAY NEED TO BE ADJUSTED IN THOSE WITH LOW ANTIBODY CONCENTRATION.