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Indian polyvalent antivenom (also known as polyvalent anti-snake venom or ASV) is a life-saving biological therapy used to treat snakebite envenomation in India and neighboring regions. It is a sterile preparation of equine immunoglobulin fragments, specifically F(ab')2, obtained from the plasma of healthy horses hyperimmunized against the venoms of the 'Big Four' medically important venomous snakes of the Indian subcontinent: the Spectacled Cobra (Naja naja), Common Krait (Bungarus caeruleus), Russell's Viper (Daboia russelii), and Saw-scaled Viper (Echis carinatus). The antivenom works by binding to and neutralizing the circulating toxins in the patient's bloodstream, preventing further systemic toxicity such as neuroparalysis, hemorrhage, and venom-induced consumption coagulopathy (VICC). It is manufactured by several Indian pharmaceutical companies and research institutes, including VINS Bioproducts, Bharat Serums and Vaccines, Biological E, and the Serum Institute of India.
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