page_title: Red-bellied black snake
section_title: Venom
hierarchical_section_title: Red-bellied black snake / Venom
caption_attribution_description: South Coast, NSW.
context_page_description: The red-bellied black snake is a species of venomous snake in the family Elapidae. The species is endemic to Australia. Originally described by George Shaw in 1794 as a species new to science, it is one of eastern Australia's most commonly encountered snakes. Averaging around 1.25 m in length, it has glossy black upperparts, bright red or orange flanks, and a pink or dull red belly. It is not an aggressive species and generally retreats from encounters with people, but can attack if provoked. Although its venom is capable of causing significant illness, no deaths have been recorded from its bite, which is less venomous than other Australian elapid snakes. The venom contains neurotoxins, myotoxins, and coagulants and has haemolytic properties; victims can also lose their sense of smell.
  Common in woodlands, forests and swamplands, the red-bellied black snake often ventures into nearby urban areas. It forages in bodies of shallow water, commonly with tangles of water plants and logs, where it hunts its main prey item, frogs, as well as fish, reptiles, and small mammals.
context_section_description: Early settlers feared the red-bellied black snake, though it turned out to be much less dangerous than many other species. The murine median lethal dose (LD₅₀) is 2.52 mg/kg when administered subcutaneously. A red-bellied black snake yields an average of 37 mg of venom when milked, with the maximum recorded being 94 mg. It accounted for 16% of identified snakebite victims in Australia between 2005 and 2015, with no deaths recorded. Its venom contains neurotoxins, myotoxins, and coagulants and also has haemolytic properties.
  Bites from red-bellied black snakes can be very painful—needing analgesia—and result in local swelling, prolonged bleeding, and even local necrosis, particularly if the bite is on a finger. Severe local reactions may require surgical debridement or even amputation. Symptoms of systemic envenomation—including nausea, vomiting, headache, abdominal pain, diarrhoea, or excessive sweating—were thought to be rare, but a 2010 review found they occurred in most bite victims. Most people also go on to develop an anticoagulant coagulopathy in a few hours. This is characterised by a raised activated partial thromboplastin time (aPTT), and subsides over 24 hours. It resolves quickly with antivenom. A few people go on to develop a myotoxicity and associated generalised muscle pain and occasionally weakness, which may last up to 7 days. Patients may suffer a loss of sense of smell (anosmia); this is unrelated to the severity of the envenoming and can be temporary or permanent. Although the venom contains the three-finger toxin α-elapitoxin-Ppr1, which acts as a neurotoxin in laboratory experiments, neurotoxic symptoms are generally absent in clinical cases.
  A biologically active agent—pseudexin—was isolated from red-bellied black snake venom in 1981. Making up 25% of the venom, it is a single polypeptide chain with a molecular weight around 16.5 kilodaltons. In 1989, it was found to be composed of three phospholipase A2 isoenzymes. If antivenom is indicated, red-bellied black snake bites are generally treated with tiger snake antivenom. While black snake antivenom can be used, tiger snake antivenom can be used at a lower volume and is a cheaper treatment.
  It is the most commonly reported species responsible for envenomed dogs in New South Wales. In 2006, a 12-year-old golden retriever suffered rhabdomyolysis and acute kidney injury secondary to a red-bellied black snake bite. Laboratory testing has found that cats are relatively resistant to the venom, with a lethal dose as high as 7 mg/kg.
caption: Rearing in an aggressive posture, flattening of neck
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