Characteristics The venom of this species varies very little in Japan in terms of both its potency and its effects. According to Yoshimitsu (2005), this species and the Okinawan habu (
Protobothrops flavoviridis), another pit viper, are the most venomous snakes in Japan. to 1.22 mg/kg. The venom mostly contains
haemolytic toxins, but it also has two
neurotoxins—an alpha-toxin that is a post-synaptic inhibitor and a beta-toxin that is a pre-synaptic inhibitor. It also contains the peptide
ablomin which is highly similar in amino acid sequence to that of the venom,
helothermine, of the
Mexican beaded lizard (
Heloderma horridum).
Treatments for envenomations There is an effective antivenom manufactured in both Japan and China. In common with many other venomous snakes, the mamushi is highly resistant to its own venom because of various neutralising factors present in its sera including
phospholipase A2 (PLA2) inhibitors; these and other inhibitors are the target of antivenom development. Every year, 2000-3000 people in Japan are bitten by mamushi; severe bites require intensive care, and approximately 10 victims die. visual disturbances,
palsy, and miscarriage in pregnant women. In one study in Japan, mamushi bite victims required a median duration of 7 days of hospital treatment followed by a median of 31 days of out-patient treatment; the time to achieve a full recovery was even longer, taking up to several months. The treatment protocol involved incision of the wound for exclusion of the venom, and injection of mamushi antivenom. ==Taxonomy==