Miles Pharmacy

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Rabies · part 1 of 7

How many doses of the rabies vaccine do you need?

Three doses, usually over 28 days, or over 7 days if you're short of time. Why a two-dose course counts as only partial protection in the UK, and how to fit the course around your flight. From Miles Pharmacy, Epsom.

A woman with a woven backpack walks along a sunny whitewashed lane lined with blue doors and potted plants.

Most people need three doses of the rabies vaccine before they travel. In the UK the standard course is given on days 0, 7 and 28, and if time is short the third dose can be given from day 21, or the whole course can be given in a week on the accelerated schedule. A two-dose course is licensed, but UK guidance counts it as only partial protection. You can book your rabies vaccine in Epsom with us for £80 a dose.

The three ways to have the course

All three are three doses of the same vaccine, each given as an injection into a muscle. What changes is how quickly they’re given.

CourseWhen the doses are givenHow long it takesCost at Miles
StandardDays 0, 7 and 284 weeks£240
Standard, short on timeDays 0, 7 and 213 weeks£240
AcceleratedDays 0, 3 and 7, plus a fourth dose at one year if you’ll keep travelling to high-risk areas1 week£240, plus £80 if you need the one-year dose
Schedules from the UKHSA Green Book, chapter 27. Prices at Miles Pharmacy, October 2026.
Three ways to have the rabies vaccine course: standard on days 0, 7 and 28; short on time on days 0, 7 and 21; accelerated on days 0, 3 and 7.

What the dates look like

Say you have your first dose on Monday 2 November. On the standard course your second dose is on Monday 9 November and your third on Monday 30 November, or from Monday 23 November if you’re flying sooner. On the accelerated course your doses are on Monday 2, Thursday 5 and Monday 9 November, so you could fly the next day.

What about two doses?

The licences for the rabies vaccines used in the UK now allow a two-dose course, given seven days apart, and the World Health Organization and the US Centers for Disease Control and Prevention both recommend a two-dose course. UK guidance hasn’t caught up yet. NaTHNaC, the UK’s travel health service, says a two-dose schedule “is considered as partially immunised in the UK”, and further guidance from UKHSA and the JCVI is awaited.

That label matters if you’re ever bitten. UK guidance counts you as fully immunised after at least three documented doses. Anyone with fewer than three gets the same treatment after a bite as someone who was never vaccinated: four doses of vaccine over three weeks, instead of two. At Miles we give the three-dose courses.

Why the third dose matters: with three doses before travel, 2 doses of vaccine after a bite; with fewer than three doses, 4 doses of vaccine after a bite.

How long before you travel should you start?

The NHS suggests getting travel advice around 8 weeks before you go. The rabies course itself takes 3 to 4 weeks on the standard schedule, or one week on the accelerated one. Here’s what fits, depending on when you fly.

When you flyThe course that fits
4 weeks away or moreThe standard course: days 0, 7 and 28
3 to 4 weeks awayThe standard course, with the third dose from day 21
1 to 3 weeks awayThe accelerated course: days 0, 3 and 7
Less than a week awayCall us, and the pharmacist will talk through what can be done before you go
Based on the UKHSA Green Book, chapter 27, and NHS guidance.

Who UK guidance recommends it for

For travellers, the Green Book recommends the rabies vaccine for people going to countries where rabies is found in animals, especially if:

  • medical care and rabies treatment at the destination are lacking or in short supply;
  • they’ll be doing higher-risk activities such as cycling or running;
  • they’re living or staying for more than a month.

NaTHNaC lists the rabies vaccine for some travellers to destinations such as Thailand, India, Morocco, Turkey and Egypt. Our guide to rabies in Morocco, Turkey and Egypt looks at the short-break destinations, and the pharmacist will go through your own trip with you.

If you’ve had the vaccine before

UK guidance doesn’t recommend routine boosters for most travellers. A single booster can be considered if you finished your course more than a year ago and you’re travelling to a high-risk area again. Bring any records you have, including ones from abroad, and the pharmacist will check where you stand.

Your rabies course in Epsom

We have the rabies vaccine in stock at our Epsom pharmacy (checked October 2026). We’re at 94 Chessington Road, Ewell, Epsom, KT19 9UR, with a bus stop outside on each side of the road and Ewell West station nearby, which is step-free to every platform. People come to us from Epsom, Ashtead, Leatherhead and Banstead, and we’ll book your later doses before you leave your first appointment. Call us on 020 8393 1000.

Questions about rabies vaccine doses

Is one dose of the rabies vaccine enough?

UK guidance counts you as fully immunised only after three documented doses. With fewer than three, you’d need the same treatment after a bite as someone who’s never been vaccinated.

Do I need the one-year dose after the accelerated course?

The Green Book gives the extra dose at one year to people who’ll keep travelling to high-risk areas. The pharmacist will talk it through with you at your first appointment.

What if I miss a dose?

Call us as soon as you can. The pharmacist will look at your dates and tell you how to carry on.

Is the rabies vaccine free on the NHS for travel?

The NHS says you usually have to pay for the rabies vaccine for travel. At Miles it’s £80 a dose, or £240 for the three-dose course.

Once I’ve had three doses, am I covered if I’m bitten?

You’ll still need medical help the same day, but the treatment is shorter and simpler. Our guide to whether you can still get rabies if you’re vaccinated explains what changes.

Can I still get the vaccine with the shortage?

We have stock in Epsom. Our guide to the rabies vaccine shortage in the UK explains what’s been happening to supply.

Sources

Your next step

Samit Patel, pharmacist at Miles Pharmacy in Epsom

Reviewed by

Samit Patel

Superintendent Pharmacist and Director

GPhC 2076789

Ready to take the next step?

Book online with Miles Pharmacy in Ewell, Epsom, or call us if you would rather talk it through first.

  • GPhC registered pharmacy 9011598
  • Checked by a registered superintendent pharmacist and director
  • Last reviewed 7 October 2026

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