Wannan nau'in yana iya ba da ciwo mai kisa kuma wanda aka azabtar zai iya karɓar babban adadin guba tare da kashi na 200 zuwa 500 MG har zuwa 7 ml. Engelmann da Obst (1981) sun lissafa matsakaicin yawan guba a 420 mg (raunin bushewa). Dangane da haka, ana iya buƙatar adadi mai yawa na antivenom don sauya ci gaban alamun da aka samu idan sarkin cobra ya ciwo. Toxins suna shafar tsarin tsakiya na tsakiya, wanda ya haifar da mummunan rauni, hangen nesa mai tsanani, blurred vision, paralysis, da kuma paralysis.
daidai antivenom da kuma asibiti kula