[6] Two antivenoms are available to counteract snakebites from this species: Polyvalent Anti-viper Venom by VACSERA in Egypt and SAIMR Echis antivenom by South African Vaccine Producers.

[7] The specific name, pyramidum, refers to the Egyptian pyramids.

[8][9] The average total length (body + tail) is 30–60 cm (12–24 in) with a maximum total length of 85 cm (33 in) (possibly slightly more).

There are also scattered populations in the southwest of the Arabian Peninsula in western Saudi Arabia (south of the 18th parallel), Yemen, South Yemen (in Hadhramaut), and in Oman.

[2] Disjunct populations reportedly occur in Algeria, Tunisia, Libya, and northern Egypt.