Bothrops itapetiningae, or the São Paulo lancehead, is a species of venomous snake in the family Viperidae. It is endemic to the Cerrado region, savannas of central Brazil. It eats small mammals, lizards, amphibians, birds and centipedes.
It is found in the Brazilian states of Goiás, Minas Gerais, Mato Grosso and São Paulo. The type locality is Itapetininga, a municipality in the State of São Paulo.