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OMALIZUMAB

OMALIZUMAB

Background and Date of approval OMALIZUMAB

Omalizumab is an anti-IgE antibody which was approved for its medical use on 20th June 2003.

Uses of OMALIZUMAB

Omalizumab Injection indicated for moderate to severe persistent asthma in adults and children older than 6 years. It is prescribed to treat Chronic spontaneous urticaria in adults and children have not experienced improvement in symptoms despite antihistamine treatment. Omalizumab is also indicated to treat nasal polyps in adult patients older than 18 years you have not adequately responded to nasal corticosteroids.

How is OMALIZUMAB administered?

Omalizumab is available as a pre-filled syringe in the doses 75mg and 150mg, intended for subcutaneous administration. Your healthcare provider will prescribe the accurate dose based on your body weight, serum total IgE level and medical condition.

Side Effects of OMALIZUMAB

The common side effects that are likely to occur while you are on the treatment with Omalizumab Injection are arthralgia, leg pain, tiredness, dizziness, fracture, arm pain, pruritus, dermatitis, ear pain, headache, fever, upper abdominal pain, viral gastroenteritis, pharyngitis, sinusitis, cough and injection site reactions. If you experience breathlessness, chest tightness, severe cough or any other allergic reactions during this treatment, report to your doctor immediately.

Warnings

Contact your physician immediately if you experience trouble swallowing, swelling of throat/tongue, breathing trouble, chest tightness, wheezing, severe cough, fainting, rapid heartbeat or anxiety. After administration, you will be monitored in a healthcare setting for an appropriate period of time to check for anaphylactic reactions. Omalizumab injection is not recommended for people who have experienced allergic reactions to Omalizumab or any of its ingredients. Do not use omalizumab injection for acute symptoms of asthma. 

Tell your healthcare provider if you have a history of parasitic infections, heart problems, liver impairment, kidney disease or cancer. During this treatment your physician may monitor your vitals to prevent serious complications. Inform your health care provider if you are about to undergo any dental or surgical procedures.

Precautions

Ask your health care provider for advice if you are pregnant, think you might be pregnant, planning to have a baby, or breastfeeding your baby. It is not known if Omalizumab harms unborn baby or passes into breast milk. Discuss with your physician regarding the safest method of feeding your baby if you are a nursing mother.

Word of Advice

Omalizumab can cause side effects like dizziness and tiredness. Hence, it is advisable to not drive or use machines during this treatment. Check with your health care provider before receiving any vaccines and inform them if you are taking any other medications or herbal supplements.

Frequently Asked Questions

Q1.

When should you use Omalizumab injection?

Omalizumab Injection will be administered every 2 to 4 weeks depending on your condition. It would be ideal to mark your calendar with the dates of your treatment so that you remember when to take Omalizumab injection.

Q2.

What are the limitations of omalizumab injection?

Omalizumab injection is not indicated to treat acute bronchospasm, status asthmaticus and other allergic conditions.

Q3.

Can you inject Omalizumab Injection yourself?

You can inject Omalizumab Injection by yourself only after receiving proper training from your healthcare provider. For children under the age of 12, Omalizumab Injection shall be administered under adult supervision.

Q4.

Who should not take Omalizumab injection?

Omalizumab Injection is not recommended for patients who are allergic to Omalizumab and its ingredients, natural rubber latex. Tell your healthcare provider if you have been diagnosed with any food allergies or sensitivities.

Q5.

How to store Omalizumab injection?

Store Omalizumab injection in a refrigerator in its original container away from direct sunlight. Do not freeze and do not use the injection if frozen. Avoid using this injection if it has been exposed to temperature above 25˚C.

Q6.

How long does it take for Omalizumab to work?

Omalizumab can take several months to show improvement. The benefits last for as long as you receive regular injections.

Q7.

How to identify whether you are allergic to Omalizumab?

Severe cough, chest tightness, wheezing, swelling of tongue/throat and breathing difficulty are some of the common symptoms that indicate that you are allergic to Omalizumab injection. Tell your doctor if you are allergic to rubber or latex since the prefilled syringe contains natural rubber latex. 

References

  1. Genentech USA, Inc., U.S. Food and Drug Administration, [Revised on Jul 2021] [Accessed on 22nd Sep 2022], https://www.gene.com/download/pdf/xolair_prescribing.pdf
  2. Peter J. Barnes, Goodman & Gilman’s Pharmacological Basis of Therapeutics, Pulmonary Pharmacology, 13th Edition, 2018, 727-749.

Disclaimer

The drug information on this page is not a substitute for medical advice, it is meant for educational purposes only. For further details consult your doctor about your medical condition to know if you are eligible to receive this treatment.

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