Monograph Details

Respiratory Tract > Asthma/COPD
XOLAIR
Manufacturer
Genentech and Novartis
Legal Classification
Rx
Pharmacological Class
Antiasthmatic (IgE blocker).
Generic Name
Omalizumab 150mg/vial; pwd for SC inj after reconstitution; preservative-free.
Indications
Moderate to severe persistent asthma in patients with a (+) skin test or in vitro reactivity to a perennial aeroallergen and whose symptoms are inadequately controlled by inhaled corticosteroids.
Children
Not recommended.
Adults
Base dose and frequency on baseline serum total IgE level and body weight; see literature. Give by SC inj over 5–10 seconds; max 150mg per inj site. 150–375mg every 2 or 4 weeks. Reevaluate periodically.
Precautions
Not for treating acute attacks. Have medications for treating anaphylaxis available, monitor for at least 2 hours after inj; may have delayed reaction. Elevated serum IgE levels may persist for up to 1 year after stopping therapy. Patients at risk of malignancy. Pregnancy (Cat.B). Nursing mothers.
Adverse Reactions
Inj site reactions, viral infections, upper respiratory tract infections (eg, sinusitis, pharyngitis), headache; hypersensitivity reactions (discontinue if severe), anaphylaxis (may be fatal), antibody formation, malignancies.
How Supplied
Single-use vial—1
Additional Resources
Related Prescribing Note