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XOLAIR Dosing and Administration Guide

May 19, 2025

Dosing and Administration of XOLAIR (omalizumab)

Overview

  • XOLAIR is an injectable prescription medicine used for chronic spontaneous urticaria (CSU) in individuals aged 12 and older not controlled by H1 antihistamines.
  • It is administered subcutaneously.

Self-Injection

Two Methods of Self-Injection

  • Autoinjector
  • Prefilled Syringe

Getting Started

  • Initial training is required with a healthcare provider before self-injection.
  • Children 12 and older may self-inject under adult supervision.
  • Instructions for Use are available in the XOLAIR carton.

Important Safety Information

Severe Allergic Reaction

  • Anaphylaxis, a severe allergic reaction, may occur after any dose.
  • Symptoms include wheezing, shortness of breath, dizziness, and swelling.

Contraindications

  • Do not use if allergic to omalizumab or its ingredients.

Precautions

  • Inform your healthcare provider if you have allergies, a history of anaphylaxis, parasitic infections, cancer, pregnancy, or are breastfeeding.

Administration Guidelines

  • XOLAIR is administered every 4 weeks.
  • Initial doses are supervised by a healthcare provider.
  • Do not stop other hive medications unless directed by a healthcare provider.

Side Effects

Serious Side Effects

  • Cancer: Observed in some patients.
  • Fever, muscle aches, rash within 1 to 5 days post-injection.
  • Parasitic infections in some at-risk individuals.
  • Heart and circulation problems reported.

Common Side Effects

  • Nausea, headaches, nasal swelling, cough, joint pain, upper respiratory infection.

Support and Resources

  • Support For You Program: Offers 1-on-1 sessions and financial assistance options.
  • Patient Resources: FAQs, downloadable resources, and the XOLAIR Journey Guide.

Legal and Contact Information

  • Side effects can be reported to the FDA or Genentech.
  • Full prescribing information and medication guides are available online.