Mepolizumab
About Mepolizumab
Mepolizumab is a prescription injection used to treat severe eosinophilic asthma, which is a type of asthma caused by too many inflammatory white blood cells. It is also used to treat chronic swelling of the sinuses with nasal polyps, and certain rare blood vessel diseases. This medicine helps manage long-term inflammation to keep your airways open and reduce severe breathing attacks.
This medicine must be injected regularly, usually once every 4 weeks, to keep your symptoms under control. Because it is given as an injection under the skin, you can take it with or without food. Combining this treatment with healthy habits, like avoiding smoke and managing daily stress, will help you get the best results from your therapy.
Many people tolerate this medication well, but you may experience mild side effects like headaches or injection site pain. However, you should contact your doctor immediately if you experience signs of a severe allergic reaction, such as difficulty breathing or sudden facial swelling.
Talk to your doctor before starting this medicine if you have a history of parasitic infections or shingles, as Mepolizumab can affect how your body fights these conditions. Do not take this if you have ever had a severe allergic reaction to this medication or any of its ingredients.
Tell your doctor about all other medicines you take, especially steroids, as stopping them suddenly can cause withdrawal symptoms. Additionally, consult your healthcare provider if you are pregnant, breastfeeding, or an older adult, as they will help decide if this treatment is safe for your specific situation.
Uses of Mepolizumab
Medicinal Benefits
Using Mepolizumab as prescribed helps reduce inflammation caused by eosinophils, improve symptom control, and support long-term disease management. Here are the key benefits you can expect:
- Reduces severe flare-ups: Helps prevent asthma attacks and disease flare-ups, allowing you to breathe more comfortably and carry out daily activities with greater confidence.
- Reduces the need for oral steroids: Helps lower the reliance on long-term oral steroid treatment, reducing the risk of steroid-related side effects such as bone thinning and high blood sugar.
- Improves long-term symptom control: Helps relieve nasal congestion and sinus pressure caused by nasal polyps while providing consistent disease control, reducing emergency hospital visits and the need for nasal surgery.
Directions for Use
- Follow your doctor’s recommendations for the correct dosage and timing of this medication.
- The first dose of Mepolizumab may be administered by the doctor. After that, your doctor may allow you or a caregiver to administer it at home. Check the label for directions and use it as advised by the doctor. Choose an injection site such as the thigh or abdomen; pinch the skin and inject the advised dose slowly and steadily.
- Rotate the injection site each time. Do not inject into skin that is red, bruised, or hard.
Storage
Side Effects of Mepolizumab
Common Side Effects (Usually mild):
- Headaches
- Pain, redness, or swelling where the injection was given
- Back pain
- Fatigue or feeling tired
Serious Side Effects (Consult your doctor right away):
- Severe allergic reactions, including hives, swelling of the face, mouth, or tongue, and difficulty breathing
- Signs of shingles, such as a painful skin rash with blisters, burning, or tingling on one side of the body
- Worsening of asthma symptoms or sudden breathing difficulties shortly after your injection
Medicines Containing this Salt
View AllDrug Warnings
- Inspect the medicine before use: Check the solution inside the syringe or auto-injector before injecting. It should be clear to pale yellow or pale brown. Do not use it if it appears cloudy, discoloured, or contains visible particles.
- Rotate injection sites: Use a different injection site with each dose to help reduce the risk of skin irritation, bruising, or tissue damage.
- Do not share injection devices: Never share your injection device or reuse needles, as this can increase the risk of serious skin and blood infections.
- Continue other prescribed medicines: Do not stop or reduce the dose of your other asthma controller medicines, especially oral steroids, unless your doctor advises you to do so.
- Watch for allergic reactions: Be alert for delayed allergic reactions, which may occur several hours or even days after your injection.
Drug Interactions
- Corticosteroids (oral or inhaled): Do not stop taking or reduce your steroid dose suddenly when starting Mepolizumab. Your doctor will help you gradually decrease dose levels to prevent steroid withdrawal symptoms.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
consult your doctorIt is unknown whether Mepolizumab interacts with alcohol or not. Consult your doctor.
Pregnancy
cautionIf you are pregnant or planning pregnancy, inform your doctor before receiving Mepolizumab. Your doctor may prescribe this medicine if the benefits outweigh the risks.
Breast Feeding
cautionIt is not known if Mepolizumab passes into the breastmilk when used by a breastfeeding mother. Your doctor will prescribe Mepolizumab only if the benefit outweighs the risk.
Driving
safeMepolizumab does not affect your driving ability.
Liver
cautionIf you have a pre-existing or a history of liver problems, tell your doctor before receiving this medicine.
Kidney
cautionIf you have a pre-existing or a history of kidney problems, tell your doctor before receiving this medicine.
Children
cautionMepolizumab is not recommended in children below six years of age as the safety and efficacy are not established.
Habit Forming
Diet & Lifestyle Advise
- Identify and avoid environmental triggers: Keep your living space free from common irritants such as dust, pet dander, mold, and strong perfumes.
- Avoid all exposure to tobacco smoke: Quit smoking and stay away from secondhand smoke, as it directly damages sensitive airway linings and reduces the effectiveness of your medications.
- Monitor your breathing daily: Use a peak flow meter or keep a daily symptom log to track how well your lungs are functioning.
- Maintain a lung-healthy diet: Focus on eating anti-inflammatory foods like fresh berries, leafy greens, and fatty fish containing omega-3 fatty acids.
Special Advise
The doctor may suggest some tests to know the root cause of the respiratory disorder, such as Spirometry (check the narrowing of bronchial tubes) and Peak flow (check how difficult it is to exhale).
Patients Concern
Disease/Condition Glossary
Asthma: It is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty in breathing. The symptoms of asthma include wheezing (whistling sound while breathing), shortness of breath, chest tightness and cough, especially at night. The treatment for asthma includes medication, breathing exercises and self-care.
FAQs
Mepolizumab is used to treat Asthma.
Mepolizumab contains Mepolizumab, which reduces the synthesis of pro-inflammatory markers called cytokines. Thus, it helps in decreasing inflammation.
Yes, once you or your caregiver receive proper training from a healthcare professional, you can self-inject Mepolizumab at home. Do not try to inject it until you feel confident in the technique. Talk to your doctor to see if home injection is right for you.
Take the missed dose as soon as you remember. If your next scheduled injection is very close, skip the missed dose and return to your regular monthly schedule. Talk to your doctor or pharmacist if you are confused about timing.
No, Mepolizumab is a long-term controller medicine and will not stop a sudden asthma attack. You must always keep your fast-acting rescue inhaler with you for quick relief during sudden breathing emergencies.
No, you should not stop or change any of your other asthma medicines unless your doctor explicitly tells you to do so. Mepolizumab works alongside your regular controller treatments. Talk to your doctor before making any adjustments.
Because Mepolizumab affects your immune system, you should discuss your vaccination history with your doctor before starting treatment. Some vaccines, such as those for shingles, are recommended before starting this medicine. Talk to your doctor about your immunization schedule.
The safety of Mepolizumab during pregnancy or breastfeeding is not fully established. Your doctor will help you balance the risks of uncontrolled asthma against any potential risks to your baby. Talk to your doctor if you are pregnant or planning to become pregnant.
You should experience fewer asthma flare-ups, reduced sinus congestion, and a decreased need for your rescue inhaler or oral steroids. Keep a daily log of your symptoms and talk to your doctor during your regular follow-ups to evaluate your progress.

