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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

Mepolizumab is used in the treatment of Asthma. The detailed uses of Mepolizumab are as follows: • Severe eosinophilic asthma: Mepolizumab is used as an add-on maintenance treatment for patients aged 6 years and older with severe asthma characterized by high levels of eosinophils. It helps reduce inflammation in the airways and lowers the frequency of asthma attacks. • Chronic obstructive pulmonary disease (COPD): Mepolizumab is used in adults with eosinophilic COPD whose symptoms are not adequately controlled with standard inhalers. It works by reducing eosinophil-driven inflammation, improving breathing and quality of life. • Chronic rhinosinusitis with nasal polyps (CRSwNP): Mepolizumab is used in adults whose nasal polyps are not controlled with corticosteroids. It helps reduce nasal congestion, discharge, and the need for surgery. • Eosinophilic granulomatosis with polyangiitis (EGPA): Mepolizumab is used to treat this rare autoimmune condition that involves asthma, high eosinophil counts, and blood vessel inflammation. It helps reduce flare-ups and steroid dependence. • Hypereosinophilic syndrome (HES): Mepolizumab is used in adults and children aged 12 and older who have had HES for at least 6 months without a known secondary cause. It helps lower eosinophil counts and control symptoms.

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

Store in a cool and dry place away from sunlight

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

Drug 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:

  • DEUCRAVACITINIB
  • Safety Advice

    • Safety Warning

      Alcohol

      consult your doctor

      It is unknown whether Mepolizumab interacts with alcohol or not. Consult your doctor.

    • Safety Warning

      Pregnancy

      caution

      If you are pregnant or planning pregnancy, inform your doctor before receiving Mepolizumab. Your doctor may prescribe this medicine if the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      caution

      It 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.

    • Safety Warning

      Driving

      safe

      Mepolizumab does not affect your driving ability.

    • Safety Warning

      Liver

      caution

      If you have a pre-existing or a history of liver problems, tell your doctor before receiving this medicine.

    • Safety Warning

      Kidney

      caution

      If you have a pre-existing or a history of kidney problems, tell your doctor before receiving this medicine.

    • Safety Warning

      Children

      caution

      Mepolizumab is not recommended in children below six years of age as the safety and efficacy are not established.

    Habit Forming

    No

    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.

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