Patient's Query
Hello doctor,
I am reaching out about starting Tezspire. I am 34 years old, a severe asthma patient, and constantly in and out of the hospital despite being on Xolair. Had 4 severe exacerbations in the past 2 months, and oral steroids are barely helping anymore. My pulmonologist suggested switching to Tezspire, but I have concerns. My job involves frequent travel. Need to know what to expect in terms of side effects.
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
Tezspire (injection) (Tezepelumab) is a promising treatment option for severe asthma.
Mechanism of action
Thymic stromal lymphopoietin (TSLP) inhibition: Tezspire works by inhibiting thymic stromal lymphopoietin (TSLP), a key protein involved in asthma inflammation.
Different from Xolair (injection) (Omalizumab): Unlike Xolair (Omalizumab), which targets immunoglobulin E (IgE), Tezspire targets TSLP, providing a different mechanism of action.
Loading period
Initial dosing: The loading period for Tezspire typically involves three initial doses, administered four weeks apart.
Potential side effects: During the loading period, you may experience side effects like headache, fatigue, or injection site reactions.
Dosing schedule
Maintenance dosing: After the loading period, Tezspire is administered every four weeks.
Flexibility for travel: While it is recommended to maintain the four-week dosing schedule, some flexibility may be possible. Discuss your travel schedule with your healthcare provider to determine the best approach.
Side effects
Common side effects: Headache, fatigue, injection site reactions, and pharyngitis are common side effects of Tezspire.
Less common side effects: Some patients may experience more serious side effects, such as hypersensitivity reactions or eosinophilia.
Monitoring: Regular monitoring by your healthcare provider can help identify and manage potential side effects.
To better understand your situation, I will need more detailed information.
Detailed clinical history
Asthma history: Age of onset, severity, previous hospitalizations or intensive care unit (ICU) admissions, and any previous asthma exacerbations.
Current symptoms: Describe your current asthma symptoms, including frequency, severity, and triggers.
Previous treatments: List previous asthma treatments, including medications, inhalers, and nebulizers.
Medication details
Inhalers: List all inhalers, including types (e.g., metered-dose inhaler (MDI), dry powder inhaler (DPI)), medications, and dosages.
Nebulizers: Describe your nebulizer treatment, including medication, dosage, and frequency.
Other ongoing medications: List all other medications, including dosages and frequencies.
Inhaler technique and compliance
Inhaler technique: Have you received instructions on the proper inhaler technique? Are you using a spacer or valved holding chamber (VHC)?
Compliance: Are you taking your medications as prescribed? Are there any challenges or barriers to adherence?
Comorbid conditions
Sugar (blood glucose): Do you have diabetes or prediabetes? What are your current blood glucose levels?
Blood pressure (BP): What are your current BP readings?
Oxygen saturation: What are your current oxygen saturation levels?
Temperature: Do you have a fever or elevated temperature?
I need information on the following recent blood reports
CBC (complete blood count).
ESR (erythrocyte sedimentation rate).
CRP (C-reactive protein).
IgE (immunoglobulin E)
Kindly consult a specialist doctor, talk with them, and take medications with their consent.
I hope this helps.
Thank you.
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Answered byDr. Jain Tushar Pukharaj
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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