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How Tezepelumab-ekko works differently from other asthma biologics?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have been dealing with severe asthma for years and have tried various biological treatments, including Xolair and Dupixent, with limited improvement. My doctor recently mentioned Tezspire as a potential option, but I am unsure how it compares to the biologics I have already used. Can you explain how Tezspire works differently from other asthma biologics? I have read that it targets TSLP (thymic stromal lymphopoietin) rather than IL-4 or IgE pathways. Does this make it more effective for certain types of severe asthma? How quickly can I expect to see symptom relief after starting Tezspire? Does it significantly reduce the need for oral steroids and improve lung function? Are there any specific side effects or risks that I should be aware of before making a switch? Is Tezspire approved for a wide range of asthma patients, or is it only effective for those with eosinophilic asthma? I want to ensure that it is the right choice for my condition before starting treatment. Any insights would be greatly appreciated.

Thanks.

Answered by Dr. Srinivasa Murthy

Education:

MBBS

Professional Bio:

Dr. Srinivasa, with extensive 17 experience in diabetes reversal, weight management, and hormone-related conditions, takes a holistic, patient-centric approach. He specializes in lifestyle modifications and personalized nutrition, using evidence-based medicine to treat diseases at their root. His methods help patients achieve lasting health while reducing or eliminating medications.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern.

Tezspire (Tezepelumab) works differently from other asthma biologics by targeting TSLP (thymic stromal lymphopoietin), which plays a key role in the inflammatory cascade of asthma. This makes it potentially more effective for a broader range of severe asthma types, not just eosinophilic asthma. Patients often see symptom relief within a few weeks of starting Tezspire. It can significantly reduce the need for oral steroids and improve lung function. Common side effects include headaches and joint pain, but these are generally manageable. Tezspire is approved for a wide range of asthma patients, making it a versatile option. Please book a consultation with me if you would you like more detailed information on any of these points, or if you have other questions.

I hope this information will help you.

Thanks.

Medically reviewed by iCliniq medical review team
Published At May 2, 2025
Reviewed At May 9, 2025

Education:

MBBS

Professional Bio:

Dr. Srinivasa, with extensive 17 experience in diabetes reversal, weight management, and hormone-related conditions, takes a holistic, patient-centric approach. He specializes in lifestyle modifications and personalized nutrition, using evidence-based medicine to treat diseases at their root. His methods help patients achieve lasting health while reducing or eliminating medications.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Srinivasa, with extensive 17 experience in diabetes reversal, weight management, and hormone-related conditions, takes a holistic, patient-centric approach. He specializes in lifestyle modifications and personalized nutrition, using evidence-based medicine to treat diseases at their root. His methods help patients achieve lasting health while reducing or eliminating medications.

This doctor is not available for online consultations on the platform anymore.

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