In a CSU patient transitioning from Xolair to Rhapsido, how long after the most recent Xolair dose do you start Rhapsido?
2 Answers
Mednet MemberInvited Expert
Allergy & Immunology · Bernstein Allergy Group Inc
Answered on
Since Rhapsido works as early as two weeks in most patients, I would recommend starting 1-2 weeks after the last Xolair injection to avoid breakthrough hives. This, of course, depends on whether the patient on Xolair is completely controlled or not. If not controlled, I would stop Xolair and start R...
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Mednet MemberInvited Expert
Allergy & Immunology · PennState Health
Answered on · Updated on
I would start as early as possible without concern of additional adverse events since mechanisms differ. Also, there are no known interactions or contraindications using both together, not that I recommend using both except is a very usually case. Although, onset of Rhapsido is rapid, it is not imme...
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