Nucala Injection is a prescription medicine. It is used as an add-on treatment of severe asthma in patients 6 years and older with an eosinophilic phenotype. You should not use this medicine to treat sudden breathing problems.
Nucala Injection is given by a doctor or a nurse as an injection. You should not self-administer this medicine at home. The dose and duration of the treatment will depend on the severity of your condition. Get the injection regularly and as long as the doctor has prescribed.
The most common side effects of this medicine include headache, injection site reactions (pain, redness, swelling, itching, or a burning feeling at the injection site), back pain, and tiredness (fatigue). If any of these side effects bother you or get worse, consult with your doctor. They may be able to suggest ways to reduce or treat the side effects.
Do not use this medicine if you are allergic to mepolizumab or any of the ingredients in this medicine. Do not use this medicine if you are taking any oral or inhaled corticosteroid medicines. However, do not stop taking your other asthma medicines unless instructed by your doctor. You should also not use this medicine if you have a parasitic (helminth) infection. Consult your doctor before using this medicine if you are pregnant, planning to become pregnant, or breastfeeding.
There is a Patient Support Program/Patient Assistance Program available in India for this medicine, being managed by Tata 1mg. Please contact your prescribing doctor to know more about the same. You may also call on (1800-102-1618) for more details.
Nucala Injection is used to treat and prevent the symptoms of asthma such as tightness in your chest, wheezing, breathlessness and coughing. It also relieves allergy symptoms like runny nose, watery eyes, sneezing and watery eyes. Nucala Injection works by reducing and preventing swelling and inflammation in your lungs. It may take a few weeks for this medicine to show full effects. In order to prevent future attacks, it is important to identify asthma triggers and avoid them and take your medications as prescribed.
Side effects of Nucala Injection
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Nucala
Headache
Injection site reactions (pain, swelling, redness)
Back pain
Fatigue
How to use Nucala Injection
Your doctor or nurse will give you this medicine. Kindly do not self administer.
How Nucala Injection works
Nucala Injection belongs to a class of medications called monoclonal antibodies. It works by blocking the action of some natural substances in the body that cause the symptoms of asthma such as difficulty breathing, chest pain, cough, and wheezing.
Safety advice
Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Nucala Injection. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
The safety of Nucala Injection during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding
CAUTION
Nucala Injection should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from the body.
Driving
SAFE
Nucala Injection does not usually affect your ability to drive.
Kidney
CONSULT YOUR DOCTOR
There is limited data available on the use of Nucala Injection in patients with kidney disease. Please consult your doctor.
Liver
SAFE IF PRESCRIBED
Nucala Injection is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.
What if you forget to take Nucala Injection?
If you missed a dose of Nucala Injection, consult your doctor.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Do not use Nucala Injection to treat sudden breathing problems.
Before taking this medicine, inform your doctor if you are taking any other asthma medications.
If at any time your breathing gets worse, please contact your doctor or nurse for advice straightaway.
Inform your doctor if you have heart problems, high blood pressure, or diabetes.
If you are due to have an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking, as some anesthetics can interfere with Nucala Injection.
Do not discontinue use without consulting your doctor, even if you feel better.
Do not smoke. Smoking causes irritation and damage to the lungs and will make your condition worse.
Try to keep your regular appointments with your doctor. This is so your doctor can review your condition on a regular basis.
I have MS( Multiple Sclerosis) And treated with so many allopathy treatments . Recently had my 2 nd attack which s little severe . I know there s no cure . But i am tired of medicine which gives so many side effects . Hoping for some kind of improvement in my health .
Dr. Deepak Kumar Soni
Ayurveda
Hi PATIENT your problem you need to consult to Ayurvedic Panchkarma center at your city
Nucala Injection is used as an add‑on treatment for severe eosinophilic asthma, eosinophilic granulomatosis with polyangiitis (a rare disease causing blood vessel inflammation), and hypereosinophilic syndrome (high levels of certain white blood cells). It helps control inflammation and reduce flare‑ups in these long‑term conditions when other treatments are not enough.
Can Nucala Injection be used during an asthma or COPD attack?
No. Nucala Injection is not meant to treat sudden breathing problems or asthma attacks. It is used regularly to help prevent future attacks and keep symptoms under control. Always use your quick‑relief inhaler for sudden breathing issues.
Who should not take Nucala Injection?
People who have had allergic reactions to mepolizumab or any of its ingredients should not use Nucala Injection. If you have ever experienced swelling, rash, breathing difficulty, or severe dizziness after receiving Nucala Injection, inform your doctor before taking it again.
What serious side effects of Nucala Injection should I watch out for?
Serious side effects may include allergic or hypersensitivity reactions such as swelling of the face or tongue, hives, low blood pressure, difficulty breathing, or dizziness. Seek immediate medical help if these occur after receiving this medicine.
Can Nucala Injection weaken my immune system or cause infections?
Some people using Nucala Injection have developed herpes zoster (shingles). Your doctor may suggest a shingles vaccine before starting treatment. If you notice any new skin rash or blisters, contact your doctor.
What precautions should I take if I have parasitic infections before using Nucala Injection?
If you have a parasitic (worm) infection, it should be treated before starting Nucala Injection. This medicine may reduce your body’s ability to fight certain parasites. If you get a worm infection while on treatment and it does not clear, your doctor may pause the medicine until it resolves.
Can I stop using my steroid inhaler after starting Nucala Injection?
Do not stop or reduce your steroid medicines suddenly after starting Nucala Injection. Your doctor will guide you if and when it is safe to lower the steroid dose gradually, since stopping too quickly can worsen symptoms or trigger withdrawal effects.
Is Nucala Injection safe for children or older adults?
Nucala Injection is approved for children 6 years and older with severe eosinophilic asthma, and for adults up to 75 years and beyond for other conditions. Studies show it works similarly across age groups, though some older adults may be more sensitive to its effects.
What should I do if I experience pain, redness, or swelling at the Nucala Injection injection site?
Mild pain, redness, or swelling at the injection site is common and usually goes away within a few days. If the area becomes very painful, itchy, or swollen, or if you develop a rash elsewhere, contact your doctor, as it could be an allergic reaction.
Can I receive vaccines while taking Nucala Injection?
Yes. You can usually receive vaccines while using Nucala Injection, but some vaccines, such as live vaccines, may require caution. Always check with your doctor before getting vaccinated, especially if it is a new vaccine or booster.
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References
Mepolizumab [Product Information]. [Accessed 05 Oct. 2021] (online) Available from:
Mepolizumab [EMC SmPC]. Brentford, UK: GlaxoSmithKline UK Limited; 2021. [Accessed 05 Oct. 2021] (online) Available from: