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Oralair

Generic Name: grass pollen allergen extract (GRAS POL-uhn al-er-juhn EK-strakt)
Brand Name: Oralair

Oralair can cause severe and sometimes life-threatening allergic reactions. Do not take Oralair if you have severe or uncontrolled asthma. After you take the first dose of Oralair, your doctor will watch you closely for at least 30 minutes. Your doctor should give you another medicine (epinephrine) to use in case of an allergic reaction. Be sure you know how and when to use it. Tell your doctor if you are taking a beta-blocker (eg, metoprolol). Epinephrine may not work as well if you are taking a beta-blocker. Discuss any questions or concerns with your doctor.


Oralair is used for:

Treating allergies caused by grass pollen. It may also be used for other conditions as determined by your doctor.

Oralair is an allergen extract. Exactly how it works is not known.

Do NOT use Oralair if:

  • you are allergic to any ingredient in Oralair or to any other allergen immunotherapy medicines given under the tongue (sublingual)
  • you have severe or uncontrolled asthma
  • you have a history of any severe allergic reaction
  • you have a history of eosinophilic esophagitis

Contact your doctor or health care provider right away if any of these apply to you.

Before using Oralair:

Some medical conditions may interact with Oralair. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have lung or breathing problems (eg, asthma, chronic obstructive pulmonary disease [COPD]), heart problems (eg, coronary artery disease, irregular heartbeat), high blood pressure, or mouth irritation (eg, mouth sores, ulcers, or cuts; mouth infection, thrush or white patches in the mouth or throat)
  • if you are getting other allergen treatment or you have recently had oral surgery or a tooth removed
  • if you are taking an alpha-blocker (eg, doxazosin), a beta-blocker (eg, metoprolol), chlorpheniramine, digoxin, diphenhydramine, a diuretic (eg, furosemide), an ergot alkaloid (eg, ergotamine), levothyroxine, a monoamine oxidase inhibitors (MAOI) (eg, phenelzine), or a tricyclic antidepressant (eg, amitriptyline). Epinephrine may not work as well to treat a severe reaction if you are taking any of these medicines

Some MEDICINES MAY INTERACT with Oralair. However, no specific interactions with Oralair are known at this time.

Ask your health care provider if Oralair may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Oralair:

Use Oralair as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Oralair comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Oralair refilled.
  • You will have to take the first dose of Oralair at your doctor's office, hospital, or clinic. Contact your health care provider if you have any questions.
  • Do not remove the tablet from the blister until you are ready to take Oralair.
  • Do not swallow, crush, or chew. Place the tablet under your tongue and allow it to dissolve for at least 1 minute before swallowing. Do not smoke while the tablet is dissolving.
  • Wash your hands after taking Oralair.
  • Do not eat or drink while the tablet is dissolving or for 5 minutes after it has dissolved.
  • If you miss a dose of Oralair, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. If you miss more than 1 day, call your doctor to find out what to do.

Ask your health care provider any questions you may have about how to use Oralair.

Important safety information:

  • Oralair will not help relieve allergy symptoms if you already have them. Discuss any questions or concerns with your doctor.
  • You will need to start taking Oralair 4 months before grass pollen season starts unless your doctor has told you otherwise.
  • If you have asthma and you have trouble breathing or your asthma gets harder to control, call your doctor right away.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Oralair while you are pregnant. It is not known if this medicine is found in breast milk. If you are or will be breast-feeding while you use Oralair, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Oralair:

All medicines may cause side effects, but many people have no, or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Cough; itching in the ear, mouth, or tongue; mouth or throat pain; throat irritation.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest or throat; swelling of the mouth, face, lips, throat, or tongue); chest pain; dizziness or fainting; fast or weak heartbeat; flushing; heartburn; pain with swallowing; severe or persistent coughing; severe or persistent diarrhea, stomach cramps or pain, or vomiting; shortness of breath or wheezing; trouble speaking or swallowing.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Oralair:

Store Oralair in the original package at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Oralair out of the reach of children and away from pets.

General information:

  • If you have any questions about Oralair, please talk with your doctor, pharmacist, or other health care provider.
  • Oralair is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take Oralair or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Oralair. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Oralair. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using Oralair.

Review Date: August 8, 2016

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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