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Can Xolair be self-administered at home?

Medically reviewed by Leigh Ann Anderson, PharmD. Last updated on Aug 11, 2021.

Official answer


Yes, you or your caregiver can learn how to prepare and inject Xolair if your doctor approves. For children 12 years of age and older, Xolair may be self-injected under adult supervision. For children 6 to 11 years of age, Xolair should be injected by a caregiver.

  • You will receive training on how to inject this medicine from your healthcare team.
  • At first, you will receive the medication from your doctor in a healthcare setting. This allows your doctor to monitor you and treat you for side effects like a severe allergic reaction (anaphylaxis), if this should occur. Anaphylaxis is a life-threatening condition and can lead to death.
  • Learn how to recognize anaphylaxis and talk to your doctor about how to identify the symptoms.

Go to the nearest emergency room right away if you have any of these symptoms of an allergic reaction:

  • wheezing, shortness of breath, cough, chest tightness, or trouble breathing
  • low blood pressure, dizziness, fainting, rapid or weak heartbeat, anxiety, or feeling of “impending doom”
  • flushing, itching, hives, or feeling warm
  • swelling of the throat or tongue, throat tightness, hoarse voice, or trouble swallowing

Xolair is approved to treat moderate-to-severe persistent asthma in patients 6 years of age and older, chronic idiopathic urticaria in adults and adolescents 12 years of age and older, and nasal polyps in adult patients 18 years of age and older.

Xolair is given by 1 or more injections under the skin (subcutaneously) from a prefilled syringe. It is given once every 2 or 4 weeks. Your doctor will determine your exact dose.

Use Xolair exactly as directed by your healthcare provider. Do not use the injection until you have been trained on how to do this. One you have been trained, you can follow the detailed “Instructions for Use” that comes with your medicine to administer at home. If you have questions, contact your healthcare provider.

Related: See the Xolair “Instructions for Use” under Patient Counseling Information.

This is not all the information you need to know about Xolair (omalizumab) for safe and effective use and does not take the place of talking to your doctor about your treatment. Review the full Xolair information here, and discuss this information and any questions you have with your doctor or other health care provider.


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