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Package Leaflet: Information for the User


300 SU, 800 SU and 2000 SU/0.5 ml
suspension for injection

Extension Course

A llergy

2000 SU/0.5 ml
suspension for injection


Transforming Allergy Treatment

Tell your doctor or nurse if the interval between Pollinex Trees injections is longer than 14 days, as
they may need to reduce the dose of injection.
This allergy vaccine may be given for three consecutive years.
You must wait in the surgery/clinic for one hour after each injection. This may be longer if you
experience mild symptoms or signs of an allergic reaction and you will be kept under observation until
these symptoms have completely disappeared. If a side effect is severe and continues for a period of
time you may need to be admitted to hospital.
Do not rub the site of injection.
Do not take vigorous exercise for 12 hours after your injection.

Other vaccinations

Read all of this leaflet carefully before you start using this medicine.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor, nurse or pharmacist.
• If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please
tell your doctor.
In this leaflet:
1. What Pollinex Trees is and what it is used for
2. Before you use Pollinex Trees
3. How to use Pollinex Trees
4. Possible side effects
5. How to store Pollinex Trees
6. Further information

1. What Pollinex Trees is and what it is used for
Pollinex Trees is an allergy vaccine containing a mixture of modified extracts from Birch, Alder and Hazel pollen.
Pollinex Trees is used to treat seasonal allergic hayfever (due to tree pollen) in patients who have not responded
well to anti-allergy drugs. In hayfever, contact with high levels of pollen causes sneezing, blocked and runny nose
and burning/watery eyes. The modified tree pollen extracts in Pollinex Trees are released slowly to reduce potential
side effects.
Your treatment will begin before the start of the tree pollen season.

2. Before you use Pollinex Trees
Do not use Pollinex Trees if

• you know you have an intolerance to phenol, glycerol or any of the other non active ingredients in
the vaccine (listed in section 6 ’ Further information’)
• you are pregnant or think you might be pregnant
• you have lung problems such as asthma, emphysema, bronchiectasis
• you have a severe mental disorder such as depression or schizophrenia
• you have active tuberculosis of the lungs or eyes
• you have any autoimmune disease such as:
- Rheumatoid arthritis (which affects your joints)
- Addison’s disease (which affects the production of hormones in the body)
- a type of hepatitis (liver disease)
- a type of diabetes (type I)
- Multiple sclerosis (a degenerative disease)
• you have any disorder of tyrosine metabolism including tyrosinaemia (increased blood levels of
tyrosine) and alkaptonuria (causing brown colouring of the skin and eyes, damage to joints and
passing black urine)
• you have any type of infection (also HIV/AIDS)
• you have had a high temperature in the last 24 hours
• you are taking beta-blockers e.g. Atenolol used in the treatment of conditions such as high blood
pressure and heart problems.

Take special care with Pollinex Trees

It is important to tell your doctor if you suffer from any heart related medical condition. You
may be able to use Pollinex Trees, but need to discuss with your doctor first.
Do not eat a heavy meal immediately before you are due to have an injection.

Taking other medicines
• Do not take Pollinex Trees if you are taking beta-blockers.
• Talk to your doctor, nurse or pharmacist before having Pollinex Trees if you are taking any of the
following medicines:
- Antihistamines e.g. Cetirizine used in the treatment of conditions such as hayfever, rash and
swelling of the face and throat
- Corticosteroids e.g. Beclometasone used in the treatment of conditions such as asthma,
running nose and nasal congestion
- Mast Cell Stabilisers e.g. Sodium Cromoglycate used in the treatment of conditions such as
running nose, nasal congestion, asthma and itchy or sore eyes.
Please tell your doctor if you are taking or have recently taken any other medicines, including medicines
obtained without a prescription.

Pregnancy and breast feeding

You should not use Pollinex Trees if you are pregnant, think you might be pregnant or are breast

Driving and using machines

Occasionally the injection may cause mild drowsiness; you should not drive or use tools or machinery
if you experience this symptom.

Important information about some of the ingredients of Pollinex Trees

If you are due to have any other type of vaccination, (for example a flu jab) there should be an interval
of at least one week between your last injection of Pollinex Trees and the day of the other vaccination.
The next dose of Pollinex Trees may be administered two weeks after the other vaccination provided
that all side effects of the other vaccination have completely disappeared.

If you are given more Pollinex Trees than you should

As a doctor or nurse will be giving you your medicine, it is unlikely that you will receive an incorrect dose.
Tell your doctor or nurse if you have any concerns about the amount of medicine that you are given.

If you forget to use Pollinex Trees

It is important that Pollinex Trees injections are given at the right time. Tell your doctor or nurse if the
interval between Pollinex Trees injections is longer than 14 days, as they may need to reduce the dose of

If you stop using Pollinex Trees

If you stop having Pollinex Trees without the advice of your doctor, your symptoms may get worse.
If you have any further questions on the use of this product, please ask your doctor.

4. Possible side effects
Like all medicines, Pollinex Trees can cause side effects, although not everybody gets them.
Get urgent medical treatment immediately if you notice a severe allergic reaction, known as
an anaphylactic shock after taking Pollinex Trees. Symptoms include:
• General itching and feeling of heat – especially affecting scalp, mouth, throat, palms or soles
• Severe wheezing, or noisy or difficult breathing
• Severe hives/nettle rash
• Swelling of the lips or throat
• Pale or greyish skin colour
• A fast heart beat
• Faintness or collapse.
Anaphylactic shock can develop a few seconds to minutes after the allergy vaccine injection,
often before a local reaction has appeared. An emergency kit will be available.

Other side effects include:

Swelling or irritation at the site of injection
A lump or nodule of inflamed tissue (granuloma) at the site of injection
Eczema may become worse
Running nose, sneezing
Difficulty breathing or wheezing.

Tell your doctor, nurse or pharmacist as soon as possible if you notice any of these side effects.
If you experience any side effects after your injection, or if you notice any side effects not listed
in the leaflet, inform your doctor before you receive your next dose.

5. How to store Pollinex Trees
Keep out of the reach and sight of children
Store in a refrigerator between 2 °C and 8 °C. Do not freeze
The pack should be removed from the fridge 2-3 hours before use
Do not use after the expiry date which is stated on the packaging. The expiry date refers to the last
day of that month
• Do not use if there are any visible signs of deterioration
• Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to
dispose of medicines no longer required. These measures will help to protect the environment.

6. Further information
What Pollinex Trees contains:

• The active substances are the allergoids.
Pollinex Trees contains equal proportions of 3
selectively purified allergoids of pollen allergens
from the following trees:
- Birch (Betula spp.)
- Alder (Alnus spp.)
- Hazel (Corylus spp.)

What Pollinex Trees looks like and the contents of the pack:
Pollinex Trees and Pollinex Trees Extension Course is a white opaque suspension for injection.
Pollinex Trees Initial Course consists of:
3 vials each containing 1.0 ml suspension

Pollinex Trees is essentially ’
‘sodium free’ since it contains less than 1 mmol sodium (23 mg) per dose.

3. How to use Pollinex Trees
Your medicine has been prescribed by and will be given to you under the supervision of a qualified doctor.
They will be equipped with full facilities for cardio respiratory resuscitation to deal with any severe
reaction to the vaccine.
Pollinex Trees vaccine is injected slowly under the skin.

• The other non active ingredients are:
- L-Tyrosine
- Phenol
- Sodium Chloride
- Disodium Phosphate Dodecahydrate
- Sodium Dihydrogen Phosphate Dihydrate
- Glycerol
- Water for Injections.

Pollinex Trees Extension Course consists of:
1 vial containing 1.5 ml suspension

No. 1 Vial 300 SU/0.5 ml Green
No. 2 Vial 800 SU/0.5 ml Yellow
No. 3 Vial 2000 SU/0.5 ml Red

No. 1 Vial 2000 SU/0.5 ml Red

The product is supplied in a pack containing both the Initial Course and the Extension Course.

Children under the age of 6 should not be given Pollinex Trees.
You should not be given this vaccine during the tree pollen season.

Treatment plan

Pollinex Trees Initial Course

Three doses, in increasing strengths (300, 800, then
2000 Standardised units) given as separate injections.
Interval of 7-14 days between injections.

Pollinex Trees Extension Course
(may be given after the initial course)

Three doses of 2000 Standardised units given as
separate injections.
The first injection is given about 14 days after the
initial course is finished; the other injections are
usually given at intervals of 2-4 weeks.
If the hayfever season is due to start shortly, the
interval can be reduced to 1 week.

Marketing Authorisation Holder and Manufacturer
Allergy Therapeutics (UK) Ltd., Dominion Way, Worthing,
West Sussex, BN14 8SA, United Kingdom.

A llergy


Transforming Allergy Treatment

This leaflet was approved in 06/2008

© Allergy Therapeutics (UK) Ltd.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.