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Acarizax® Tablets for Dust Mite Allergy
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What Acarizax Is and How It Works
Acarizax® is a prescription sublingual immunotherapy for house dust mite allergy. It helps retrain your immune system to react less to mite allergens over time. This page explains how the treatment works, who may benefit, and how you can order with US delivery from Canada even if you pay without insurance.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine contains standardized house dust mite allergen extract in an oral lyophilisate that dissolves under the tongue. Daily dosing exposes your immune system to controlled amounts of allergen. Over time, this can reduce nasal and ocular symptoms linked to dust mite exposure. The class is designed for long-term use under a prescriber’s care. First doses are typically supervised so you can be monitored for allergic reactions.
Acarizax lyophilisate is taken at home after the first observed dose. It is not a rescue treatment for sudden symptoms. Patients continue their usual symptomatic medicines as directed while this therapy begins to work. Always follow the official product label and your prescriber’s instructions.
Who It’s For
This treatment is for patients with dust mite–induced allergic rhinitis, with or without conjunctivitis, confirmed by testing and history. Some regions also include use in certain patients with mite-related allergic asthma alongside standard control therapy; your prescriber will determine if this applies to you. The therapy should be started and overseen by a clinician experienced with allergy immunotherapy.
People with severe or uncontrolled asthma, eosinophilic esophagitis, or a history of severe systemic reactions to allergen immunotherapy should not use this class. Avoid starting during an acute respiratory infection or while you have mouth sores, recent dental surgery, or oral inflammation. Tell your prescriber about pregnancy, plans to become pregnant, or breastfeeding. Discuss heart or lung conditions, and any prior anaphylaxis.
Dosage and Usage
One Acarizax tablet is taken once daily, as directed by your prescriber. The first dose is usually given under medical supervision. Place the tablet under the tongue and allow it to dissolve completely. Do not chew or swallow it whole. Avoid food or drink for a few minutes after dosing. Wash your hands before and after handling the tablet.
Continue your existing allergy medications unless your clinician advises otherwise. If you experience persistent throat swelling, difficulty swallowing, or breathing symptoms after a dose, seek urgent care. Some people receive epinephrine training for rare severe reactions; your prescriber will advise if this is appropriate.
Immunotherapy is long-term. Benefit builds gradually with daily adherence. Do not change your schedule or stop without discussing it with your prescriber. Refer to the official label for full dosing instructions, age limits, and supervision requirements.
Strengths and Forms
This therapy is supplied as oral lyophilisate tablets in unit-dose blisters. Availability can vary by market and by pharmacy inventory. Commonly published options include:
- Acarizax 12 SQ-HDM tablets
- Also available as 90 SQ-HDM in some regions
Your prescriber will select the presentation that matches your indication and local labeling. Packaging sizes and manufacturers’ designs may differ between countries.
Missed Dose and Timing
If you miss a day, take the next dose at the usual time the following day. Do not double up. After longer gaps, your prescriber may want you to restart under supervision, depending on your history and the gap length. Keep dosing at approximately the same time each day to support routine and reduce the chance of omissions. If you have active mouth ulcers, significant oral inflammation, or a recent dental procedure, wait until your mouth heals before resuming and check in with your clinician.
Storage and Travel Basics
Keep tablets in the original blister pack until use. Store at room temperature away from moisture and direct light. Do not freeze. Keep out of reach of children and pets. If a blister is damaged, use a different intact dose.
When traveling, carry doses in your hand luggage along with a copy of your prescription and your prescriber’s instructions. If your clinician has provided an epinephrine auto-injector, keep it with you. For border crossings or flights, bring documentation that identifies the therapy and your dosing schedule. Avoid storing tablets in hot cars or damp bathrooms. If you have questions about handling during extreme temperatures, ask your pharmacist; temperature-controlled handling when required is used for sensitive items, but these tablets are typically shelf-stable when kept properly.
Benefits
This medicine targets the underlying allergic response to house dust mites rather than only masking symptoms. With consistent use, the treatment may reduce nasal congestion, sneezing, and itchy or watery eyes. Many patients appreciate at-home dosing after the first supervised administration. Daily, fixed dosing helps establish a routine. Over time, some patients may rely less on short-acting symptom relievers, as guided by their prescriber. Individual responses vary, and continued adherence is important.
Side Effects and Safety
- Mouth or tongue itching
- Throat irritation or tightness
- Mild mouth swelling
- Ear or lip itching
- Nausea or stomach discomfort
- Headache
Reactions usually start early and are often mild to moderate. Serious reactions are rare but can include anaphylaxis, severe throat swelling, or asthma worsening. Stop the dose and seek emergency care if you have breathing trouble, faintness, or fast-spreading hives. Eosinophilic esophagitis has been reported with sublingual immunotherapy; new or worsening difficulty swallowing or chest pain should be evaluated promptly. People with asthma should maintain good baseline control and have an action plan.
Drug Interactions and Cautions
Tell your prescriber about all medicines and supplements you use. Beta-blockers may reduce the effectiveness of epinephrine used to treat severe reactions. Certain blood pressure medicines such as ACE inhibitors warrant discussion. Use caution if you have active oral infections or inflammation, or if you recently had dental procedures. Alcohol may worsen mouth irritation in some people.
Discuss any history of mast cell disorders, chronic urticaria, or prior severe systemic reactions to allergy immunotherapy. Review pregnancy and breastfeeding considerations in advance. Do not start or stop asthma control medicines without guidance. Keep rescue inhalers available if you have asthma, and monitor control closely.
What to Expect Over Time
Early on, local mouth or throat symptoms are common and usually settle with continued dosing. Symptom relief may emerge gradually as your immune system adapts to regular allergen exposure. You may notice seasonal or environmental triggers feel less intense over time. Adherence is key. Use simple prompts, such as phone reminders or pairing the dose with a daily routine like brushing your teeth. Stay in touch with your clinician for periodic check-ins and to discuss any side effects or flare patterns.
If your prescriber recommends ongoing therapy, that decision is based on your symptom history, control goals, and label guidance. The full course is individualized. Avoid setting fixed expectations; your clinician will monitor progress and safety.
Compare With Alternatives
Allergen immunotherapy addresses the cause of dust mite allergy. Symptom-control options can complement or, for some patients, substitute for immunotherapy. A steroid nasal spray like Mometasone Nasal Spray reduces nasal inflammation and congestion. A leukotriene receptor antagonist such as Montelukast may help nasal and lower-airway symptoms for selected patients. Your prescriber can help decide which approach fits your diagnosis, asthma status, and treatment goals.
Pricing and Access
Check the Acarizax price on Borderfreehealth and compare options. You can see available presentations and current cash-pay details on the product page. We offer Canadian pricing with US shipping from Canada. A valid prescription is required. Our checkout is encrypted to help protect your information. If you are looking for a deal, visit our Promotions page for current offers.
To learn more about the condition we serve, see Allergic Rhinitis and Allergy categories. If your symptoms include wheeze or cough, you can also read our Asthma overview.
Availability and Substitutions
Stock can vary by strength and pack size. If a selected option is unavailable, your prescriber may recommend another allergen immunotherapy or a symptomatic regimen. Ask about Acarizax generic availability where you live; for many biologic allergen extracts, direct generics may not exist. Do not switch to another product without professional guidance, as standardization and indications differ by extract and region.
Patient Suitability and Cost-Saving Tips
Good candidates have confirmed house dust mite allergy and a history of symptoms despite environmental control and standard therapies. Those with uncontrolled asthma or certain esophageal conditions are not candidates. If you and your clinician decide to start, ask about multi-month quantities if permitted by your prescription, which can reduce per-fill fees. Set refill reminders to avoid gaps in therapy. Combine your order with other approved items when possible to optimize fulfilment costs. Review your plan’s out-of-network policies if you later submit receipts.
For education on triggers and care, explore Hay Fever Symptoms and Asthma Medications. Travelers may benefit from our guide, Traveling With Asthma, and seasonal awareness in Asthma And Allergy Month.
Questions to Ask Your Clinician
- Is sublingual immunotherapy appropriate for my test results and history?
- Should my first dose be supervised in clinic, and what should I bring?
- How does this interact with my asthma control plan and inhalers?
- What side effects should prompt me to stop and call you?
- How long should I continue before we review progress?
- Do I need an epinephrine auto-injector at home?
- What are my alternatives if immunotherapy is not a fit?
Authoritative Sources
ALK – Acarizax Product Information
Health Canada – Acarizax Product Monograph
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How does this sublingual dust mite immunotherapy work?
It delivers standardized house dust mite allergen under the tongue each day. The controlled exposure helps retrain your immune system to be less reactive to mites. Early local mouth or throat symptoms are common. Over time, many patients report fewer nasal and eye symptoms. It is not a rescue option. Continue your symptomatic medicines as directed and follow up with your clinician to monitor progress and safety.
Can I start if I have asthma?
People with well-controlled allergic asthma may be candidates in some regions, usually alongside their existing controllers. Those with severe or uncontrolled asthma should not start. Keep your reliever inhaler available and maintain your asthma plan. Your prescriber will decide if this approach suits your diagnosis, lung function, and local labeling. Do not change controller doses without medical guidance.
What should I expect during the first dose?
The first dose is typically supervised by a healthcare professional. They observe you for signs of an allergic reaction and teach you how to place the tablet, allow it to dissolve, and avoid food or drink briefly afterward. They also review side effects, when to seek urgent care, and whether you need an epinephrine auto-injector at home. Future doses are taken once daily at home.
What if I miss a dose or pause treatment?
If you miss a dose, take the next one at your usual time the following day. Do not double up. After a longer gap, your clinician may advise restarting under supervision, depending on your history and the length of the interruption. Keep doses at the same time each day when possible, and use reminders to support consistency.
Are there medicines I should avoid while taking it?
Tell your prescriber about all medicines and supplements. Beta-blockers can reduce the effectiveness of epinephrine used for severe reactions. Certain blood pressure medicines such as ACE inhibitors warrant discussion. If you have active mouth sores or recent dental work, you may need to wait until healing occurs before taking the next dose. When uncertain, consult your clinician or pharmacist.
How long before I notice improvement?
Immunotherapy benefits build gradually. Some patients notice symptomatic relief after sustained daily use, while others need longer. The timeline varies by individual, environment, and adherence. Your clinician can help set expectations and schedule check-ins. Avoid changing other treatments without medical advice, and keep using your usual rescue medicines as directed if symptoms flare.
How should I store it at home and during travel?
Keep tablets in their original blisters at room temperature away from moisture and light. Do not freeze. Store out of reach of children and pets. When you travel, carry your doses and prescription in hand luggage. Avoid hot cars and damp bathrooms. If your clinician provided an epinephrine auto-injector, keep it with you, and review handling instructions before your trip.
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