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Dupilumab

Published: July 26, 2026Updated: July 26, 2026

Dupilumab is a monoclonal antibody medication used to treat moderate-to-severe inflammatory conditions including atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyps, eosinophilic esophagitis, and prurigo nodularis. It works by blocking specific proteins (IL-4 and IL-13) that drive type 2 inflammation in the body.

Quick summary

Dupilumab is a biologic injection that treats inflammatory conditions by blocking IL-4 and IL-13 signaling pathways.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
D11AH05
RxNorm
1876376
Generic
Dupilumab
Class
atc-d11
Brands
Dupixent
Availability
rx
Lactation
unknown
Routes
—
Forms
prefilled syringe
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)subcutaneous injection
Usual dose
300mg every other week (after 600mg initial dose)
Maximum
consult physician
Frequency
every 2 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)subcutaneous injection
Usual dose
200mg every other week for patients 12-17 years (after 400mg initial dose)
Maximum
consult physician
Frequency
every 2 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)subcutaneous injection
Usual dose
300mg every other week (after 600mg initial dose)
Maximum
consult physician
Frequency
every 2 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Specific toxic dose not established; monoclonal antibodies have different toxicity profiles than small molecule drugs
Chronic overdose: Data not available; dupilumab is administered as subcutaneous injections typically at 300mg every other week
Immediate actions
Contact poison control (1-800-222-1222) and seek emergency medical care; monitor for allergic reactions and hypersensitivity
Antidote
No specific antidote exists for dupilumab overdose(Supportive care is primary management approach)
Poison Control: 1-800-222-1222

Special Populations

6 groups
⚠

pregnancy

all trimesters
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if potential benefit justifies potential risk to fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

?

lactation

breastfeeding
unknown
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

decision to discontinue nursing or dupilumab should consider benefit to mother and risk to infant

Monitor

monitor infant for infections

✓

pediatric_age

6 months to 17 years
safe
FDA Category
N
Dose Adjustment

weight-based dosing

Key Recommendations

approved for atopic dermatitis in patients 6 months and older, asthma in patients 6 years and older, and CRSwNP in patients 12 years and older

Monitor

regular growth monitoring in pediatric patients

✓

geriatric

65 years and older
safe
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

no dosage adjustment required for patients 65 years and older

Monitor

standard monitoring

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

no dose adjustment recommended for mild to moderate renal impairment

Monitor

standard monitoring

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

no adjustment

Key Recommendations

use with caution in hepatic impairment due to limited data

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2017

Initial FDA approval for atopic dermatitis

drug_classWHO
2023

Drug class

Value:Monoclonal antibody (IL-4/IL-13 inhibitor)

Biologic immunomodulator classification

usageFDA
2023

Approved indications

Value:Atopic dermatitis, asthma, chronic rhinosinusitis with nasal polyps, prurigo nodularis

Therapeutic indications

administrationFDA
2023

Route of administration

Value:Subcutaneous injection

Delivery method

Treats moderate-to-severe atopic dermatitis (eczema), type 2 asthma, chronic rhinosinusitis with nasal polyps, eosinophilic esophagitis, and prurigo nodularis in patients who haven't responded well to other treatments

As a monoclonal IgG4 antibody, dupilumab specifically binds to the IL-4Rα subunit shared by IL-4 and IL-13 receptors, inhibiting signaling of both cytokines and reducing the inflammatory response that causes symptoms

Administered via subcutaneous injection (typically every 2 weeks), may increase risk of conjunctivitis and hypersensitivity reactions, requires refrigeration, and should not be used with live vaccines. Patients should be monitored for signs of infection or allergic reactions.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy