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Tezepelumab

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

Tezepelumab is a biologic medication classified as a thymic stromal lymphopoietin (TSLP) blocker. It is a human monoclonal antibody that binds to TSLP, a cytokine produced by epithelial cells, thereby preventing TSLP from triggering inflammatory responses in the airways. This medication is used as add-on maintenance therapy for patients with severe asthma.

Quick summary

Tezepelumab is a monoclonal antibody that blocks TSLP to reduce airway inflammation in patients with severe asthma.

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

Key facts at a glance

ATC
R03DX11
RxNorm
2587789
Generic
Tezepelumab
Class
atc-r03
Brands
Tezspire
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
210mg
Maximum
consult physician
Frequency
every 4 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (adolescents_12_and_older)subcutaneous injection
Usual dose
210mg
Maximum
consult physician
Frequency
every 4 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)subcutaneous injection
Usual dose
210mg
Maximum
consult physician
Frequency
every 4 weeks
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: As a monoclonal antibody biologic, Tezepelumab does not have a established toxic single dose in traditional terms. Supratherapeutic dosing studies have evaluated doses up to 280 mg subcutaneous without dose-limiting toxicities.
Chronic overdose: Not applicable - Tezepelumab is administered at fixed intervals (210 mg every 4 weeks) under healthcare supervision. Cumulative toxicity data not specifically established.
Immediate actions
Discontinue infusion/injection if administered in error. Monitor patient clinically. No specific gastric decontamination needed as drug is administered subcutaneously. Provide supportive care as clinically indicated.
Antidote
No specific antidote exists for Tezepelumab. As a monoclonal antibody, it is not metabolized by traditional antidote mechanisms.(Not applicable - no antidote available.)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if potential benefit justifies potential risk to fetus; discuss with healthcare provider

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second third trimester
caution
FDA Category
C
Dose Adjustment

continue if already receiving therapy

Key Recommendations

do not discontinue asthma treatment; continue therapy if benefits outweigh risks

Monitor

routine prenatal care and fetal monitoring

Use with caution and monitor for adverse effects.

⚠

lactation

breastfeeding
caution
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

continue if needed; monitor infant for infections

Monitor

observe infant for unusual infections or immune reactions

Use with caution and monitor for adverse effects.

✗

pediatric_age

under 12 years
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

not approved for use in children under 12 years

Monitor

N/A

Use of this medication in this population requires careful consideration of risks and benefits.

✓

pediatric_age

12 to 17 years
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

approved for use in patients 12 years and older; standard dosing applies

Monitor

routine asthma monitoring

⚠

geriatric

65 years and older
caution
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

use standard dosing; monitor for infections

Monitor

regular assessment of asthma control and infection risk

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild to moderate
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing recommended; monitor as appropriate

Monitor

routine renal function monitoring not required

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

use standard dosing with caution

Monitor

routine monitoring

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

use standard dosing; limited data available

Monitor

routine liver function monitoring

Use with caution and monitor for adverse effects.

?

hepatic_impairment

severe
unknown
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use only if benefits outweigh risks; limited data available

Monitor

close monitoring of liver function

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2021

FDA approval for severe asthma

drug_classWHO
2023

Drug class

Value:Biologic - TSLP inhibitor

Monoclonal antibody targeting thymic stromal lymphopoietin

usageMedical guidelines
2023

Indication

Value:Severe asthma

Approved for treatment of severe asthma

mechanismFDA
2023

Mechanism of action

Value:TSLP blockade

Inhibits thymic stromal lymphopoietin to reduce airway inflammation

Tezepelumab is indicated as add-on maintenance treatment for adult and pediatric patients (12 years and older) with severe asthma who are inadequately controlled with standard asthma therapies.

Tezepelumab is a human monoclonal antibody (IgG2λ) that binds with high affinity to thymic stromal lymphopoietin (TSLP), blocking its interaction with the TSLP receptor complex. By inhibiting TSLP, it prevents the downstream activation of inflammatory cells that contribute to airway inflammation, hyperresponsiveness, and mucus production in asthma.

Tezepelumab is administered as a subcutaneous injection and is not indicated for acute asthma attacks or bronchospasm relief. Common side effects may include pharyngitis, arthralgia, and injection site reactions. Patients should be monitored for hypersensitivity reactions during treatment.

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