Product image of Itulazax (Betula Verrucosa (108)) supplied by GNH India

Itulazax

Active Ingredient:
Betula Verrucosa (108)
Origin:
EU

Itulazax (Betula Verrucosa (108))

Betula verrucosa, the active ingredient in Itulazax, is an allergen extract presented as a sublingual formulation for sublingual use. It is indicated for the management of allergic rhinitis, allergic conjunctivitis and allergic asthma caused by birch pollen in patients with documented sensitivity to Betula verrucosa.

GNH India supplies Itulazax as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Alk-Abello A/S

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Itulazax is used in allergy immunotherapy to reduce symptoms caused by birch pollen exposure.

  • Allergic rhinitis: reduces nasal congestion, sneezing and itching associated with birch pollen allergy.
  • Allergic conjunctivitis: alleviates eye redness, tearing and itching triggered by birch pollen.
  • Allergic asthma: helps control bronchial hyper‑responsiveness and wheezing related to birch pollen exposure.

How It Works

  • Itulazax contains standardized Betula verrucosa extract that, when administered sublingually, repeatedly exposes the immune system to the birch pollen allergen. This exposure promotes the development of allergen‑specific regulatory T cells and shifts antibody production from IgE toward IgG4, thereby inducing immune tolerance and reducing hypersensitivity reactions upon natural pollen contact.

Side Effects

Adverse reactions to Itulazax are generally mild and related to its immunologic activity.

Common Side Effects

  • Oral itching: mild irritation of the mouth or throat after sublingual administration.
  • Swelling of lips or tongue: transient localized edema.
  • Nasal congestion: temporary blockage of nasal passages.
  • Headache: mild tension‑type headache.

Serious or Rare Side Effects

  • Anaphylaxis: severe, systemic allergic reaction requiring immediate medical attention.
  • Angioedema: rapid swelling of face, lips or airway.
  • Severe asthma exacerbation: worsening of bronchospasm after dosing.

Precautions & Warnings

Before prescribing Itulazax, clinicians should consider several safety and handling precautions.

  • Assess sensitivity: confirm documented IgE‑mediated sensitivity to Betula verrucosa before initiating therapy.
  • Initiate under supervision: first dose should be administered in a medical setting equipped for emergency management.
  • Monitor for reactions: observe patients for at least 30 minutes after each dose for signs of systemic allergy.
  • Contraindications: avoid use in individuals with a history of severe anaphylaxis to birch pollen or other allergens.
  • Pregnancy and lactation: use only if the potential benefit outweighs potential risk; data are limited.
  • Store at ambient temperature: keep below 25°C in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Itulazax may interact with other medications that affect immune responses or allergic reactions.

Major Interactions (Avoid)

  • Beta‑blockers: may reduce the effectiveness of emergency treatment for anaphylaxis.
  • ACE inhibitors: can increase the risk of angioedema when combined with allergen exposure.

Moderate Interactions (Monitor Closely)

  • Antihistamines: may mask early signs of an allergic reaction, requiring careful monitoring.
  • Corticosteroids: concurrent use may alter immune tolerance development.
  • Immunotherapy agents: overlapping allergen exposure could enhance systemic reactions.

Frequently Asked Questions

Itulazax is a prescription allergen extract containing Betula verrucosa, indicated for sublingual immunotherapy in patients with allergic rhinitis, allergic conjunctivitis, or allergic asthma triggered by birch pollen. It aims to reduce symptoms by gradually inducing immune tolerance.

The Betula verrucosa extract in Itulazax provides repeated, controlled exposure to the birch pollen allergen via the sublingual route. This exposure promotes the generation of regulatory T cells and shifts antibody production from IgE toward IgG4, thereby decreasing hypersensitivity and mitigating allergic responses upon natural pollen exposure.

The dosing regimen for Itulazax is individualized and determined by the prescribing physician based on the patient’s sensitivity, age, and clinical response. The prescriber selects the appropriate starting concentration and titration schedule, which may be adjusted during the course of therapy.

Safety data for Itulazax in pregnancy and lactation are limited. It should only be used when the potential therapeutic benefit justifies any potential risk to the fetus or infant, and the decision should be made by the treating physician in consultation with the patient.

To place an order, submit an enquiry on the Itulazax product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if required) and necessary import documentation.

Itulazax delivers a standardized Betula verrucosa extract via the sublingual route, offering a non‑injectable alternative to traditional subcutaneous immunotherapy. Compared with other sublingual products, Itulazax provides comparable efficacy in inducing tolerance, while allowing self‑administration at home after the initial supervised dose, potentially improving patient convenience and adherence.

Itulazax should be stored at ambient temperature, preferably below 25 °C, in its original packaging. The product must be protected from moisture, direct sunlight and extreme temperature fluctuations. Do not refrigerate or freeze the medication, and keep it out of reach of children.

Itulazax is administered sublingually. The patient places the prescribed dose under the tongue and holds it there for the time specified by the prescriber, usually several minutes, before swallowing. The initial dose is typically given under medical supervision, after which subsequent doses can be taken at home as directed.

The most serious risks of Itulazax include systemic allergic reactions such as anaphylaxis, angioedema, and severe asthma exacerbations. Patients should be educated to recognize early signs of these reactions and seek immediate medical attention. Emergency medication, such as epinephrine auto‑injectors, should be readily available for individuals at risk.

Itulazax is contraindicated in individuals with a known severe anaphylactic reaction to Betula verrucosa or other birch pollen allergens, as well as those who have experienced life‑threatening systemic reactions to previous allergen immunotherapy. Patients with uncontrolled asthma, severe cardiovascular disease, or those taking beta‑blockers without appropriate medical supervision should also avoid its use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.