Proper Use

Drug information provided by: Merative, Micromedex®

Take this medicine exactly as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.

Your doctor will give you the first dose of this medicine in a hospital or medical facility. You will need to stay for at least 60 minutes to check for unwanted effects. You will also need an epinephrine injection during treatment with this medicine for any allergic reaction that may occur.

Take this medicine with food, especially in the evening.

Do not swallow the capsule. Do not inhale the powder.

To prepare the mixture:

  • Wash your hands before and after preparing the mixture.
  • Empty the contents of the capsule or sachet onto a few spoonfuls of refrigerated or room temperature semisolid food (including applesauce, yogurt, or pudding). Do not use liquid (including milk, water, or juice) to prepare.
  • Mix well.

Take this medicine together with a no-peanut-diet.

Do not exercise or have a hot bath or shower within 3 hours after taking this medicine.


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For oral dosage form (capsule, powder):
    • For decreasing severity of peanut allergy reaction:
      • Children 4 to 17 years of age—There are three different phases of dosing with this medicine, including Initial Dose Escalation, Up-Dosing, and Maintenance Dosing. The first 5 doses, 0.5 to 6 milligrams (mg) (Initial Dose Escalation) will be given by your doctor on a single day. The first dose of each Up-Dosing level is also given by your doctor. For the Up-Dosing Phase, you will start with 3 mg and finish with 300 mg. You will need to visit your doctor every 2 weeks. 300 mg or one-300 mg sachet is to be taken every day for the Maintenance Dosing Phase.
      • Children younger than 4 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Store in the refrigerator. Do not freeze.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.