Skin assessment
- Medical questionnaire and photo review
- Personalized treatment plan
- Prescription when appropriate
CA$175
per consultation
Modern Dermatology
Xolair
Omalizumab
Prescription only
Xolair assessed online(Omalizumab)
Xolair is an injection for chronic hives that antihistamines do not control. A Canadian-licensed medical professional first checks if online care is suitable for you, and some people need in-person care.
Start my assessmentAt a glance
- Injection under the skin (omalizumab)
- For chronic hives not controlled by antihistamines
- Online suitability check comes first
Why Modern Dermatology
- Canadian-licensed medical professionals, 100% online
- Prescriptions sent to your pharmacy or delivered
- Follow-up and refills through your Care Team
Xolair can cause a rare, severe allergic reaction. Get emergency care for trouble breathing, throat or tongue swelling, fainting or hives that spread. Your clinician first checks if online care is suitable for you.
Choosing the right plan for you
Your clinician decides the dose, how often you inject and how long you continue. The plan depends on your hives, your past antihistamine use and your health. Your clinician reviews your results at regular intervals.
Considerations include
- How often hives appear and how severe they are
- Antihistamines you already tried
- Your age and weight
- Other allergies and conditions
- Where you can safely give the injection
How Xolair works
Xolair targets the antibody behind many hives
Xolair binds to a body protein called IgE, which can switch on mast cells in the skin. With less free IgE, mast cells release less histamine. That means fewer hives and less itch.
Antihistamines block histamine after it is released. Xolair works earlier in the chain.
Modern Dermatology
Xolair
Omalizumab
Prescription only
Recommended for
- Chronic hives that returned after antihistamines
- Hives with swelling that disrupts daily life
- People who have tried daily antihistamines
- Adults and teens, when your clinician agrees
- People who can be monitored for rare allergic reactions
Your clinician reviews your skin and history, and confirms that this treatment is right for you before prescribing.
Binds free IgE
Calms the allergy signal
Calms mast cells
Less histamine released
Fewer hives
Fewer flares over time
Less itch and swelling
Better daily comfort
How it works.
- 01
Tell us about your skin
Complete a quick medical questionnaire and upload a few photos of your skin concerns. No appointment needed.
- 02
Get your personalized treatment plan
A Canadian-licensed medical professional will review your information and recommend a personalized treatment plan, including prescriptions when appropriate. Most conditions can be assessed without a video consultation.
- 03
Start your treatment
Get your prescribed medications delivered right to your door. Medication costs are billed separately from your consultation.
- 04
Follow up on your progress
At a follow-up, your clinician can review your progress, discuss side effects and adjust your treatment if needed.
Clear answers.
Have more questions? See our full FAQ or Contact us.
Still have questions? Reach our care team at 514 111 1111
Start my assessmentYes, when it is appropriate for you. You complete an assessment, and a Canadian-licensed medical professional reviews it and decides if Xolair suits you. Your clinician first checks if online care is suitable for you. Some people need in-person care or specialist monitoring instead.
Xolair is an antibody medicine that binds IgE, a protein linked to allergy. Less free IgE means mast cells release less histamine. This reduces hives and itch.
Some people notice fewer hives within weeks. Others need longer. Your clinician judges your response over time and decides if you continue.
Many people have fewer hives, less itch and less swelling. Some become hive-free, while others have only partial relief. Hives can return if you stop. Your clinician reviews your results regularly.
Injection site pain or redness, headache, joint pain and cold-like symptoms are common. A serious allergic reaction is rare. Get emergency care for trouble breathing, throat swelling or fainting. Tell your Care Team about any other new symptom.
People who had a serious allergic reaction to omalizumab should not take it. Your clinician also checks for parasite infections and other health problems. Some people need in-person care or specialist monitoring.
Your clinician usually starts with daily antihistamines, such as bilastine or rupatadine. Dupilumab and cyclosporine are other options for hives that stay active. Your clinician picks based on your history and safety needs.
Often yes. Many people keep taking their antihistamine while on Xolair. Do not stop or change any medicine without asking your clinician. Tell your Care Team about everything you take.
Data is limited. Some people continue it in pregnancy when the benefit is clear. Tell your clinician if you are pregnant, planning pregnancy or breastfeeding. Your clinician decides what is safest.
Xolair is injected under the skin. Your Care Team explains the steps and who gives each dose. Some people need to receive early doses in person.
Each consultation costs CA$175. Your pharmacy charges separately for medication. Ask your insurer whether your plan covers the prescribed treatment.
A biosimilar, such as Omlyclo, is a medicine that is highly similar to Xolair. Both are sold in Canada. Your clinician writes the prescription, and your plan may prefer one product.
Your clinician decides how long you use Xolair and when to renew it. Your Care Team follows up with you, and you can message them with questions. Renewals depend on how well your hives respond and on your clinician's review.
Carefully monitored, every step
Allergy watch
Your clinician explains the signs of a serious allergic reaction and how long to stay alert after a dose.
Response checks
Your Care Team reviews your hive control at regular visits. Your clinician decides if you continue.
Other conditions
Tell your clinician about parasite infections, new health problems or new medicines.
Online suitability
Some people need in-person care or a specialist. Your clinician decides before you start.
Simple pricing for your skin care.
Medication costs are separate. Ask your insurer whether your plan reimburses online consultations.
Start my assessment
Related treatments
Your clinician can suggest another option when this one is not the right fit.