Side effects and advice

Acarizax treatment for house dust mite allergy

Side effects

Because you’re taking a small dose of house dust mite extract every day, you might get some of your usual allergy symptoms. This includes symptoms like a runny nose or watery eyes.

Common side effects

You might get other common side effects during your first week of treatment. These include:

  • irritation in your throat
  • an itchy or tingling mouth, usually under your tongue
  • swelling in your lips, tongue or gums, near where the tablet dissolved
  • itchy ears
  • tummy pain
  • feeling sick (nausea)

Read the leaflet inside your medicine package for a full list of side effects.

The side effects in your mouth usually appear within 5 minutes of taking the Acarizax tablet. These side effects usually last for a few minutes, or a few hours.

You should get fewer side effects the longer you take Acarizax. This means your body is building up tolerance to house dust mites.

If any of these symptoms continue after the first week of treatment, you can take an antihistamine. Take an antihistamine at least 1 hour before you take your Acarizax tablet.

Contact us if:

  • your side effects are getting worse and antihistamines do not help

Serious side effects

There’s a risk that you could have a more serious allergic reaction to Acarizax.

Stop taking Acarizax and contact us if:

  • it’s more difficult to breathe or swallow than usual
  • your throat feels full
  • your voice changes
  • you feel dizzy
  • you have a rash on your skin
  • you have asthma that is getting worse

We’ll discuss if it’s safe for you to continue your treatment. Stop taking Acarizax until we discuss this with you.

Call 999 or go to A&E now if:

  • your face, mouth or throat suddenly become extremely swollen
  • you're breathing very fast or struggling to breathe (you may become very wheezy or feel like you're choking or gasping for air)
  • you suddenly become very confused, drowsy or dizzy
  • you have a fast heartbeat
  • you have an asthma attack
  • you have fainted

These can be signs of a serious allergic reaction and may need immediate treatment in hospital. Stop taking Acarizax immediately.

Taking other medicines

You can take most other medicines with Acarizax safely. This includes your usual medicines for hay fever or asthma.

Before you start treatment, we’ll check to make sure that you can continue taking your medicines with Acarizax.

Tell us if your medicines change after you have started treatment.

If you start taking any new medicines during your treatment, it’s important you tell your doctor that you’re taking Acarizax.

Medical procedures and vaccines

You must tell your doctor or dentist that you take Acarizax before you have any medical or dental procedures.

If you have dental surgery (for example, to remove a tooth), stop taking Acarizax for 7 days afterwards. This gives time for the cavity (hole) to heal.

Always contact us for advice about stopping and restarting treatment.

If you get any vaccines (such as the flu vaccine), you can still take Acarizax on the day of your vaccine.

Pregnancy and breastfeeding

There is limited evidence available about taking Acarizax while pregnant. Because of this, we do not start Acarizax treatment when you are pregnant.

If you get pregnant or think that you might be pregnant during your Acarizax treatment, stop taking Acarizax and contact us. We can discuss if you should continue your treatment.

There is also limited evidence about taking Acarizax while breastfeeding. We do not expect Acarizax to affect your baby through breast milk. Contact us for more advice if you start breastfeeding.

Resource number: 5686/VER1
Last reviewed: October 2026
Next review due: October 2029

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