Itulatek (Betula Verrucosa) Sublingual

Prescription medicineOnly Available By Prescription

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Strength Pack Size Qty
12 SQ-Bet
Pack Size

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What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.


Itulatek is available by prescription only for the treatment of moderate to severe seasonal allergies due to pollen from birch, alder, and/or hazel in adults who did not experience relief with other treatments and had a positive pollen of birch, alder, or hazel sensitization test.

Itulatek comes in 1 mg tablets for placement underneath the tongue.


Take Itulatek as directed by your doctor. Your first dose should be administered by a healthcare professional with at least a 30-minute observation.

Recommended dose: Place one tablet (1 mg) under the tongue to dissolve once daily. Avoid taking it with food or drinks. Do not swallow for about one minute after taking. Do not consume food or drink within five minutes of taking it. Wash your hands after touching the tablet.

If you have any questions or concerns, ask your doctor or pharmacist.


Which birch (Betula verrucosa), a standardized allergen extract, makes up Itulatek. The inactive ingredients include fish gelatin, mannitol, and sodium hydroxide (for balancing pH).


Do not take Itulatek if you have an allergy to any Itulatek’s ingredients.

Do not take Itulatek if you have had a prior severe systemic allergic reaction to birch or related tree pollen immunotherapy.

Do not take Itulatek if you have asthma that is unstable, severe, or uncontrolled.

Do not take Itulatek if you are taking beta-blockers such as propranolol.

Do not take Itulatek if you have active oral inflammatory conditions such as oral lichen planus with ulcerations, severe fungal infections, or dental extraction.

Do not take Itulatek if you have had eosinophilic esophagitis.


Itulatek has the following Warnings and Precautions:

  • Itulatek treatment should only be prescribed and initiated by physicians who are adequately trained and experienced in the treatment of respiratory allergic diseases.
  • Systemic allergic reactions, including severe local allergic reactions, can occur and may require emergency administration of epinephrine, bronchodilators, or systemic corticosteroids.
  • The first dose of Itulatek must be taken in the doctor’s office under medical supervision with a 30-minute observation.
  • Before you begin treatment with Itulatek sublingual immunotherapy for allergies, tell your doctor about:
    • All the medications you take, including prescription and over-the-counter medications
    • Your allergies
    • Your health history and current medical problems
    • Your pregnancy or breastfeeding status
  • Local swelling may occur with Itulatek treatment. The swelling may become severe. Stop taking Itulatek if this occurs.
  • Itulatek should not be administered to pregnant women.
  • Use caution if you have active systemic autoimmune disorders, immune problems, or malignant neoplasia.
  • Eosinophilic esophagitis can occur with Itulatek treatment.
  • Severe reactions that can become life-threatening may occur with Itulatek use. Fainting, low blood pressure, rapid heart rate, runny dose, sneezing, shortness of breath, wheezing, trouble breathing, chest discomfort, stomach pain, vomiting, diarrhea, rash, itching, flushing, and hives are symptoms associated with these reactions. Seek emergency care right away if you develop any of these reactions. You may be at increased risk if you have certain heart problems, including unstable angina (chest pain), recent heart attack, significant heart arrhythmias, and uncontrolled high blood pressure.
  • If you have oral inflammation or a wound, it is recommended to temporarily stop taking Itulatek until you are healed.
  • Do not take Itulatek if you have severe asthma that is not stable or uncontrolled.

Side Effects

Itching of the ears, mouth, or tongue; swelling of the mouth, tongue, lips, or throat; cough; throat pain or irritation; and numbness or prickling sensation of the mouth are common Itulatek side effects; however, other side effects may occur. If you have side effects that worry you or will not resolve, contact your doctor right away.

You can buy Itulatek sublingual allergy immunotherapy tablets online at a competitive price and with a valid prescription from your doctor here.


  1. Itulatek. Horsholm, Denmark: ALK-Abello A/S; 2021.
  2. Itulatek. ALK-Abello A/S; 2022.

IMPORTANT NOTE: The above information is intended to increase awareness of health information and does not suggest treatment or diagnosis. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

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