Xolair, Tezspire, and Kids: Balancing School, Sports, and Staying Active

Julie Sillar • September 30, 2025
Xolair, Tezspire, and Kids: Balancing School, Sports, and Staying Active

Many parents worry when their child’s asthma treatment plan includes biologics like Xolair or Tezspire, with questions often coming up: Will this medication slow my child down? Can they still join recess, play their favorite sport, or keep up with their school activities? These are important concerns, and you’re not alone in asking them.


The reassuring news is that kids on biologics can still live full, active lives. These medications are part of modern asthma treatment in children, designed to reduce flare-ups and give kids the freedom to enjoy school, sports, and time with friends more confidently. With the right management and medical guidance, staying active isn’t just possible—it’s encouraged.


At
Premier Allergy of Texas, we’ve helped countless families navigate this journey. Our team is here to answer questions, provide expert care, and guide parents in supporting their child every step of the way. With the right plan in place, your child can thrive both in the classroom and on the playing field.


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What Are Biologics Like Xolair and Tezspire?

Biologics may sound complex, but you can think of them as medicines that work with the body’s immune system. Unlike inhalers that only treat symptoms, biologics for asthma target the source of airway inflammation to help prevent flare-ups before they start.


Two biologics often prescribed for children are
Xolair and Tezspire. Both are FDA-approved for the treatment of moderate to severe asthma and certain allergic conditions. They help calm the immune system, reduce airway swelling, and make asthma easier to control.


Your child’s allergist may recommend these treatments if they:


  • Have frequent asthma attacks despite regular inhaler use.
  • Struggle with asthma that standard treatments can’t control.
  • Experience severe allergies that worsen asthma.


For many kids, biologics can be life-changing, giving them fewer flare-ups and more freedom to stay active at school and in sports.



School Life on Biologics

Biologics like Xolair and Tezspire rarely interfere with a child’s school day. Since treatments are given in the doctor’s office every few weeks, kids don’t need to worry about taking these medications at school. They can focus on classes, friends, and activities without extra stress.


Here’s what parents should keep in mind:


  • No school doses needed: Injections are done in the office.
  • Always be prepared: Children should still carry a rescue inhaler and epinephrine if prescribed.
  • Mild side effects: Most children tolerate biologics well, but regular check-ins with the allergist are helpful.
  • Communication counts: Share your child’s asthma action plan with the school nurse, teachers, and coaches.


When schools and parents work together, kids receiving biologic injections for childhood asthma can feel safe, supported, and ready to participate in everything from classroom projects to recess and sports.



Sports and Physical Activity

Sports help kids build strong lungs, confidence, and overall health. Understanding the connection between asthma and physical activity in kids can help parents feel more confident—many children on Xolair or Tezspire experience fewer asthma attacks, making it easier to join in and stay active. 


Here are some ways to keep sports safe and enjoyable:



  • Warm up and cool down: Gentle stretches and breathing exercises help reduce asthma flare-ups.
  • Keep a rescue inhaler handy: Make sure your child has quick access at practices and games.
  • Watch for triggers: Cold air, pollen, or intense exertion can bring on symptoms, so knowing what affects your child makes a big difference.


Supporting an Active Lifestyle

Kids with asthma need a mix of exercise, rest, and consistent medication to feel their best. With the right care, maintaining an active lifestyle with asthma is achievable. Xolair and Tezspire can help kids breathe better and join in activities they may have once avoided. For many families, this treatment opens doors that used to feel closed.


To keep your child’s lifestyle both active and safe, it helps to focus on a few key points:



  • Stick to the treatment plan: Regular biologic appointments and daily asthma routines matter.
  • Encourage activity without overdoing it: Rest days are just as important as game days.
  • Keep the lines open: Share your child’s asthma action plan with coaches, teachers, and caregivers so everyone is prepared.


When to Talk to Your Allergist

Even with the right treatment, asthma can still be unpredictable. If your child is on biologics, it’s important to watch for signs that their asthma isn’t fully under control. Catching issues early can prevent setbacks and keep your child active and confident. 


Some red flags to look out for include:


  • Needing a rescue inhaler more often than usual.
  • Frequent coughing or wheezing, especially at night.
  • Trouble keeping up with friends during play or sports.
  • Missing school due to asthma flare-ups.


Regular check-ins with your allergist make sure treatment stays on track. At
Premier Allergy of Texas, we create personalized care plans and offer ongoing support, so families always feel guided and kids can continue thriving. 



Helping kids Live Fully with Asthma

Kids enjoying outdoor play, highlighting that school and sports with asthma medication support healthy, active lifestyles.

Asthma doesn’t have to slow kids down. With biologics like Xolair or Tezspire, many children are not only keeping symptoms under control but also discovering new confidence in school, sports, and everyday life. With the right care, they can breathe easier, move freely, and enjoy the moments that matter most.


If you’ve been wondering whether biologics could make a difference for your child, now is the perfect time to take the next step. At
Premier Allergy of Texas, our pediatric allergist in San Antonio is here to guide your family with personalized care and support. Schedule a consultation today, and let’s help your child stay active, healthy, and unstoppable.


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Frequently Asked Questions

  • Do biologics affect my child’s ability to get vaccines or other treatments?

    Most vaccines are safe with biologics, but always check with your allergist before scheduling shots or new treatments.


  • Do biologics mean my child won’t ever need other asthma medicines again?

    Not necessarily. Some kids may still need inhalers or allergy meds, but biologics often reduce how often they’re used.


  • Are there emotional benefits for kids on biologics?

    Yes. Many children gain confidence, independence, and peace of mind knowing their asthma is under control. Parents often notice reduced anxiety around activities, too.


  • Will my child still need their rescue inhaler if they’re on biologics?

    Yes. Biologics can greatly reduce asthma attacks, but a rescue inhaler is still essential for unexpected flare-ups.


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