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Allergen Immunotherapy

Purpose

Your individualized course of allergy shots (immunotherapy) is designed to decrease your allergic sensitivities. The vast majority of allergic patients (80-90%) will experience substantial reductions in their symptoms over time (months to years). Many also reduce or eliminate the need for other medications. Together with avoidance of offending allergens and medication allergy shots represent one of the recommended treatments for allergic rhinitis, allergic conjunctivitis, atopic dermatitis and asthma. Allergy shots are not useful for food/drug allergies or non-allergic conditions like infections.

Treatment Duration

The length of a treatment course varies on a case by case basis but in general a course requires 3 to 5 years of maintenance treatment for completion. Initially there is a build-up phase where the injections are given more frequently but as the High Dose, or maintenance dose, is reached the frequency of injections may be adjusted. The total duration of therapy can vary considerably from patient to patient. During your treatment you will be re-evaluated frequently by your physician. These visits will occur at least annually.

Schedule of Administration

Your series of injections begins at a low dose selected by your physician based on your skin test results and history. Over time the shots build gradually until you reach your High Dose. This High Dose is called the maintenance dose and you will stay on it for the duration of your treatment course unless it is changed by your physician. Maintenance therapy can be continued if you are pregnant BUT notify your OAAC physician when you become pregnant.

The build-up phase of the allergy shots can occur in different formats. Your physician will help you decide which is right for you. Most common is the weekly building schedule. Various accelerated schedules include: 2 or 3 time a week shots, clusters of several shots given on the same day and finally RUSH therapy where many injections are given on one day and then weekly shots follow until you are at your High Dose. RUSH therapy is associated with significantly more side effects (see below) and is not for every patient. However, it does bring you to the High Dose level in a month rather than slowly over many months. This is an advantage for some patients.

Safety

All allergy shots carry some risks for severe anaphylactic reactions. Therefore the injections need to be administered in a medical facility under medical supervision on a regular basis. Weekly or twice weekly shots from our clinic carry a risk of anaphylaxis of 0.015 to 0.02% of injections compared to nationally published risks of 0.1 to 0.3% of injections. RUSH therapy carries a nationally published risk of almost 40% of shots whereas our RUSH risk is closer to 10% of injections. This marked increase in risk however makes RUSH therapy unacceptable for many patients.

Recent News

AAFA’s 2024 Allergy Capitals™ report names most challenging cities for living with allergies, OKC – Fifth; Tulsa – Sixth in the top Ten
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AAFA’s 2024 Allergy Capitals™ report names most challenging cities for living with allergies, OKC – Fifth; Tulsa – Sixth in the top Ten

Washington D.C., March 14, 2024 — The Asthma and Allergy Foundation of America (AAFA) released its 2024 Allergy Capitals report detailing the most challenging cities in the United States for living with allergies. The full report can be found at allergycapitals.com.

This year, Wichita, Kansas takes the top spot due to its higher-than-average tree and grass pollen, higher-than-average medicine use, and limited access to allergy specialists. The top 10 Allergy Capitals for 2024 are: 1. Wichita, KS; 2. Virginia Beach, VA; 3. Greenville, SC; 4. Dallas, TX; 5. Oklahoma City, OK; 6. Tulsa, OK; 7. Richmond, VA 8. Des Moines, IA; 9. Raleigh, NC, and 10. Fayetteville, AR.

This year’s report again calls attention to the urgency of the climate crisis. Due to climate change, growing seasons start earlier and last longer than they did just 30 years ago. Some parts of the United States now experience pollen (tree, grass, or weed) year-round. Warmer temperatures also trap heat in urban areas, increase air pollution, and stimulate pollen production.

“Climate change fuels a perfect storm of conditions that make allergy season worse for people with pollen allergy,” said AAFA President and CEO Kenneth Mendez. “Longer growing seasons mean more exposure to pollen allergy triggers. Additionally, pollen counts tend to rise with warmer temperatures. Now, we see both more days of exposure to pollen and higher daily pollen counts leading to more intense, longer-lasting symptoms.”

AAFA’s 2024 Allergy Capitals report provides insight into factors impacting seasonal allergies. The report ranks the 100 most populous cities in the contiguous United States by their:

  • Tree, grass, and weed pollen scores
  • Over-the-counter allergy medicine use
  • Availability of board-certified allergists/immunologists 

Experts say a range of treatment options are available for people dealing with seasonal allergies this spring.

“Over-the-counter medicines can help manage symptoms,” said allergist Dr. Neeta Ogden, spokesperson for AAFA. “Working with a specialist can help you develop the best treatment plan.”

While the symptoms of pollen allergy can be managed, they are a significant health concern. Seasonal allergies can even lead to hospitalization if they trigger an asthma episode.

“Our pollen season continues to begin earlier each year,” said Dr. Claire Atkinson, a board-certified allergist with the Oklahoma Allergy & Asthma Clinic (OAAC). “We’ve already had several allergy alert days this year and we’ve not even made it to the official start of Spring. We want to encourage people who are suffering to see their medical provider and consider making an appointment with an allergist.”

A board-certified allergist can diagnose allergies, and determine the specific triggers that cause them, through simple tests. The allergists at OAAC evaluate and manage patients of all ages. The main clinic is on the Oklahoma Health Center campus. For patient convenience, satellite offices are in Edmond, Norman and Yukon.

Visit the OAAC website at www.oklahomaallergy.com to view the addresses for all Oklahoma Allergy and Asthma Clinic locations. To make an initial appointment or to request more information, please call (405) 235-0040 or visit the website.

For information on preventing and treating allergies and asthma, visit aafa.org.

The post AAFA’s 2024 Allergy Capitals™ report names most challenging cities for living with allergies, OKC – Fifth; Tulsa – Sixth in the top Ten appeared first on Oklahoma Allergy and Asthma Clinic.

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