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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

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Allergist Joins OAAC Medical Providers

Maya N. Gharfeh, M.D.

Maya N. Gharfeh, M.D., has joined the Oklahoma Allergy & Asthma Clinic medical providers’ staff. Dr. Gharfeh treats both children and adults with asthma and allergic conditions. Her particular areas of expertise include atopic dermatitis, asthma, food allergy and delayed hypersensitivity. She is board-certified with the American Board of Allergy and Immunology and the American Board of Pediatrics.

Dr. Gharfeh was raised in Columbus, Ohio, and graduated from The Ohio State University in 2006 with her bachelor’s degree in Biology. She then attended medical school in Rootstown, Ohio, at Northeastern Ohio Medical University. During her medical school training, Dr. Gharfeh also pursued a public health degree from The Ohio State University with a specialty in health behavior and health promotion. She graduated from medical school and her master’s program in 2011 and moved back to Columbus, Ohio for her pediatric internship, residency and chief residency training at Nationwide Children’s Hospital/The Ohio State University.

She completed her fellowship training in Allergy and Immunology at Texas Children’s Hospital/Baylor College of Medicine in Houston, Texas. Following completion of her training, Dr. Gharfeh worked in Waco, Texas prior to moving to Oklahoma City in the spring of 2020 to join the team at Oklahoma Allergy and Asthma Clinic. 

She is a patient advocate and is passionate about educating her patients and the community on important topics in allergy and asthma. Dr. Gharfeh published on the efficacy of food allergy school education during her training and has continued to utilize this data to educate local school personnel on food allergy and epinephrine auto-injector use. Dr. Gharfeh also takes time to blog on these important issues as well as the real-life struggles of living with a food allergic child. During her free time, Dr. Gharfeh spends her time with her husband and their three young children. The Gharfeh family resides in Edmond and is eager to make the greater Oklahoma City area their new home. 

The Oklahoma Allergy & Asthma Clinic is one of the largest and oldest allergy and asthma practices in the United States celebrating 95 years in 2020. The main clinic is located on the Oklahoma Health Center campus.  For patient convenience, satellite offices are located in Edmond, Norman, Midwest City 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 for an allergy or asthma problem or to request more information, please call (405) 235-0040 or visit the website.

The post Allergist Joins OAAC Medical Providers appeared first on Oklahoma Allergy and Asthma Clinic.

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