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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

New Year’s Resolutions for Asthma and Allergies
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New Year’s Resolutions for Asthma and Allergies

Source: Asthma and Allergy Network

Tips to help you gain better control

Are you tired of your nagging cough or runny nose? Does the thought of spring flowers immediately make you want to sneeze? Are you looking for new ways to eat healthy despite your food allergies?

Take control of your allergies and asthma in the new year. No more sleepless nights and red, itchy eyes. No more sitting on the sidelines due to your asthma. Step up to better breathing with these New Year’s tips:

1 – Make a wish list

What would you like to be able to do if asthma or allergies didn’t hold you back? Ask yourself if there is anything that you’ve been avoiding because of your allergies or asthma that you usually enjoy doing.

2 – Review your treatment plan

Schedule an appointment with your doctor apart from an emergency or acute care visit. Share your wish list and ask if there are ways to reach your goals. There is no one, perfect way to treat allergies and asthma. Shared decision making is the key to a successful outcome: Work with your doctor to find the plan that works best for you.

  • Talk with your doctor about what is and is not working with your plan. Be honest about lifestyle and economic barriers you face. Are there medication side effects you’re worried about?
  • Take your medications to the appointment and review each one with your healthcare team: Why is it prescribed? When should you take it? How much should you take? How quickly should you expect results? What should you do if you don’t think it’s working?
  • If you use an inhaler, review your inhaler technique with your healthcare team. The medication can’t work if it doesn’t get into the lungs where it belongs.
  • Do you have a written Asthma Action Plan or an Allergy and Anaphylaxis Emergency Plan? If not, ask for one.

3 – Clean your indoor air

Change or clean air filters in your heating and air conditioning system. Vacuum carpets and corners regularly to keep dust and allergens down. Consider dust-mite proof pillow and mattress encasings and an air purifier if you have pets or mold. Keep pets out of the bedroom.

4 – Plan ahead

For seasonal allergies, begin using your allergy medication 3-4 weeks before your symptoms usually appear. The earliest tree allergens are from mountain cedars, which can peak in Texas and the southwest in January; in other parts of the country tree and grass allergens typically arrive in February and March.

5 – Prevent flares

Take care of yourself. Stop smoking and stay away from smokers; go to bed one hour earlier; get plenty of exercise; eat healthy foods; drink plenty of water per day – at least 2 liters if you do not have a medical condition prohibiting this – as staying hydrated keeps mucus from forming and prevents illnesses; get the flu shot and wash your hands regularly to avoid flu and cold viruses; and use nasal washes to keep your sinuses clean and flush out germs before they take hold.

6 – Follow up

Start a daily symptom diary online or in a notebook. Track your medication use, activities and symptoms; review it at your next appointment with your healthcare provider.

7 – Be reliable and proactive

Keep the appointment! See a board-certified allergist if your treatment plan isn’t working. Practice preventive care – healthcare should be a priority even when you are not sick.

The post New Year’s Resolutions for Asthma and Allergies appeared first on Oklahoma Allergy and Asthma Clinic.

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