Allergy Injections Pros & Cons and Schedule Comparisons - Kaiser Permanente
嚜燙an Jose Medical Center
Allergy Department
ALLERGY INJECTIONS PROS & CONS
Advantages
Disadvantages
1.
2.
3.
4.
5.
1.
2.
3.
4.
Alternatives
5.
1.
2.
High change of success
Less symptoms
Less need for medications
May help when medications have not helped
Unlike testing, you may take medications while on shots
Takes time to build the dose up
People usually do better if they follow the advice to decrease their exposure to allergy
factors that are positive on testing.
Local reactions are common (such as itchy, red, swollen injection site)
Generalized reactions are uncommon (such as asthma, allergies, or rashes). People
should not get shots when asthma is worse.
Fatalities are very rare (1 per 2.5 million shots)
Avoid allergy factors that cause the symptoms
Use medications to treat symptoms
SCHEDULE COMPARISONS
# Pretreatment Medications3
Regular
1
One 每 Two Times per Week
30 minutes
4 每 5 months (two times per week)
8 每 10 months (one time per week)
1-2 times per week 每 advances
2-3 weeks 每 dose repeats
Over 4 weeks 每 dose decreases
One Time Per Month for 3-5 years
Optional 1 每 2 hours before
* 2 hours with loratadine (Claritin)
Antihistamines
Systemic Reaction Rate4
1-2%
Set of Injections Per Visit
Starting Schedule
Office Waiting Time
Build-Up Time1
Time Schedule2
Maintenance Schedule
Pretreatment
1
2
3
4
Cluster
2-3
One Time Per Week
2 hours
2 months
1 time per week 每 advances
Over 1 week converts to Regular
Schedule
One Time Per Month for 3-5 years
Required 1 每 2 hours before
* 2 hours with loratadine (Claritin)
Antihistamine and Leuktriene
Receptor Antagonist (LTRA)
1-2% with pretreatment medications
(much higher without pretreatment)
The dose may be adjusted for long time lapses or for shot reactions
Time Lapse Adjustments are used to handle vacations, but if you always come in 2-3 weeks between shots, then the dose
never advances
Medications: A.) Antihistamine such as loratadine (Claritin) or fexofenadine (Allegra).
B.) Leukotriene Receptor Antagonists (LTRA) such as Accolate or Singulair.
Reactions may include wheezing, chest tightness, coughing, runny nose, stuffy nose, itching all over, rash, flushing,
cramping, etc.
Additional Comments:
1. Allergy shots will be reviewed annually with your physician.
2. Tell the nurse immediately if you have a reaction. Don*t wait until the time of the arm check.
3. Do NOT ignore reactions that may occur after you have left the office. You should return to our office if
we are still open, or go to the Emergency Department if we have already closed. Please report these
reactions to the nurse BEFORE you get your next shot.
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