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Sublingual Immunotherapy
Aka: Sublingual Immunotherapy, Grastek, Oralair, Ragwitek
- Indications
- Allergy Immunotherapy
- For allergic symptoms refractory to standard allergy medications
- Precautions
- Not to be used without formal Allergy Testing first
- Observe in office for first sublingual dose
- All patients should receive Epinephrine auto-injector in case of Anaphylaxis reaction
- Preparations
- Grass allergies
- Grastek
- Oralair
- Ragweed allergy
- Ragwitek
- Dosing: Protocol
- Start medication 3-4 months prior to allergy season and continue throughout the season
- Have Epinephrine auto-injector readily available in case of Anaphylaxis reaction
- Advantages
- More convenient, possibly safer, and without the pain of standard allergy Immunotherapy injections
- Efficacy approaches that of standard allergy Immunotherapy injections
- Disadvantages
- More expensive than standard allergy Immunotherapy injections
- References
- (2014) Presc Lett 21(6):35
- Koberlein (2013) Immunotherapy 5(1):13-21 [PubMed]
- Maloney (2014) Ann Allergy Asthma Immunol 112(2):146-153 [PubMed]
- Nolte (2013) Ann Allergy Asthma Immunol 110(6):450-456 [PubMed]