\"Rapid\" Immunotherapy??

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Was wondering if anyone was doing this type of allergy shot. (You go in and get about one years worth of shots in a day or so--depending on the doctor--and them go to a maintenance dose). The benefits are almost immediate relief and less time, trauma, expense, etc. BUT, there is apparently more risk of a reaction (which, of course, makes sense). My dd's allergist does not do them and wants to start her on a weekly course that will last one year, them every other week for a year, then every three weeks for a year, them once per month for a year. I think that was about my schedule when I was a kid, but I thought these days even regular shots were only weekly for about 3 to 6 months. I'm so confused. I don't know whether or not to try to find someone who will do the rapid thing or at least find someone who can get her down to every other week before one year. She is only four, by the way, and this bothers me too--she has developed many new allergies in the past year. What if she develops more and then needs shots for those?? Ohhhh, my brain is so fried right now....(We also just found out that her adenoids are HUGE and probably need to come out. Sigh...). Okay, sorry this is such a rant, but before we commit with this allergist, I just want to make sure I'm doing it "right", I guess. Thanks for any input! :^) ------------------ Sara

On Jun 17, 2007

I don't know about rapid immunotherapy, but I have researched the adenoid. There are many cases documented in legit. scientific studies that people have had their adenoid shrink to a normal size once they got allergies under control. Before having your dc undergo an adenoidectomy, I would try to get the allergies under control and see if that solves the problem. What is your dc currently doing for allergy management? I'm asking about meds and environmental modifications (such as encasing bedding for a dust mite allergy, bathing nightly to wash off pollen, etc.). Maybe this knowledgeable group here can help you come up with some additional things you can do to help your poor dc suffer less!

On Jun 17, 2007

That's really interesting about the adenoid. Right now, hers are pretty much completely blocking airflow through the nasal passages (we thought it was chronic sinusitis until we finally got a CT scan). Which makes me wonder even more about the "rapid" thing (since we don't have a lot of time). Actually, the allergist wants to pump her full of steriods (just for a few day) to shrink them and then try to keep them shrunk with Nasonex. She already takes Nasonex (along with Zyrtec and Singulair) and we do as much of the environmental stuff as we can.

------------------ Sara

On Jun 18, 2007

If you are willing to try an alternative to the standard shots, look into sublingual immunotherapy (SLIT). There are a few people on the boards that have used it. You can see if anyone in your state does them at [url="http://www.allergychoices.com/."]http://www.allergychoices.com/.[/url] Basically, it's the same therapy as the shots but taken as drops under the tongue. They are more diluted since the dose is given 3 times per day instead of weekly BUT you can give them at home due to the reduced risk of reaction and only need to see the doctor about every 6 months. Most allergists stay away from them since they aren't FDA approved - mainly over concerns about the optimum doses and how long should treatment last. Drops are used more than shots in Europe, but the formulations are different over there. However, even though insurance doesn't pay for the drops, most people still come out even since they don't need to pay so many co-pays. They can be used for food allergies, but there are a lot of strong allergies, at least our doctor wants to get the inhaled allergies under better control before adding the food drops. If the inhaled allergies can get under better control, there's a chance other reactions will also decrease as the immune system calms down overall. This option is outside many people's comfort zone, but it might work for you.