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Doctor insights on: Sublingual Immunotherapy

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How effective are allergy shots, immunotherapy injections or drops?

How effective are allergy shots, immunotherapy injections or drops?

Depends: The efficacy of allergy shots (immunotherapy) can be maximized by seeing a board certified allergist. Allergists receive extensive training in treating with allergy shots. In the right patient, they can be curative, and hopefully decrease or eliminate the need for allergy medications. Allergy drops have also been shown to be very effective, but are not yet fda approved. ...Read more

Dr. Michael Palumbo
1,127 doctors shared insights

Immunotherapy (Definition)

Encompasses subcutaneous, patch or sublingual treatment with increasing amounts of specific allergen. Used for allergic rhinitis, allergic asthma, and hymenoptera hypersensitivity (and in ongoing trials for food allergy). Specific IgE-mediated disease must be proven. Indications are lack of symptom control despite medication/avoidance, reduce risk of anaphylaxis, or ...Read more


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What's effectiveness of allergen immunotherapy?

High if done correct: For stinging insect venom.Effectiveness approaches 99% . For environmental inhalant allergies when appropriately tested and results interpretted by an expert before choosing relevant allergens to include in desensitization effectiveness has been shown for most symptoms up to 85% ...Read more

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Is immunotherapy in asthma effective?

Is immunotherapy in asthma effective?

Yes: It is if this is the cause of your asthma. I'm a pulmonologist who regularly refers to allergists for this reason and have had the therapy myself. It works for many sufferers to reduce their symptoms (and sometimes eliminate them). ...Read more

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How is radio-immunotherapy administered?

How is radio-immunotherapy administered?

In steps: Radio-immunotherapy (rit) is given in three steps, all through an iv. Step 1: an antibody to b cells alone to clear out some normal b cells. Step 2: an antibody to b cells with a small amount of radiation attached, followed by imaging. Step 3: a "hot" antibody to b cells with a larger dose of radiation attached. This acts like a smart bomb to kill cancerous b cells (lymphoma cells). ...Read more

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Can capoten (captopril) be administered sublingual?

Can capoten (captopril) be administered sublingual?

Don't: In general, unless your doc specifically prescribed it that way, avoid sublingual administration of oral medicines. This route can bypass the pill's time-release formulation, releasing too much medicine all at once, or can result in higher/faster absorption than the pill-in-stomach route as carefully tested by the drug company. ...Read more

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Can montelukast become an alternative of allergens immunotherapy for perenial allergic rhinitis ?

Can montelukast become an alternative of allergens immunotherapy for perenial allergic rhinitis ?

Not really: I suggest 3 steps to controlling allergies : 1) avoid the things you are allergic to. 2) take medications to control the symptoms. 3) get 'allergy shots' (immunotherapy) to teach your body to not be "allergic" to those things (immune tolerance). Using a leukotriene antagonist control the symptoms some, but it is not the most effective medication, and is not an equal alternative to immunotherapy. ...Read more

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Does immunotherapy involve antitoxins?

Definition: Immunotherapy indicates the use of immunological mechanisms for treatment. Allergy immunotherapy (allergy shots) do not include antitoxins. Antitoxins are antibodies against toxins and are used whaen toxins are suspected, for example posionous snake bites. This treatment can be called immunotherapy. ...Read more

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How effective are allergy shots for bees allergies?

How effective are allergy shots for bees allergies?

Very effective: After a true bee/wasp/hornet allergy is determined, there is approximately a 40-60% chance of another systemic reaction occurring if stung again without ever receiving allergy shots. However, if a patient receives allergy shots to the specific allergic venom, the risk of another systemic reaction reduces to less than 3%. Consultation with a board-certified allergist is recommended. ...Read more

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How effective are monoclonal IgE blockers in allergic rhinitis?

How effective are monoclonal IgE blockers in allergic rhinitis?

IgE antibodies : Theoretically, one would expect monoclonal IgE antibodies to be very effective in blocking the allergic response. In the US, this has not been rigorously tested to establish its effectiveness. It is not FDA approved therapy at this time. However, it is approved for IgE mediated asthmatic disease and can concomitantly help allergic rhinitis in those patients. ...Read more

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What is venom immunotherapy?

Bee or Wasp allergy: Venom includes bees wasps hornets and fire ants. Immunotherapy is a series of desensitization injections. Most often starting weekly and progressing to every 6 weeks in most cases. There are rush immunotherapy programs in place as well. Traditional immunotherapy continues for 5 years in most cases. ...Read more

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Is sublingual glutathione as effective as injectable glutathione?

Is sublingual glutathione as effective as injectable glutathione?

Glutathione: comes in 3 forms; oral, sublingual and IV. Oral form is useless because it is broken down before it can be effective. IV is most effective because it is put directly into the bloodstream. Sublingual COULD be effective, but it depends entirely on the manufacturer making a form which is rapidly absorbed. Since this is unregulated, most companies just want your money. ...Read more

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How effective are allergy shots?

How effective are allergy shots?

Very : Allergy vaccine therapy is 80% effective -- so like most medications it works in the vast majority of patients. ...Read more

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Does sublingual B12 absorption work?

Does sublingual B12 absorption work?

B12 deficiency: Intranasal, sublingual, oral, and intramuscular are all effective means of increasing vitamin B12 levels. ...Read more

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Are allergy shots more effective as allergy pill treatments?

Yes: They work better, work systemically, give long term symptom control, and reduce the risk of asthma and further sensitizations. ...Read more

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Is allergy shots considered immunosuppressive?

Is allergy shots considered immunosuppressive?

Immune regulation: Allergy shots have been around for just over 100 years and have proven to be effective for most people who are allergic. They work through improved regulation of your immune system to reduce to allergic aspect. The most important thing is that many people continue to do well without the shots after having received them for 4-5 years. ...Read more

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Allergy shots or antihistamine pills which works better?

Allergy shots or antihistamine pills which works better?

Allergy shots: antihistamines only cover up symptoms and don't cure anything. Allergy shots treat the cause and that is why with successful immunotherapy you can get rid of antihistames. One complication of nasal allergy treated symptomatically is development of asthma. On the other hand if you treat the cause you prevent complications ...Read more

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Can you get immunotherapy shots for food allergies?

Can you get immunotherapy shots for food allergies?

No: Immunotherapy shots are used to help your body make immunologic changes that enhance your ability to tolerate exposure to a substance. In the case of food, gram quantities are ingested, vs inhalant allergens, in which much smaller quantities like nanograms or micrograms are inhaled. Food desensitizations are being done now by mouth as opposed to with shots. These methods are in the early stages. ...Read more

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Is it safe for lupus patients to receive allergy shots? (immunotherapy)

Yes, if u need them: Having lupus is not a contraindication for you to get allergy shots, if you need them. If you are on certain medications such as prednisone/high dose immunosupressives etc..The shots may not work well, but otherwise you can get them. I am sure your allergist will inform you of the benefits/risks of the injections. Consult your doc... Good luck to you... ...Read more

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Is singulair (montelukast) effective in treating vasomotor rhinitis?

Is singulair (montelukast) effective in treating vasomotor rhinitis?

No: There is no study supporting its efficacy. However it may be helpful for allergic rhinitis (50%) ; especially Aspirin exacerbated rhinitis. A nasal antihistamine may also be helpful for vasomotor rhinitis yet you are apparently not on it. ...Read more

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Is food allergy can be treated through immunotherapy or anti IgE therapy ?

Is food allergy can be treated through immunotherapy or anti IgE therapy  ?

No: It is not recommended to use immunotherapy for treatment of food allergy. There are studies being done to try to desensitize by giving small amounts of the food frequently but these are still in a research phase. Anti-ige treatment with omulazimab is approve for asthma treatment in the us and it will often make the patient less reactive to foods they are allergic to. ...Read more