Allergy Shots for Nasal Allergies: Benefits and Concerns - Otolaryngology

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Administering an injection for allergic rhinitis?


Hello! I have had a problem with nasal allergies since childhood.
Two years ago, I started seeing an ENT specialist.
The doctor always recommends that I get injections, and after receiving the shots, I find them effective for about 1 to 2 months without allergy symptoms.
Each injection costs 120 NT dollars.
However, I am concerned about potential side effects.
I asked the doctor, and he said that using it normally (every 1-2 months) is harmless to the body, as long as I don't get them too frequently.
Still, I am a bit worried.
Every time I get the injection, I hear the doctor and nurse mention "key拉控" (which I believe is the name of the injection).
I would like to ask Dr.
Zheng what the effects of this injection are.
Thank you!

Jeff, 20~29 year old female. Ask Date: 2016/04/21

Dr. Zheng Jueyi reply Otolaryngology


Hello: The injection mainly contains steroid components.
Short-term use is acceptable, but long-term use may pose additional risks associated with steroids.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/21

More Info


Allergy shots, also known as allergen immunotherapy, are a common treatment for individuals suffering from nasal allergies, particularly those caused by pollen, dust mites, pet dander, and mold. This treatment involves administering gradually increasing doses of allergens to help the immune system build tolerance over time. Here’s a comprehensive overview of the benefits, concerns, and considerations regarding allergy shots.


Benefits of Allergy Shots
1. Long-term Relief: One of the most significant advantages of allergy shots is their potential to provide long-lasting relief from allergy symptoms. Many patients experience a reduction in symptoms for years after completing their treatment, even if they stop receiving the shots.

2. Reduced Medication Dependence: Allergy shots can decrease the need for other allergy medications, such as antihistamines and nasal corticosteroids. This can be particularly beneficial for individuals who experience side effects from these medications or who find them insufficient in managing their symptoms.

3. Improved Quality of Life: By alleviating allergy symptoms, patients often report an improved quality of life. This includes better sleep, increased productivity, and enhanced overall well-being.

4. Potential for Disease Modification: Some studies suggest that allergy shots may help prevent the development of new allergies and asthma in children and adults, making them a proactive treatment option.


Concerns and Side Effects
1. Local Reactions: The most common side effects of allergy shots are localized reactions at the injection site, such as redness, swelling, or itching. These reactions are usually mild and resolve on their own.

2. Systemic Reactions: Although rare, systemic reactions can occur, including hives, difficulty breathing, or anaphylaxis. This is why it’s essential to receive the first few doses of the allergy shots in a medical setting where immediate treatment is available.

3. Time Commitment: Allergy shots require a significant time commitment. Patients typically receive injections once a week for several months during the buildup phase, followed by maintenance shots every few weeks or months for several years.

4. Cost: While you mentioned that the cost of the shots is relatively low (120 NTD), the overall expense can add up over time, especially if insurance does not cover the treatment.

5. Not Suitable for Everyone: Allergy shots are not appropriate for everyone. Individuals with certain medical conditions, such as severe asthma or heart conditions, may not be good candidates for this treatment. It’s essential to discuss your medical history with your healthcare provider.


Key Considerations
- Consultation with an Allergist: Before starting allergy shots, it’s crucial to have a thorough evaluation by an allergist. They will perform tests to identify specific allergens and determine if immunotherapy is the right choice for you.

- Monitoring: After receiving an allergy shot, patients are typically monitored for at least 30 minutes to ensure there are no adverse reactions. This is particularly important during the initial phases of treatment.

- Lifestyle Adjustments: While allergy shots can significantly reduce symptoms, it’s still important to manage your environment to minimize exposure to allergens. This may include using air purifiers, keeping windows closed during high pollen seasons, and regularly cleaning your living space.

In conclusion, allergy shots can be an effective long-term solution for managing nasal allergies, offering significant benefits while also carrying some risks. It’s essential to weigh these factors carefully and maintain open communication with your healthcare provider to ensure the best possible outcome for your allergy management. If you have any further concerns about the specific injection you mentioned (possibly "Kira control"), it would be best to discuss this directly with your doctor, as they can provide detailed information about the medication and its implications for your treatment plan.

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