Allergy desensitization injections
My daughter is 7 years old.
Recently, she was tested for allergies and her score was 5, with the allergen being dust mites.
Every day, I can see her having a runny nose, rubbing her nose, rubbing her eyes, and clearing her throat.
She has been on medication for colds for many years due to her severe allergies.
The doctor suggested allergy immunotherapy (allergy shots) as a treatment.
However, after consulting with other doctors, I received varying opinions.
Therefore, I would like to ask the doctor: 1.
Are allergy shots effective for dust mite allergies? 2.
How long does the immunotherapy last, what are the costs, and are there any side effects? 3.
Is there a difference in cost between receiving the shots at a hospital versus a clinic?
Jing, 30~39 year old female. Ask Date: 2003/01/13
Dr. Zhao Yongkang reply Pediatrics
Hello,
1.
Allergen immunotherapy is effective in treatment; however, it poses a risk of anaphylactic shock in children, so it should be used with caution and is becoming less common.
Oral antihistamines or intranasal corticosteroid sprays have made significant advancements and can be equally effective as allergen immunotherapy.
Generally, avoiding known allergens, combined with nasal sprays or oral antihistamines, can effectively control allergic conditions.
2.
Typically, allergen immunotherapy requires administration for 2-3 years, and a potential side effect is that some children may experience exacerbation of allergies, which in severe cases can lead to anaphylactic shock.
3.
The costs for administration at hospitals and clinics should not differ significantly.
Reply Date: 2003/01/13
More Info
Allergy immunotherapy, often referred to as "allergy shots," is a well-established treatment for allergic conditions, particularly for allergies to specific allergens such as dust mites. In your case, your 7-year-old daughter has been diagnosed with a dust mite allergy, and it sounds like she is experiencing significant symptoms, including a runny nose, itchy eyes, and frequent throat clearing. Here’s a comprehensive overview addressing your questions about allergy immunotherapy for dust mite allergies.
1. Effectiveness of Allergy Shots for Dust Mite Allergies
Allergy shots are indeed effective for treating dust mite allergies. The treatment works by gradually desensitizing the immune system to the allergens. Over time, the body becomes less reactive to the allergens, which can lead to a significant reduction in allergy symptoms. Studies have shown that immunotherapy can improve quality of life for children with allergic rhinitis and can also reduce the need for medications such as antihistamines and corticosteroids.
2. Duration of Treatment and Costs
The duration of allergy immunotherapy typically spans 3 to 5 years. The treatment is divided into two phases: the build-up phase and the maintenance phase. During the build-up phase, which lasts about 3 to 6 months, the patient receives increasing doses of the allergen. Once the maintenance dose is reached, the patient continues to receive this dose, usually once a month, for the remainder of the treatment period.
As for costs, they can vary significantly depending on the healthcare provider, the region, and whether the treatment is administered in a hospital or a private clinic. Generally, allergy shots can be expensive, and it’s essential to check with your insurance provider to see what is covered. On average, the cost per injection can range from $30 to $100, and this does not include the initial consultation and testing fees.
3. Side Effects of Allergy Shots
While allergy shots are generally safe, they can have side effects. The most common side effects include localized reactions at the injection site, such as redness, swelling, or itching. Systemic reactions, although rare, can occur and may include symptoms like hives, difficulty breathing, or anaphylaxis. It’s crucial to receive the first few doses of the immunotherapy in a medical setting where immediate care can be provided in case of a severe reaction.
4. Differences in Costs Between Hospitals and Clinics
There can be a difference in costs between receiving allergy shots in a hospital versus a private clinic. Hospitals may have higher overhead costs, which can translate to higher fees for services. However, hospitals may also have more resources and staff trained to handle potential allergic reactions. Private clinics may offer more personalized care and potentially lower costs, but it’s essential to ensure that the clinic is well-equipped to manage any adverse reactions.
Conclusion
In summary, allergy immunotherapy is a viable and effective treatment option for your daughter's dust mite allergy. It can significantly reduce her symptoms and improve her quality of life over time. The treatment requires a commitment of several years, and while it can be costly, many patients find it worthwhile for the relief it provides. Always consult with a qualified allergist or immunologist to discuss the best treatment plan tailored to your daughter's specific needs and to address any concerns you may have regarding the treatment process.
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