Allergy Shots for Nasal Allergies: Safety and Efficacy - Otolaryngology

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Allergy shots for nasal allergies?


Hello Dr.
Jian,
I suffer from allergic rhinitis.
I previously visited a nearby clinic for treatment, where the doctor administered a subcutaneous injection that was very effective.
After the first injection, I experienced almost six months without any symptoms.
However, the effectiveness has decreased with each subsequent injection, and now it lasts about two months.
I'm a bit concerned because I don't know what the medication is, and I'm worried about the potential harm of frequent injections, especially to my liver.
The medication bag from the clinic did not include any information about the drug, and the doctor did not respond to my inquiries.
I would like to ask you, Dr.
Jian, what are the typical components of subcutaneous allergy injections? Thank you!

Zhang Qianru, 30~39 year old female. Ask Date: 2004/01/07

Dr. Jian Huangqi reply Otolaryngology


Hello Chien-Ju: There are many subcutaneous injectable antihistamines available, and you will need to inquire at the clinic for more information.
If the clinic physician insists on not providing this information, you can check with the National Health Insurance Administration.
Wishing you safety.
Sincerely, Dr.
Chien-Huang Chi, ENT Department Chair.

Reply Date: 2004/01/07

More Info


Allergy shots, also known as allergen immunotherapy, are a common treatment for individuals suffering from nasal allergies, particularly allergic rhinitis. This treatment involves the administration of gradually increasing doses of specific allergens to which a patient is allergic. The goal is to desensitize the immune system to these allergens over time, leading to a reduction in allergy symptoms.


Safety and Efficacy of Allergy Shots
1. Efficacy: Allergy shots have been shown to be effective in reducing symptoms of nasal allergies, including sneezing, nasal congestion, and itchy eyes. Many patients experience significant relief after a series of injections, and the effects can last for years even after treatment has stopped. In your case, it seems that the initial response was quite favorable, with a long duration of relief. However, it is not uncommon for the effectiveness to wane over time, which may necessitate adjustments in the treatment plan.

2. Safety: Allergy shots are generally considered safe when administered by trained healthcare professionals. However, as with any medical treatment, there are potential risks and side effects. The most common side effects include localized reactions at the injection site, such as redness and swelling. Systemic reactions, although rare, can occur and may include symptoms such as hives, difficulty breathing, or anaphylaxis. It is crucial to receive these injections in a controlled environment where medical assistance is available if needed.

3. Long-term Use: Concerns about the long-term effects of allergy shots, particularly regarding liver health or other systemic effects, are generally unfounded. The doses used in immunotherapy are much lower than those that would typically cause harm. However, it is essential to have regular follow-ups with your healthcare provider to monitor your response to treatment and any potential side effects.

4. Medication Composition: The specific composition of the allergen extract used in your allergy shots would depend on the allergens identified through testing. Common allergens include pollen, dust mites, mold, and pet dander. If you are concerned about the specific medication used, it is advisable to request this information from your healthcare provider or the clinic where you received the injections. They should be able to provide you with details about the allergens included in your treatment.


Additional Considerations
- Consultation: If you have concerns about the safety of the injections or their long-term effects, it is essential to discuss these with your allergist or healthcare provider. They can provide you with personalized advice based on your medical history and current health status.

- Alternative Treatments: If you find that the allergy shots are becoming less effective or if you are concerned about their safety, there are alternative treatments available for managing nasal allergies. These may include antihistamines, nasal corticosteroids, and other medications that can help alleviate symptoms without the need for injections.

- Lifestyle Modifications: In addition to medical treatments, consider implementing lifestyle changes to reduce exposure to allergens. This can include using air purifiers, keeping windows closed during high pollen seasons, and regularly cleaning your living space to minimize dust and pet dander.

In conclusion, allergy shots can be a highly effective treatment for nasal allergies, with a good safety profile when administered correctly. It is important to maintain open communication with your healthcare provider to ensure that your treatment plan is tailored to your needs and to address any concerns you may have about the medications used.

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