20170320 Update Latest Exam Answer PDF Cisco 200-125, 200-125 CCNA Cisco Certified Network Associate CCNA (v3.0) Dumps
ICND1 100-105 Exam, Cisco Interconnecting Cisco Networking Devices Part 1 (ICND1 v3.0) 100-105 Exam
300-075 PDF, Implementing Cisco IP Telephony & Video, Part 2(CIPTV2)
210-260 CCNA Security, Implementing Cisco Network Security Questions
200-105, Cisco ICND2 200-105 Book
Cisco 300-320, 300-320 Designing Cisco Network Service Architectures Dump
ISC Certification CISSP Dumps, Certified Information Systems Security Professional CISSP Dumps
70-533 PDF, Implementing Microsoft Azure Infrastructure Solutions
70-534 Microsoft Specialist: Microsoft Azure, Architecting Microsoft Azure Solutions Exam
300-206, Cisco CCNP Security 300-206 Dumps
CompTIA SY0-401, SY0-401 CompTIA Security+ Certification Exam Exam
A+ 220-901 PDF, CompTIA A+ Certification Exam (901) 220-901 PDF
QV-DEVELOPER-01 Questions, QlikView 11 Developer Certification Examination
2V0-621D VCP6-DCV, VMware Certified Professional 6 C Data Center Virtualization Delta Beta Book
400-051, Cisco CCIE 400-051 Dump
Cisco 640-916, 640-916 Introducing Cisco Data Center Technologies Dumps
642-997 Exam, Implementing Cisco Data Center Unified Fabric (DCUFI)
70-461 Microsoft SQL Server 2012, Querying Microsoft SQL Server 2012 Dumps
300-101, QlikView QlikView Certification 300-101 Exam
Microsoft MB2-712, MB2-712 Microsoft Dynamics CRM 2016 Customization and Configuration PDF
CISM CISM Questions, Certified Information Security Manager CISM Questions
200-310 Book, Designing for Cisco Internetwork Solutions
SSCP ISC Certification, System Security Certified Practitioner (SSCP) Dump
210-065, Cisco CCNA Collaboration 210-065 Dumps
Cisco 810-403, 810-403 Selling Business Outcomes PDF
Microsoft Office 365 070-346 Exam, Managing Office 365 Identities and Requirements 070-346 Exam
400-101 Dumps, CCIE Routing and Switching Written v5.0
210-451 CCNA Cloud, Understanding Cisco Cloud Fundamentals Exam
300-115, Cisco CCDP 300-115 PDF
GIAC GSEC, GSEC GIAC Security Essentials Certification Questions
MCP, Microsoft Specialist 70-532 Book, Developing Microsoft Azure Solutions 70-532 Book
700-037 Dump, Advanced Collaboration Architecture Sales Specialist
Latest Exam Dumps CRISC, Download Free Certification PDF 300-206 Exam, 70-347 Dumps, 210-260, Best Way Study Guide Latest Free Certification PDF 810-403, 98-366 PDF, HP0-S42 DOC, 70-496, Try To Download MB6-702SoftWare, 70-462, ITILF, 365 days Free Update 98-361, A00-260 Exam Demo, CWSP-205, The Most Professional 1Z0-808, M70-201, It's 100% right 648-385, EX0-001 Exam Code, S90-03A, PEGACPBA71V1, Free Video Training 642-165, Pass IT Certification Exams C9010-030, 642-999, API-571, Guaranteed The Pass Results 101-01, 70-494 Dumps PDF, 500-051, 400-101, Exam Demo Professional 2V0-620, 200-125, Pass IT Certification Exams PEGACSA71V1, 300-208 Exam PDF, 1D0-541, HP0-S41, Your Reliable Exam Partner 200-310, 300-207, How To Pass The 642-996, PRINCE2-PRACTITIONER Exam Files, 300-070, Your Reliable Exam Partner 070-347, 070-346 Training, 70-980, 070-686, Provide Free Support 200-120, 70-346 Certification, 642-035, 70-410, material provider 70-461 Certificate, 1Z0-060, 100% real exam questions and answers CPCM, 4A0-104 Book, 2V0-621D, Make Your It Dream Come True ICND1 100-105, ICND1 Cisco Interconnecting Cisco Networking Devices Part 1 (ICND1 v3.0) pdf
200-105 dump, ICND2 Interconnecting Cisco Networking Devices Part 2 (ICND2 v3.0) dump
CCDE 352-001, CCDE ADVDESIGN dumps
200-310 answers, CCDA Designing for Cisco Internetwork Solutions exam questions
CCNA Collaboration 210-060, CCNA Collaboration Implementing Cisco Collaboration Devices (CICD) pdf download
810-403 books, Cisco Business Value Specialist Cisco Business Value Specialist real exam questions
CCNP Collaboration 300-075, CCNP Collaboration Implementing Cisco IP Telephony & Video, Part 2(CIPTV2) study guide pdf
300-101 dump, CCDP Implementing Cisco IP Routing (ROUTE v2.0) ppt
CCDP 300-115, CCDP Implementing Cisco IP Switched Networks (SWITCH v2.0) books pdf
ICND1 100-105, ICND1 Cisco Interconnecting Cisco Networking Devices Part 1 (ICND1 v3.0) pdf
200-105 dump, ICND2 Interconnecting Cisco Networking Devices Part 2 (ICND2 v3.0) dump
CCDE 352-001, CCDE ADVDESIGN dumps
200-310 answers, CCDA Designing for Cisco Internetwork Solutions exam questions
CCNA Collaboration 210-060, CCNA Collaboration Implementing Cisco Collaboration Devices (CICD) pdf download
810-403 books, Cisco Business Value Specialist Cisco Business Value Specialist real exam questions
CCNP Collaboration 300-075, CCNP Collaboration Implementing Cisco IP Telephony & Video, Part 2(CIPTV2) study guide pdf
300-101 dump, CCDP Implementing Cisco IP Routing (ROUTE v2.0) ppt
CCDP 300-115, CCDP Implementing Cisco IP Switched Networks (SWITCH v2.0) books pdf
300-320 answers, CCDP Designing Cisco Network Service Architectures study guide
CCNA 200-125, CCNA CCNA Cisco Certified Network Associate CCNA (v3.0) exam pdf
400-051 books, CCIE CCIE Collaboration book pdf
CCIE 400-101, CCIE CCIE Routing and Switching Written v5.0 pdf
210-260 dump, CCNA Security Implementing Cisco Network Security dumps pdf
ICND1 100-105, ICND1 Cisco Interconnecting Cisco Networking Devices Part 1 (ICND1 v3.0) pdf
200-105 dump, ICND2 Interconnecting Cisco Networking Devices Part 2 (ICND2 v3.0) dump
CCDE 352-001, CCDE ADVDESIGN dumps
200-310 answers, CCDA Designing for Cisco Internetwork Solutions exam questions
CCNA Collaboration 210-060, CCNA Collaboration Implementing Cisco Collaboration Devices (CICD) pdf download
810-403 books, Cisco Business Value Specialist Cisco Business Value Specialist real exam questions
CCNP Collaboration 300-075, CCNP Collaboration Implementing Cisco IP Telephony & Video, Part 2(CIPTV2) study guide pdf
300-101 dump, CCDP Implementing Cisco IP Routing (ROUTE v2.0) ppt
CCDP 300-115, CCDP Implementing Cisco IP Switched Networks (SWITCH v2.0) books pdf
300-320 answers, CCDP Designing Cisco Network Service Architectures study guide
CCNA 200-125, CCNA CCNA Cisco Certified Network Associate CCNA (v3.0) exam pdf
400-051 books, CCIE CCIE Collaboration book pdf
CCIE 400-101, CCIE CCIE Routing and Switching Written v5.0 pdf
210-260 dump, CCNA Security Implementing Cisco Network Security dumps pdf
MacBook Pro Adapter, MacBook Air Adapter, MacBook Pro Charger, MacBook Air Charger, Apple Adapter, macbook power adapter, apple macbook pro adapter, adaoter for macbook pro, macbook air power adapter, hdmi adapter macbook air, apple macbook charger, apple charger, apple macbook air charger, apple macbook pro charger, power adapter macbook pro, macbook pro 2017 adapter, macbook pro 2017 charger, usb-c adapter, usb-c charger, 45W magsafe 2 power adapter, macbook air 2017 charger, macbook air 2017 adapter, apple 45w magsafe 2 power adapter for macbook air, hdmi adapter for macbook pro, hdmi adapter for macbook air, macbook pro retina 13 charger, 85w magsafe 2 power adapter, 65w magsafe 2 power adapter, magsafe power adapter for macbook pro, magsafe power adapter for macbook air, Apple 45W MagSafe 2 Power Adapter, Apple 45W MagSafe Power Adapter, Apple 60W MagSafe 2 Power Adapter, Apple 60W MagSafe Power Adapter L shape, Apple 60W MagSafe Power Adapter T shape, Apple 85W MagSafe 2 Power Adapter, Apple 85W MagSafe Power Adapter L shape, Apple 85W MagSafe Power Adapter T shape, adaoter for macbook pro, macbook air power adapter, hdmi adapter macbook air, apple macbook charger, apple charger, apple macbook air charger, apple macbook pro charger, power adapter macbook pro, macbook pro 2017 adapter, macbook pro 2017 charger, usb-c adapter, usb-c charger, 45W magsafe 2 power adapter, macbook air 2017 charger, macbook air 2017 adapter, apple 45w magsafe 2 power adapter for macbook air, hdmi adapter for macbook pro, hdmi adapter for macbook air, macbook pro retina 13 charger, 85w magsafe 2 power adapter, 65w magsafe 2 power adapter, magsafe power adapter for macbook pro, magsafe power adapter for macbook air, Apple 45W MagSafe 2 Power Adapter, Apple 45W MagSafe Power Adapter, Apple 60W MagSafe 2 Power Adapter, Apple 60W MagSafe Power Adapter L shape, Apple 60W MagSafe Power Adapter T shape, Apple 85W MagSafe 2 Power Adapter, Apple 85W MagSafe Power Adapter L shape, Apple 85W MagSafe Power Adapter T shape, adaoter for macbook pro, macbook air power adapter, hdmi adapter macbook air, apple macbook charger, MacBook Pro Adapter, MacBook Air Adapter, MacBook Pro Charger, MacBook Air Charger, Apple Adapter, macbook power adapter, apple macbook pro adapter, adaoter for macbook pro, macbook air power adapter, hdmi adapter macbook air, apple macbook charger, apple charger, apple macbook air charger, apple macbook pro charger, power adapter macbook pro, macbook pro 2017 adapter, macbook pro 2017 charger, usb-c adapter, usb-c charger, 45W magsafe 2 power adapter, macbook air 2017 charger, macbook air 2017 adapter, apple 45w magsafe 2 power adapter for macbook air, hdmi adapter for macbook pro, hdmi adapter for macbook air, macbook pro retina 13 charger, 85w magsafe 2 power adapter, 65w magsafe 2 power adapter, magsafe power adapter for macbook pro, magsafe power adapter for macbook air, Apple 45W MagSafe 2 Power Adapter, Apple 45W MagSafe Power Adapter, Apple 60W MagSafe 2 Power Adapter, Apple 60W MagSafe Power Adapter L shape, Apple 60W MagSafe Power Adapter T shape, Apple 85W MagSafe 2 Power Adapter, Apple 85W MagSafe Power Adapter L shape, Apple 85W MagSafe Power Adapter T shape,

Allergen Immunotherapy - Allergy West
logo
Allergy, Asthma and Immunology Services 133 Littleton Road, Suite 103
Westford, MA 01886

Allergen Immunotherapy

Sublingual Immunotherapy Tablets

Immunotherapy

Specific allergen immunotherapy is prescribed for patients with allergic rhinitis (nasal allergies or hay fever) who may or may not have asthma. Immunotherapy is given as injections under the skin or as rapidly dissolving tablets under the tongue (known as sublingual allergen immunotherapy or SLIT). Immunotherapy is the only medical treatment that can potentially cure or improve allergic disease long-term. In patients who have nasal allergies, injectable immunotherapy might prevent them from developing asthma. Research is ongoing to see if this holds true for SLIT as it is a newer form of immunotherapy. SLIT is considered for long-term control of allergen-induced rhinitis with or without conjunctivitis when the symptoms are not adequately controlled by environmental control measures and/or medications. SLIT has not been studied in individuals with moderate or severe asthma, or in subjects who required daily medication to treat asthma. SLIT is contraindicated in individuals with severe, unstable, or uncontrolled asthma.

Effectiveness

Allergen immunotherapy can “turn down” allergic reactions to common allergens such as ragweed and grass. In most cases, taking sublingual immunotherapy is effective in reducing symptoms during the pollen seasons to which an individual is allergic. Sublingual immunotherapy may decrease sensitivity to allergens, resulting in improved symptoms and decreased need for medications. It is important to remember to take the sublingual pills daily. Missing your daily dose may decrease the effectiveness of SLIT and increase the risk for medication-related side effects. If you miss one dose of the medication, do not take two pills the next time. It is important to only take one tablet daily as prescribed. You must contact us if you miss more than 5 consecutive days of your sublingual allergy medication. If more than 5 consecutive days of SLIT are missed then you need to come into our office for your next SLIT dose, and take it under appropriate supervision in our office before reinitiating therapy to prevent any adverse or systemic reactions.

How and for how long are the tablets given?

There are generally two phases to immunotherapy: an initial phase and a maintenance phase
• Initial phase: The treatment is started at least 3 to 4 months before the pollen season for which you are being treated. Expect to take your first dose of the sublingual tablet in our office, You will be observed for at least 30 minutes to ensure there is no allergic reaction.
• Maintenance phase: You will take a sublingual tablet at home every day at the same time each day. Continue to use the medication daily at least until the pollen season for which you are being treated is over. In some cases your physician may recommend that you continue taking sublingual tablets year round.

How are the tablets taken?

Hold the tablet under your tongue for at least one minute.
DO NOT
• Swallow the tablet whole,
• Take the tablet with food or drink, or
• Eat or drink within 5 minutes of taking the tablet.

DO wash your hands after handling the tablet.

You are not a good candidate for SLIT if you:

• have had anaphylaxis or a severe generalized or systemic allergic reaction to immunotherapy (allergy shots or a previous course of SLIT)
• have uncontrolled or severe asthma
• have eosinophilic esophagitis

Reactions to SLIT:

• It is possible to have an allergic reaction to the sublingual medication itself. Reactions can be local (swelling and or itching in the mouth) or systemic (affecting the rest of the body). The most common symptoms, which are most likely in the initial few days after starting the treatment, include throat irritation, mouth, tongue or ear itching, mouth swelling and for some individuals mild abdominal discomfort.
• Systemic reactions include nasal symptoms, hives, flushing, lightheadedness, and/or asthma-like symptoms, and very rarely, life-threatening reactions. Serious systemic reactions can occur in patients with worsening asthma not well-controlled on recommended medications. Therefore, if you have noted worsening of your asthma symptoms, notify your nurse or physician before continuing your sublingual medication. Although systemic reactions to SLIT are highly unlikely, it is important that you have self-injectable epinephrine with you (or your parent) at each daily dose. It is important that you understand how to self-administer this medication should it be needed.

• Please inform our office you notice any of these reactions.