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Spring allergy? Sublingual immunotherapy pills can help: Shots



New allergy treatment is gaining in popularity. Sublingual immunotherapy works to curb the immune response, similar to allergic shots.

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New allergy treatment is gaining in popularity. Sublingual immunotherapy works to tame the immune response, like allergic snapshots.

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Swig, runny nose, clumps, or irritated eyes? Yes, we hear you: the suffering of seasonal allergies is real. Many of us find temporary relief with OTC drugs, but they do not heal the cause.

Since the next few months we enter the pollen season on the grass, here's the option: many allergists are now prescribed. Immunotherapy pills for some grass allergic patients that act in the same way as allergic treatments

But, unlike allergy pictures that require frequent trips to a doctor, you can take pills at home. "It's a bit of a wafer that you put under the tongue, and it dissolves in about 10 seconds," says an allergist Mike Tankersley, who works in Memphis, Tennessee.

Shots, and it has been shown that it is safe. But this will not work for everyone. Each tablet is aimed at only one allergy. There are four tablets on the market that are approved by the FDA for treating grass pollen, household dust mites and ambergris .

"I had a few patients who were very happy with something they had to take at home," says Tankersley.

According to a recent poll of the American College of Allergy, Asthma and Immunology, 73 percent of allergists now assign these immunotherapy to some of their patients. Since these products have been approved since the past 19 years, "the United States has undergone significant changes in practice," Tankersley said.

Tankersley, who is also the vice chairman of the ACAAI Committee on Immunotherapy and Diagnostics, says that he still recommends allergic shots for most of his patients, since most of them are allergic to the plural.

Tankersley says that he recommends this quiz on ACAAI for patients who are trying to decide whether shots or tablets are the best option for them. is a form of immunotherapy that can change your immune system. This is a complicated answer, but one part of what happens when you take shots or pills is your body can produce regulatory cells that suppress the immune response, "explains Harold Nelson, an allergist and immunologist at the National Hebrew Health Denver . In other words, immunotherapy can impose a lid on the immune response and reduce symptoms.

For a long time, according to Nelson, when immunotherapy works well, the entire balance in the immune system is restored to a large extent by the fact that

Tablets work best if you have only one or two major allergies that trouble you. For example, if your problem is grass pollen, there are two products to combat grass allergies. You are worried, then the pills are big, "says Nelson.

The ambergris pollen, which occurs in many regions of the United States, causes symptoms of an allergy in about 23 million people. And the ambergris tablet showed itself to be safe and effective treatment. Similarly, allergy to home dust mites – which do not have a large number of seasonal outflows and currents – can be effectively treated with a pill of dust mites, according to research. Grass pollen pills are approved for adults and children (aged 5 years and older). Ambrosia tablets and dust mites are approved for people aged 18 and over.

To date, in the United States there is no sublingual immunotherapy for woody pollen, which leads to early spring allergies. In Europe, there is a pill developed for treating allergies to birch, which, according to Nelson, may be effective against some ocher allergies. And in Japan there is an approved tablet for Japanese cedar, which can be effective in the treatment of some allergens of cedar and juniper, observed in the USA. USA

So, what if you have two major allergies that bother you? For example, allergy to grass at the end of spring or summer and ambrosia, which is often called a hay fever, and tends to stick in mid-September. Can you take both pills? "Yes, you can," says Harold Nelson, an allergist and immunologist at the National Hebrew Health Center in Denver.

There is evidence for both safety and effectiveness, explains Nelson, in order to take two immunotherapy simultaneously. But, as a rule, pills begin at different times, says Nelson. One drawback, some insurance plans will not cover two pills at a time. However, with pills, you do not have a common payment that can come with office visits.

Many people get relief from allergies using OTC nasal steroids such as Flonase and Nasacort and antihistamines. Tankersley says that they can be effective in treating the symptoms. But unlike allergic shots and immunotherapeutic pills, these medications do not solve the root cause of the problem.

"This is a great benefit of immunotherapy," he says. "We really shoot for treatment."


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