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Weekly injections: are they necessary?

October 29, 2001

Dear Allergy Nurse
Dear Allergy Nurse
I recently started taking allergy shots, and I'm doing great with my allergies by getting these shots every two weeks. Why does the nurse keep telling me I should receive injections weekly? -- K.S.

Initially we start allergy injections at a low dose. When our patients receive injections weekly we can safely increase the dosage because their antibody levels increase as the dose increases. This enables their bodies to block increasingly higher doses of the allergens safely.

However, we occasionally have patients that come for injections every two or three weeks when they first begin, in spite of our advice to come weekly. Their antibody levels can decrease between injections, making it unsafe for us to increase their dosage of allergens.

Some of these patients have reported that their allergy symptoms are controlled by receiving low-dose injections every two or three weeks. But most of them eventually quit coming for the shots and then their allergies are no better than when they started.

By skipping doses, they did not increase their antibody level substantially. Thus they never made any progress toward a goal of maintaining injections at an optimal level at which many people achieve a long-term immunity after three to five years.


See also Penicillin, antibiotic, and medication allergy



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References:

  1. William E. Berger, M.D., Allergies and Asthma For Dummies (IDG Books Worldwide, 2000)
  2. American Academy of Otolaryngic Allergy


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