Sublingual Immunotherapy Offers Another Treatment Option for Local Allergy Sufferers

August 02, 2022

Aller­gy symp­toms can occur any time of the year and impact your day-to-day life. Get­ting the right treat­ment can help sig­nif­i­cant­ly. Quin­cy Med­ical Group’s (QMG) Ear, Nose, and Throat (ENT) depart­ment is now offer­ing sub­lin­gual immunother­a­py or aller­gy drops. Treat­ing aller­gy is very impor­tant to ENT doc­tors as it is a com­mon cause of sinusi­tis, nasal polyps, and ear infections.

QMG ENT Physi­cian Paul Con­rad, MD, FACS, said, Aller­gy drops are an alter­na­tive approach to treat­ing aller­gies with­out using injec­tions. Immunother­a­py treats the cause of aller­gies by giv­ing small dos­es of what a per­son is aller­gic to which allows that person’s immune sys­tem to make block­ing anti­bod­ies’ to the aller­gens and there­by reduce aller­gy symp­toms. Unlike injec­tion immunother­a­py, which is giv­en as shots, aller­gy drops are giv­en as drops under the tongue.”

In some stud­ies, aller­gy drops have been shown to be as effec­tive as shots with no ana­phy­lax­is reac­tion at all. Safe­ty-wise, the drops are a good treat­ment option,” said Dr. Con­rad. There are stud­ies show­ing that if you use them long enough, you can poten­tial­ly devel­op tol­er­ance to an aller­gen which is where you become essen­tial­ly not aller­gic to it anymore.”

Patients who qual­i­fy for immunother­a­py are typ­i­cal­ly those who have tried oth­er treat­ment options but have expe­ri­enced lit­tle to no relief.

If you can’t get enough relief with anti­his­t­a­mines, nasal sprays, Sin­gu­lair, or an inter­mit­tent steroid blast through the year and you’re hav­ing four or more sinus infec­tions a year, devel­op­ing recur­rent ear infec­tions or ear pres­sure, get­ting pneu­mo­nia fre­quent­ly, flar­ing of your asth­ma more than usu­al, or oth­er chron­ic aller­gic dri­ven symp­toms, you should sig­nif­i­cant­ly con­sid­er get­ting test­ed and desen­si­tized to your aller­gies,” Dr. Con­rad explained.

The first step is find­ing out what you’re aller­gic to through aller­gy test­ing. Test­ing is done via a skin prick test. Dur­ing this test, your skin is exposed to sus­pect­ed aller­gy-caus­ing sub­stances (aller­gens) and is then observed for signs of an aller­gic reac­tion, explained Dr. Con­rad. If you have an aller­gic reac­tion, you’ll devel­op a reac­tion at the site of the test show­ing as red­ness or welts.

In ENT, we mea­sure the width of the welts. Based on that infor­ma­tion, we then make a drop for­mu­la­tion to give you a very small amount of the things you’re aller­gic to,” said Dr. Con­rad. With drops, you’re tak­ing them once or twice every day; with shots, it’s usu­al­ly one or twice a week. Either method requires com­pli­ance on the part of the patient usu­al­ly for at least 3 – 5 years for best results.”

Before begin­ning aller­gy drops, patients should check with their insur­ance provider on poten­tial cov­er­age. Usu­al­ly, most patients will need to pay out of pock­et for this ther­a­py which has made it less attrac­tive but with high deductibles, FSA/HSA plan options, decreased gas costs, bet­ter safe­ty pro­file, time sav­ings, and less pain involved this treat­ment option, it may be the right choice for you or your child.

For more infor­ma­tion and/​or to set up an ini­tial con­sul­ta­tion, call (217) 222‑6550, ext. 6900.