Will immunotherapy control my allergy symptoms?

With immunotherapy, as it is with all allergy-related medical care, a good history is the key to good treatment. The doctor's deductions should be supplemented by skin tests, which are both more accurate and less expensive than radioallergosorbent RAST tests. Effective allergen-specific immunotherapy should also meet a number of criteria:First, the allergic condition must be proven as responsive to allergy shots.

The conditions currently recognized as falling into this category are allergic rhinitis, allergic conjunctivitis, asthma, hypersensitivity to fire ants and other hymenoptera, and drug allergy. Second, the allergenic substances in the injectable vaccine should be specific to the allergy being treated and uncontaminated by extraneous allergens. That's not to say that several allergens can't be mixed into fewer shots by an allergist who knows what to consider in making combinations, because of course each child wants as few injections as possible.

The allergist must consider the season, the dose of each allergen, and the compatibility of each allergen in the mixture. Third, because shots increase in potency as immunity is built up, the allergens must also be strong enough at each level of treatment to provoke a maximal immune response. Finally, the patient has to be dedicated.

He has to stick to the whole course of treatment and not stop when he thinks he is all better. He also should avoid alternative forms of immunotherapy, claims for which may sound better than this long-haul pain in the neck, but are unproven. These are: low-dose injections, which aren't strong enough to build immunity; oral treatments, which are so damaged by the digestive system that there's little allergen left to provoke an immune response; enzyme-potentiated therapy; and, in the current state of science, food allergy injections.

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