Common Allergens

• Tree pollens
• Weed pollens
• Grass pollens
• Foods
• Household dust & dust mites
• Molds

Allergy Symptoms

• Sneezing
• Watery/itchy eyes
• Nasal Congestion
• Post nasal drip
• Sore throat
• Throat clearing
• Headaches
• Fatigue
• Persistent Cough
• Wheezing, chest tightness, shortness of breath
• Recurring ear and sinus infections
• Cold symptoms that won't go away

Antihistamines

• Alka-Seltzer Plus
• Allegra
• Benadryl
• Claritin
• Contac
• Dimatapp
• Drixoral
• Hismanal
• Naldecon
• NyQuil
• Sudafed Plus
• Robitussin
• Tavist
• Vicks
• Zyrtec

Dr Barry Lampl DO & Dr Richard Lavi MD
Phone: 216-831-4930

Allergy Treatment Immunotherapy

Most patients choose immunotherapy as means for treating their allergies. Immunotherapy consists of weekly injections of small doses of the allergens to which you are allergic. The doses are small enough that you do not have an allergic reaction, yet large enough that your body's immune system begins to recognize it. Slowly the amounts of allergen are increased until the allergen, in it's natural state, no longer causes a severe reaction.

How long will you need treatment?

Every patient is different. You can help the process by being faithful in the administering of your weekly injections. Immunotherapy is generally continued for 3-5 years.

How long until I feel better?

Again, every patient is different but patients may feel better after one or two months of immunotherapy. In the meantime, the doctor can prescribe medication that will provide temporary relief from your symptoms. It may take up to a year for improvement to occur with immunotherapy.

What if I miss my shots?

Many patients experience a return of their symptoms. In addition, missing shots slows down the desensitization process.

Epipen

Before you receive your first shot, you will be given a prescription for an Epipen. Have it filled at your local pharmacy and bring it with you every time you get your shot. The doctor will instruct you on its use. This is an emergency kit used only if you have a severe reaction to your injection. Your Epipen is to be used, if after a shot, you experience difficulty in breathing, hives, immediate severe sneezing, coughing or itching or swelling of body parts (other than shot site - i.e. the arm area in which the injection was given).

If such a reaction occurs, use your Epipen and go immediately to the nearest medical facility. Upon arrival call Allergy Diagnostics (216) 831-4930.

Bottle Test

You will need a new vial every ten weeks. The bottle test allows the physician to determine if your immune system can handle the increased potency of your new vial.

Billing

We bill your insurance company first. Most policies cover 80% of the cost of diagnosis and treatment. If you have a question about your particular plan, consult your personnel director, insurance company itself or ask our staff to help.

We accept Medicare, Medicaid, and assignment. We are happy to explain all cost and procedures; should you not understand a bill, we encourage you to call.

Questions and Answers

Who administers the shots?

The shots are generally administered by a doctor or nurse. Even if a nurse actually gives you the shot, a doctor is always nearby to assist you in the event that you react to the shots.

React in what way?

The most common side effect of allergy shots is swelling, redness or itching at the site of the injection. An oral antihistamine or aspirin usually relieves this minor discomfort. In other instances, the whole arm may swell. The most serious side effect, however, is anaphylaxis, which must be treated with a shot of epinephrine. Fortunately, however, such extreme reactions are rare, and the risk of fatality from immunotherapy is rarer still (approx. one death per 2.5 million injections). Still, because the possibility of anaphylaxis exists, it is important that the shots be administered only in the physicians office, where facilities and trained personnel are available to treat it. This is also why most doctors ask you to wait in the office for 20-30 minutes after you have received your shot. Most severe reactions occur during this time.

How will I know if immunotherapy is the right choice for me?

That's a decision you will have to make for yourself - after consulting with your doctor. Generally, the people who benefit most from immunotherapy are those who have a demonstrated allergy (confirmed by skin testing) to a substance for which allergen extracts are available; who experience allergy symptoms at least several months of the year; who are unable to attain relief from those symptoms through medication or lifestyle changes; or who experience side effects from the medications used to treat their allergies.

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