Pierre-Alain Dauby, M.D. FAAAAI
Probably the biggest dowside of allergy shots is the time that it takes to reach a dose that works. The traditional buildup dosing schedule for allergy shots consists of about 28 doses. This means that it normally takes about 28 weeks (7 months) to get to the full dose if you came to the office once a week for an allergy injection, or about 14 weeks (3 1/2 months) if you came in twice a week for a shot.
Doctor Dauby is one of only a few allergists in the Pittsburgh area to offer RUSH immunotherapy. With our "RUSH" protocol, you will get the equivalent of the first 15 doses in two visits. This means that can reach the full maintenance dose of allergy shots in nearly half the time it normally takes with traditional schedules.
The faster your reach the full dose of allergy shots, the faster you will start to see an improvement in your symptoms. With the rush protocol, you should start to notice an improvement in symptoms within 4-8 weeks, instead of 12-16 weeks with the regular protocol.
The RUSH schedule consists of the following 2 visits:
Visit 1 "Day 1" - you will be here about 4 - 4 ½ hours
Visit 2 "Day 8" - you will be here 2 1/2 hours.
Once you are finished with visit 2, you should finish the build up with an injection once to twice a week until you reach the maintenance dose. Once you reach the maintenance dose, shots are every 2-4 weeks.
Without precautions, the risk of an allergic reaction with RUSH immunotherapy is high. Dr. Dauby has been doing RUSh immunotherapy since 2011 and has a low rate of allergic reactions by having patients take the following medications starting TWO days BEFORE and the morning of the RUSH appointments.
- Prednisone 20 mg, one pill in the morning and one pill in the evening.
- Zantac (ranitidine) 150 mg, one pill in the morning and one pill in the evening
- Singulair (monteleukast) 10 mg, one pill in the morning
- Allegra (fexofenadine)180 mg, one pill in morning
- Zyrtec (cetirizine) 10 mg (OR Allegra 180 mg), one pill in the evening.
You will also be given a prescription for an Epipen or AuviQ. You should bring the epipen/auviq with you at each visit, to have in the low chance that you develop an allergic reaction on the way home. We will NOT do the RUSH immunotherapy if you do not bring your epipen to the appointments.
Definitely. Insect allergies can be very dangerous, and it is thus important for patients to reach protective doses quickly. With our "ultra RUSH" protocol, patients reach the full protective dose of venom immunotherapy in 5 weeks instead of the usual 15 weeks with the traditional regimens.
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