ࡱ> []Zy bjbj s@{{xx$lb4K.qqqJJJJJJJ$=LNJqqqqqJJqJqJEXzI cCS2G(zJJ0KZG OMOPzIOzIqqqqqqqJJ1qqqKqqqqOqqqqqqqqqx :  ALLERGY SHOT COUNSELING INFORMATION You are starting Immunotherapy (allergy shots). Most patients will be given 2 shots: a. Pollen in the left arm b. Inhalants in the right arm You will be required to wait 15 minutes to watch reactions and 20 minutes after a vial test. If you cannot wait the full time indicated, we cannot give you your shots. 3 types of reactions may occur: a. Local, redness and swelling at the injection site. b. General, itching, sneezing, wheezing/common allergy symptoms. c. An anaphylactic reaction can occur but is very rare. This causes : constriction of the airways, resulting in wheezing, difficulty breathing, gastrointestinal effects such as abdominal pain, cramps, vomiting, diarrhea. Please call the office if you believe that you are experiencing an anaphylactic reaction, however if you experience life threatening symptoms, call 911 immediately. Please let the nurse know of any unusual symptoms at the time of your shots. Remember to take an ANTIHISTAMINE (such as Claritin, Clarinex, Zyrtec, Xyzal, Allegra, or any other antihistamine) 30 min- 2 hours prior to getting your shots. Serums are prepared from your test results and are specific to each individuals allergies. Shots are given once a week. After reaching the specified goal in your treatment you will be able to begin a 2 or 3 week regiment. BE ADVISED: No shots will be given to a feverish or ill patient or if in respiratory distress such as wheezing, difficulty breathing, or to patients that have received a flu shot, tetanus shot or any other immunization. They must wait 48 to 72 hours. 9. The build up process takes place continually until the patient reaches the maximum strength and dose. Once this has occurred, the patient will be on a maintenance dose (same strength and same dose for the duration of therapy.) 10. Therapy will take a minimum of 3 years: Why 3 years? We are slowly building up immunities to these allergens. This leaves the patient with fewer symptoms and little to no medication will be needed. 11. We will start with the weakest dose and strengths before gradually increasing both the dose and strength. Strengths: Start at T-2, T-1, T-0, T+1, T+2, T+3 Doses: 0.05, .10, .20, .30, .40, .50. 12. No strenuous activity/exercise for 3 hours following shots. This could induce asthma- like symptoms. 13. Patients need to schedule shot appointments we cannot work on a walk-in schedule due to the need for your serums to be brought to room- temperature Please wear short-sleeved or sleeveless clothing when coming for shots. 15. Some patients may notice a change in symptoms after a couple of months, but typically you wont see any changes until the next allergy season. It is common for the patients to feel fatigue following shots - this will go away, but may take a little while. Report any swelling bigger than 15mm and or dime size. IF FOR ANY REASON DURING YOUR IMMUNOTHERAPY YOU BEGIN TO TAKE A BETA BLOCKER FOR HYPERTENSION, PLEASE LET ONE OF THE ALLERGY NURSES KNOW IMMEDIATELY. IF YOU ARE ON A BETA BLOCKER, YOU CANNOT CONTINUE WITH YOUR ALLERGY TREATMENT. 17. Patients are required to schedule a follow up appointment with Dr. Mushtaq for evaluation at least once a year. 18. Once you receive your injections, please remain in the waiting area until your timer has gone off. Then have a nurse check your arms for reactions. DO NOT LEAVE THE OFFICE WITHOUT HAVING YOUR INJECTION SITES CHECKED! 19. It is imperative that all minors be accompanied by his/her parent for the 1st initial set of shots. After the vial test, if the minor is to be accompanied by someone other than an adult family member, the Practice requires a written authorization from the patients parent. Please include the name of the person that will be bringing your child. I have read and understand the above protocol for receiving allergy shots. 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