Allergy Immunotherapy

What is immunotherapy?

Immunotherapy involves desensitizing your body by administering diluted doses of the allergen, causing your body to naturally build up the necessary antibodies to relieve your bothersome symptoms. It involves a build-up phase and maintenance dosage.

View Immunotherapy Schedule

How Does Immunotherapy Work?

Build-up phase/ Dosage Escalation Schedule

During this build-up phase, you will receive a specialized treatment mixture based upon your allergic sensitivities. Remember, your treatment mixture is specifically prepared only for you because no two patients are alike. You'll receive injections (allergy shots) of this mixture, which will gradually desensitize your body to the allergens. Please plan for a 20 to 30 minute wait time after each build-up injection.

This period can be anywhere from three months to ten months, depending on your sensitivities. At Raleigh Capitol Ear, Nose & Throat, we believe in taking a conservative approach to your immunotherapy. This means that because we choose to build you up in a slow and calculated manner, you may find that you experience little to no reactions at all! You may experience some localized reactions at the test or injection sites in the form of itching, or redness and warmth. These are usually relieved by the application of ice or administering an over-the-counter topical anti-itch cream such as Benadryl. Details of your build-up phase and any possible side effects of treatment will be discussed at your initial appointment.

The dosage is influenced by the antigens being treated, the season, and patient history. The dose is increased weekly until symptoms are controlled without local reaction at the injection site. This process will continue until the maintenance dose or optimal dose is reached. This dose will provide relief for the longest period of time. This may vary with season and the individual patient's response. Desensitization may take two to five years to occur.

Therapy should be continued weekly for a year after the maintenance dose has been reached. At this point, if there has been no increase in allergic symptoms and the need to increase "allergy" medications, then the time between injections may be spaced further apart.

Maintenance Dose

When you have completed your build-up phase, the dosage is gradually increased weekly until your symptoms are controlled without local reaction at the injection site. This dose will provide relief of your symptoms for the longest period of time. While this may vary depending upon the season and each individual patient, complete desensitization may take two to three years to occur. Therapy should be continued weekly for a year after the maintenance dose has been reached. If there is no recurrence in allergic symptoms, the time between injections may be spaced further apart. Your physician will monitor your progress and will discuss any adjustments on intervals between as needed.

Allergy injections are given at different times at our locations. We do not offer home-administered injections.  If you would like to undergo immunotherapy at home, speak with your doctor about sublingual immunotherapy.

Please remember:

  • For many of our locations, you don’t need to make an appointment for your allergy shot.
  • You must wait in our office for 20 minutes after receiving your shot just in case there is a reaction to the shot. A nurse will evaluate your condition after your shot to ensure there are no signs of a reaction.
  • You will not be given an allergy shot if you have hives, wheezing, and/or a fever.
 

Immunotherapy Hours

West Raleigh Office (Lake Boone Trail)

Allergy injections are given on a walk-in basis, Monday through Friday from 8:30 a.m.to noon and again from 1 p.m. through 4 p.m. In our Raleigh office, you may also have the option of coming in twice a week cutting your personal build up phase almost in half, if you are able to receive an injection each time you visit.

Garner and Wake Forest Offices

Injections are given by appointment only in our Garner and Wake Forest offices.

Brier Creek Office

Allergy injections are given at the following times:
Tuesdays: 8:30 a.m. to 11 a.m.
Thursdays: 2:30 p.m. to 4:30 p.m.
 

Cary Office

Allergy injections are given at the following times:
Tuesdays from 8:30 a.m. to 11:00 a.m.
Wednesdays from 1pm to 4:30 p.m.
Thursdays from 8:30 to 11:00 a.m.
Friday from 1:00pm to 4:30 p.m.

Midtown Raleigh Office (Anderson Drive)

Allergy injections are given at the following times:
Mondays from 8:30 a.m. to 11 a.m.
Tuesdays from 1 p.m. to 4 p.m.
Thursdays from 1 p.m. to 4:30 p.m.
Fridays from 8:30 a.m. to 11 a.m. and from 1 p.m. to 4:30 p.m.