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What are Allergy Shots?

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  • Written By: Mary McMahon
  • Edited By: O. Wallace
  • Last Modified Date: 29 August 2016
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Allergy shots are a series of injections given to decrease someone's sensitivity to an allergen. A full course of allergy shots can take up to five years to complete, making it a serious commitment, but it can greatly improve quality of life. For patients with very severe allergies, allergy shots can also be lifesaving, as they allow the patient to be exposed to the source of an allergy without developing fatal symptoms.

Also known as immunotherapy, allergy shots involve introducing very small amounts of an antigen to a patient's body. In the build up phase, in which shots are taken one to three times a week for three to seven months, the amount of the antigen is gradually increased with each shot. The goal is to expose the body without triggering an allergic reaction, allowing the patient's body to recalibrate itself so that it will not longer recognize the allergen as a threat. In the maintenance phase, which requires one shot a month for two to five years, the patient is given regular doses to continue the desensitization.

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When allergy shots are given, it is usually because a patient has very severe allergies, or experiences allergic reactions more than three times a year. Patients who find it difficult to avoid an allergen can also benefit from shots, as can patients who have tried other means of allergy control which turned out to be unsuccessful. Immunotherapy is not recommended for people with heart conditions or severe asthma, or for pregnant women.

Insect allergies, seasonal allergies to things like ragweed, and indoor allergies can all be treated with allergy shots. Food allergies cannot. Before offering allergy shots to a patient, a doctor will usually conduct an interview to collect information about the patient's history and current medications, to make sure that he or she is a good candidate for the shots. In certain cases, a doctor may recommend rush immunotherapy, in which the patient gets increasingly large doses every few hours in a controlled environment like a hospital for rapid desensitization.

Typically, patients are asked not to exercise for at least two hours before and after allergy shots. They will also need to stay for monitoring for at least 30 minutes after a shot to confirm that no adverse reactions are occurring. Allergy shots are not risk free, and patients can sometimes develop allergic reactions and other serious responses, which makes this monitoring period important. If a patient does start to feel strange after a shot, he or she should report the feeling immediately so that medical care providers can take action.

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Kat919
Post 2

@MrsWinslow - If you think you might be pregnant soon, within six months to a year, I think starting the shots would be a waste of money. Depending on your insurance, the start-up cost can be high because you have to buy the serum, which can be hundreds of dollars.

They will not *start* shots while you are pregnant, but if you are well-established with them when you *get* pregnant, you can usually continue at a maintenance dose. But it takes a while to get to that maintenance dose, and if you get pregnant first, they might just want you to stop. As far as I know, they don't affect breastfeeding.

*But,* you usually have to take antihistamines with

allergy shots to minimize reactions. They say to take an antihistamine the day before, the day of, and the day after, and possibly a different kind of antihistamine the day of. And antihistamines work against your body's efforts to get pregnant by drying up your fluids. Another reason why it might be better to wait until after baby to try the shots, or alternatively to start the shots but stop trying to conceive for a while.
MrsWinslow
Post 1

This might sound silly, but I had no idea that allergy shots were immunotherapy - I think I thought they were just injections of stronger medicines! My allergist has recommended allergy shots for me, so I'm researching it. I moved to a new area recently where I plan to stay for a long time, and the allergens are different from what I am used to and I'm just really suffering!

But I'm concerned about allergy shots and pregnancy because I am trying to conceive. If I got pregnant, would I have to stop the shots and start all over again after I had the baby? What about if I was breastfeeding? Does anyone have experience with this?

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