Allergy Immunotherapy

Allergen-specific immunotherapy (SCIT / SLIT), dose tracking, and reaction monitoring

ALL immunotherapy injections require 30-min observation post-dose. Resuscitation equipment (epinephrine, oxygen) must be immediately available.

Meera Iyer, 28F

House Dust Mite (Dermatophagoides pteronyssinus)

Allergic rhinitis + mild asthma (HDM sensitisation — skin prick test grade 3++)

Maintenance

Current Dose: Maintenance dose 1:1 — 0.5 mL SC monthly

Progress: 42 of 60 completed (month 14)

Last Given: 28 May 2026 — no reaction

Next Due: 28 Jun 2026

Continue monthly maintenance. Pre-medication: Cetirizine 10 mg 1h before. Observe 30 min post-injection. Target 5 years total.

Rohan Sharma, 12M

Groundnut (Arachis hypogaea) — SLIT drops

Peanut allergy — Ara h2 IgE 18 kU/L. OIT protocol — not for injection. Sublingual immunotherapy.

Build-up

Current Dose: Week 8 — concentration 1:100 · 5 drops OD

Progress: N/A — SLIT

Last Given: N/A

Next Due: Step-up weekly per protocol

Increase by one concentration step weekly until maintenance. Parent trained. Epinephrine auto-injector prescribed. Emergency action plan given.