What is the lowest maintenance dose you will use if a patient continues to have anaphylaxis when trying to achieve maintenance dosing?
Answer from: at Academic Institution
Probably 1:1 0.2 ml. Most of the lesser dose maintenance patients are ones I inherited and had to go way back in the shot record to see what the indication for reduction was whether systemic vs long-lasting LLR or something else like an intolerance. I have a hard time believing that patients will ac...
Comments
at Warren Clinic Allergy And Immunology I try and get "failures" to 0.50ml of YELLOW at a ...
Another approach might be to give a lower dose, perhaps 1.5 ml of a 1:1 every 2 weeks, so that the monthly dose would be a minimum of 0.3 ml.
George GottliebDecatur GA
I suppose this patient has had severe symptoms and has seen improvement on IT. Why else continue IT?
If the allergist is willing to share his extract "recipe", maybe there are some allergens in the dose in the extract that can be reduced.
Just a thought.
I try and get "failures" to 0.50ml of YELLOW at a ...