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Immunotherapy is the only scientifically proven method to control allergies long term or potentially “cure” allergic rhinitis. Immunotherapy is the gold standard recommendation for those who cannot avoid their allergy triggers, have problems managing their allergies, or do not like taking medications.

The mechanism of immunotherapy is to expose you to allergy triggers (e.g., pollen, dust, mold) without triggering symptoms by “building up” your immunity. Each dose has a small amount of allergens that have been formulated specifically for you. Eventually the allergens are increased, allowing your body to get “used to” the exposure over time.

Our office is unique in that we offer three methods of immunotherapy: shots, drops, and transdermal. All modalities allow you to administer your own immunotherapy at home. We’ve been administrating home immunotherapy safely since 2001. Our program is designed to educate you at your own pace so you have the confidence to perform your own immunotherapy correctly. We will instruct you on safety and on handling any side effects or potential emergencies. Once trained, you would only have to return to the office every 2–3 months for a higher concentration of serum rather than visit our office once or even twice a week like other clinics.


  1. Control your allergy symptoms: The first goal in immunotherapy is to reduce your symptoms from allergens exposure through the combination of avoidance techniques, medications, and allergy shots.
  2. Get rid of allergy medications: The second goal is to reduce the amount of allergy medications required to control your allergies.
  3. Stop your allergy shots: Dr. Pasha’s ultimate goal is for you to be off your immunotherapy altogether and be essentially “cured” of your allergies. Not everyone can be “cured” and may require maintenance shots (eg, biweekly injections).

Our program is based on a once-a-week, weekly schedule. Some patients may require a twice-a-week regimen for severe allergies. After your educational program and once you are comfortable, you may begin home injections typically after your third visit (three weeks). After about 3-6 months, you should feel the effects of immunotherapy.

The length of therapy is very unpredictable. Some patients require a year of therapy and others require years of shots depending on the response of their immune system. The average is between 1-2 years.

Studies have shown that when performed properly the success rate of immunotherapy is 85%. Many patients no longer require injections or medications. Few require monthly to bimonthly maintenance injections. There is a possibility of recurrence of your allergy symptoms; this may occur if you are exposed to new allergens that were not tested previously.

What are the potential side effects of Immunotherapy?

When performed properly, immunotherapy is safe. Only a small amount of allergen is introduced with each injection. A great deal of safety instruction will be provided to you. Additionally, the first series of injections are given in the office in order to evaluate for anaphylaxis. Anaphylaxis is a rare, shock-like reaction due to the allergen. If you remain on schedule with your injections you are less likely to have this reaction.

Subcutaneous Immunotherapy

Subcutaneous immunotherapy (SCIT), or allergy shots, is the oldest of our methods. SCIT is the most studied and is typically covered by insurance. SCIT requires more education and potential side effects but is the fastest and most reliable method for “curing” life-long allergies.

Sublingual Immunotherapy

Sublingual immunotherapy (SLIT), or allergy drops, is less studied and is not covered by insurance. SLIT, however, is easy to administer and rarely has side effects. We often recommend SLIT for kids or needle-phobic adults.

Transdermal Immunotherapy

Transdermal immunotherapy is new and is currently under an investigation study. We are one of the few centers in the United States that offer transdermal immunotherapy. This method is easy to apply but is covered only by some private insurance companies.


  • Injection
  • Standard therapy
  • Covered by most insurance
  • Shorter course
  • Weekly or bi-weekly dosing
  • Potential side effects and anaphylaxis


  • Drops
  • Newer therapy
  • Not covered by insurance
  • Longer course
  • Daily dosing
  • Rare side effects


  • Patch
  • Investigational
  • May be covered by private insurance
  • Longer course
  • Daily dosing
  • Rare side effects


No. Despite several published studies demonstrating the effectiveness and safety of SLIT, it does not have FDA approval and therefore considered “experimental.”

Depends on how severe your symptoms may be. Some patients only require months on SLIT others may require several years of allergy drops.

Absolutely. SLIT is popular for children because there are no needles or injections. Dr. Pasha limits SLIT to ages >5 years old.


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