This is where you will find information and advice on Ear Nose and Throat problems (Otolaryngology-Head & Neck Surgery) . The blog is administered by Northland (NZ) ENT specialists. We teach GPs, Registrars and House Surgeons and it is a pity not to have that information available for all who are interested. Hope our readers find it helpful!

Thursday, September 6, 2012

Sublingual Immunotherapy for allergic rhinitis


The private ENT service, would like to offer sublingual immunotherapy to Northland patients. Unfortunately there is no funding for this in Public.

It is a treatment modality, that modifies the immune response by producing blocking antibodies to both antigen specific IgG/IgA. It also reduces the T helper cells , reactive plasma cells,and reduces antigen presentation in the inflammatory response.

Our role would be to guide patient selection, and supervise the first dose.

The ideal patients are those patients symptomatic to a small number of antigens, ideally two or one.Once the patient is referred, we would confirm the allergic symptoms, perform a skin prick test, then reconfirm the allergens by performing a RAST test.There must be a perception that this an additional measure in treating a difficult condition.


Sublingual Immunotherapy, is given in the form of a liquid.There is also a tablet for Grass (Oralair),and next year there is hoped to be a tablet for Dust Mite.
Treatment for grasses,begins in winter,and ends in Feburary.
There is a cost for treatment which must be borne by the patient/parents-of $4/day.CS

1 comment:

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