Immunotherapy which is also known as allergy shots is a type of treatment which has long-term benefits. Immunotherapy helps in reducing the chance of different kinds of allergic issues to develop later in life. The chance of having allergic rhinitis, allergic asthma, stinging insect allergy and even conjunctivitis are all diminished with the help of these allergy shots. Allergy shots help your body become immune to different allergens which can later trigger an allergic reaction. Any individual, who notices symptoms for more than 3 months in a year and does not see the medicines make any significant headway, should definitely consider taking immunotherapy.
What is the Immunotherapy Treatment?
The treatment of immunotherapy allows the doctor to inject small doses of whatever substance you are allergic to, also known as allergens, under your skin. This procedure helps your body get used to the allergens which in turn help in reducing the symptoms of allergic rhinitis. For allergy shots, your doctor first carries out a test to determine which allergen is the patient allergic to. The doctor might then use weed, pollen or dust mites, molds and even animal dander as allergy shots.
In the beginning of the treatment, the doctor may give these allergy shots once or twice every week, depending on the need. Once the patient reaches the point of maintenance doses, the same dose is injected in the patient’s body every 2-4 weeks for up to 6 months. Once the 6 month period is also over, the dose is reduced to once a month. A checkup will be done by your allergist after a year to see whether the symptoms have become less severe or not. If there is no remarkable change witnessed then the doctor does not prescribe continuing the same treatment, however, if there is an improvement then you may have to continue taking the shots for up to 3 to 5 years.
Results of the Treatment
There is no definite assurance of being completely cured after taking immunotherapy as the allergy might return for some within a few years. For others at the same time, the allergy might show no sign of returning and the patient can be completely cured. Most of the times, this treatment is absolutely safe when given correctly. However, symptoms of asthma, hives and low blood pressure can be a matter of grave concern as it can be a life-threatening reaction. Emergency care should be provided immediately in such a case.
During pregnancy, flu (influenza) can impose serious health implications for both the mother and the child. Due to pregnancy, the risk of developing complications like pneumonia are very high, which can pose as a problem during childbirth. Miscarriage, low birth weight, premature birth are some of the major issues, which might develop if the mother has suffered from flu during her pregnancy. Although flu vaccination during pregnancy has certain risks, it has been observed that in most cases the benefits of inactivated influenza vaccine outweigh the risks. However, Live attenuated influenza vaccine is not recommended at all during pregnancy.
Recommendations across the world suggest that prevention of influenza by administration of inactivated influenza vaccine is the best intervention in pregnancy. The vaccine for Flushould be administered before the onset of flu season. RANZCOG, NHS UK, RCOG, FOGSI recommends inactivated flu vaccine for all the pregnant women unless there are any contraindications.
Taking inactivated influenza vaccine can be beneficial in multiple ways:
1. Prevents maternal complications: During pregnancy, the heart and lungs go through extra stress. Pregnancy can also severely impact your immune system. Opting for a inactivated flu vaccine can decrease significantly, the chance of falling severely ill due to flu.
2. Prevents pregnancy problems due to flu: Getting infected by flu during pregnancy can increase the chance of miscarriage during childbirth. Administering inactivated flu shots can prevent miscarriage as well as premature birth and low birth weight.
3. Protects the baby after birth: Infants have a huge risk of getting infected with flu after birth. But as vaccines cannot be administered to them until they are 6 months old, it is the best recourse to opt for inactivated flu shots during pregnancy as the antibodies pass onto the child from the mother via placenta. The child can hence be protected from such diseases.
Often, one fear about the vaccine, is the development of Gullain Barre syndrome. This is very rare and the risk of GBS are higher following influenza like illness. Also, if the patient is allergic to eggs they are advised to consult a physician. Flu vaccines have traces of egg protein in it. Certain precautions are taken after studying the patient's medical history. The doctor may keep the patient under observation. Or in certain instances the physician might suggest alternative flu vaccine, which do not contain egg protein. Physicians decide it after studying any prior allergic reaction.
As per the WHO SAGE position paper, from 1990 to 2009 the vaccine adverse event reporting system database in USA reported only 20 serious adverse events following administration of trivalent influenza vaccine to an estimated 11.8 million pregnant women. In case you have a concern or query you can always consult an expert & get answers to your questions!