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Allergy Treatment


  • There must be at least (1) day between shots.
  • Patient must be observed at least (15) minutes after allergy shot is given.
  • Continue all medications as prescribed by your doctor while taking allergy shots until further notice from your doctor. Relief from symptoms varies with each patient.
  • If asthma symptoms are present or if you have a temperature, you should not get an allergy shot.
  • Always notify your Allergy Technician if you start any prescriptions that are Beta Blockers.
  • If swelling occurs at your injection site: apply ice, anti itch cream to the site, and take your antihistamine if it has not been taken the same day. Be sure to tell the nurse before your next shot of any type of reaction.
  • Expect itching, redness and occasional mild swelling. This is normal.
  • Bruising happens sometimes and cannot be helped.
  • You should be seen yearly by your doctor to insure optimal care.
  • If you become pregnant, please call your Allergy Technician.

REMEMBER: A shot reaction can occur at any dose. It is very important to check the injection site and report any type of reaction to the allergy nurse.

Management of local reactions

Open lines of communication are most important during your allergy treatment. Please always keep us informed of your symptom progress. It is only with your regular reports that we will know if the injections are helping you and, if not, we will be anxious to make some further adjustment to give you the best possible symptom relief. After the allergy injection, you may note some redness and itching at the injection site. You should never see a local arm reaction greater than a 50 cent piece size lasting longer than 24 hours. You should never feel “worse” after an injection.

Please report any reaction to the nurse before receiving the next treatment dose. Always have Benadryl at home in your medicine cabinet. Benadryl can be taken in the event of hives, rashes or itching. Caladryl can be applied to the injection site if it itches.

Rarely is there a more systematic reaction such as facial swelling, hives, wheezing, etc. Since this type of reaction usually begins within minutes of receiving injections, you should wait in the allergy office 15 minutes after the injection is given. If these symptoms occur after leaving the office, return to our office or go to the nearest Emergency Room if you feel you are in real trouble. For patients who administer allergy injections at home, if you have an anaphylactic reaction, use Benadryl and if necessary your Epi-Pen and call 911. Emergency help is vital for your safety.


Anaphylaxis usually begins 5-30 minutes after the injection:

  • Mild – Nasal congestion, sneezing, itching of hands, feet, neck or genitalia, water eyes, flushing, hoarseness, mild cough, metallic taste, faintness.
  • Moderate – Hives, sweating, throat tightness, lump in throat, choking, shortness of breath, wheezing, chest tightness, nausea, abdominal cramps, headaches.
  • Severe – Severe throat tightness, severe wheezing, tachycardia, hypotension, shock, fecal or urinary incontinence, feeling of doom.
For patients who administer allergy injections at home, if you have an anaphylactic reaction, use Benadryl and if necessary your Epi-Pen and call 911.

Wilmington Ear Nose & Throat Associates • 2311 Delaney Ave. • Wilmington, NC 28403 • Phone: 910-762-8754 • Fax:910-762-0778
Business Hours: Monday – Friday, 8:30 a.m. – 5 p.m. • Business Hours Vary By Location

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