Parker County Today March 2016 | Page 53

our health: ALLERGIES The Efficacy of Drops Local doctor predicts more allergy sufferers in the States may soon benefit from a tried-andtested European treatment BY MEL W. RHODES PA R K E R C O U N T Y T O D AY are FDA-approved and are safer than shots.” Hall said in SLIT “drops are placed under the tongue daily to desensitize allergy receptors located there.” The treatment lasts “three to four years with the effectiveness lasting 10-12 years before the desensitization wears off.” According to the Journal of Environmental and Public Health: “SCIT [injection therapy] is a wellestablished treatment modality that has been successfully used for many decades and is relatively well tolerated. Occasionally patients can develop severe reactions that very rarely can result in mortality. SLIT is also a very old treatment modality (earliest description is from 1900) and yet, while commonly used in Europe, it is still not well established in the USA. Over the last 20 years the European medical community produced a large amount of high-quality evidence suggesting that SLIT is safer than SCIT. While no single case of mortality has ever been reported with SLIT, this is not the case with SCIT. SLIT is so safe and easy to administer that patients treat themselves at home.” Additionally, JEPH published: “Our findings demonstrate that SLIT is not only MARCH 2016 Allergies can seem like a plague — stifling irritants for many and all but incapacitating for others. Misery is a word often used to describe their effects. According to Dr. Alan Hall, M.D., of Oakridge Urgent Care in Hudson Oaks, “Allergy symptoms go way beyond sneezing, watery eyes and runny nose; they include rashes, chronic colds, sinus infections, headaches, fatigue, joint pain, asthma and more. The cause of your misery could be pets, dust, mold or pollen from trees, grass and weeds.” Though considered by some the “epidemic of the twenty-first century” — as many as 50 million people in the U.S. suffer from them annually — allergies are not a new phenomenon. Still, as medicine advances, both sufferers and doctors are constantly seeking effective treatments for the ailment. One common treatment is the allergy shot, an injection administered at regular intervals over a period of three to five years. The treatment is a form of immunotherapy with each shot containing a tiny amount of an allergen that in larger quantities would cause a full-blown allergic reaction. Over time the amount of allergen administered increases and the immune system builds up tolerance to the offending substance, becomes desensitized to the allergen, and symptoms diminish.  Dr. Hall prefers a different, relatively “new” sort of immunotherapy — Sublingual Immunotherapy (SLIT). “In my opinion, it is a better method because it’s safe — less reactions — and convenient — you can do it at home,” he said. “They effective in controlling symptoms in nasal allergy patients with or without asthma, in decreasing medication use in such patients, and in improving parameters of pulmonary function, but it also appears that SLIT is as effective as SCIT.” Concurring with these findings, Dr. Hall said, “It is already the most common method in Europe and since its recent FDA approval in the U.S., I predict it will become more widely used here in the U.S.” Three things that may ensure that the now FDA-approved SLIT does catch on here in the States are: 1) folks tend to shy away from needles and if given the option, will take a less painful course of action; 2) the convenience of self-administration at home instead of driving in to the doctor’s office is attractive; and 3) everyone wants to feel the treatments they undergo are as safe as possible. Should Dr.Hall’s prediction hold true, more allergy sufferers will have a new option for assuaging their misery, a new weapon in their arsenal with which to battle their allergic discomforts. 51