Allergen Immunotherapy

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Allergens affect thousands of children across the UK. While some substances are easy to avoid, it can be difficult for you and your little ones to avoid all contact with known and unknown allergens. The good news is that, with immunotherapy, it is possible to train your child’s immune system to suppress its response to allergens such as house dust mites and grass pollens.

If your child is suffering from allergies, immunotherapy provides a preventative treatment that can help you get their allergies under control. That way, your little one can regain their freedom and continue to enjoy life with fewer, if any, symptoms at all. At Midland Health, our paediatric allergy specialist will arrange a private consultation to diagnose, prevent and treat allergies.

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What is Allergen Immunotherapy?

Immunotherapy is designed to prevent allergic reactions by encouraging the immune system to recognise and respond to allergic proteins differently. Treatment involves exposing the patient to very small doses of the allergen that they are allergic to.

For example, children with pollen allergies make Immunoglobulin (IgE) antibodies to pollen proteins. This treatment teaches the immune system to make different antibodies (IgG4) to the pollen proteins. These new antibodies may compete with the allergic antibodies and redirect the immune system’s response, allowing your child to get relief from their allergy symptoms in the future.

Allergies We Can Treat

It is not uncommon for mild allergies to develop into something more severe as a result of repeated exposure. That is why it is crucial to develop a treatment plan at the earliest opportunity. At our specialist clinic in Birmingham, our skilled professionals can diagnose and treat a range of allergies, desensitisation methods can be successful in treating allergies like:

  • Grass Pollen: Grass pollen is one of the most common allergens and symptoms include sneezing and a runny nose, watery eyes and swelling around the eyes. Immunotherapy involves the repeated administration of small doses of the allergen to reduce the immune system’s sensitivity.
  • House Dust Mites: A dust mite allergy in children can result in common allergy symptoms, including sneezing and coughing. They can even trigger asthma symptoms, such as wheezing and difficulty breathing. But thankfully, immunotherapy can improve tolerance to this substance and reduce symptoms.
  • Birch Pollen: Tree pollen can trigger quite serious allergic reactions, resulting in symptoms such as wheezing and difficulty breathing. Exposure to this allergen can help your child build up a tolerance to tree pollen and provide effective relief.

If your child is struggling with allergy symptoms to these allergens or others, arrange to see our medical experts as soon as possible. With access to cutting-edge tests and equipment, we are well-placed to diagnose and treat your child’s allergies.

Our Allergy Immunotherapy Treatments

At our private clinic in Birmingham, we are able to provide a range of immunotherapy treatments for children with severe allergies. In order to provide your child with effective relief, we are proud to be able to offer:

Sublingual immunotherapy provides an alternative way of treating allergies. Treatment involves placing a daily tablet or drops under the tongue for three years. The biggest improvement is seen in the first year and a modest improvement in the second year. Treatment is recommended in the third year to prevent further deterioration and research has shown that it can result in no deterioration over the next five years, although this could be longer.

While treatment can be safely continued at home, we recommend that the first dose is given in a specialist clinic. Our experienced medical professionals can help you and your little one find the right treatment.

Subcutaneous Immunotherapy, also known as allergy shots, offers a long-term solution to finally conquer your allergies and take back control of your child’s reaction. Unlike oral medications, these injections retrain their immune system to tolerate the allergens that trigger their reactions. This means your child can experience lasting relief, not just manage symptoms.

It works by gently introducing the body to tiny amounts of your child’s specific allergens through injections under the skin, usually in the upper arm. Over time, with regular injections, the dose is gradually increased. This helps the body build a natural defence against these allergens, leading to long-lasting relief that often lasts for three to five years or even longer.

Choosing Between Sublingual and Subcutaneous Immunotherapy

If your child is suffering from allergies, you might be wondering which of our effective immunotherapy options to choose: sublingual immunotherapy or subcutaneous immunotherapy injections.

Both options have their benefits, and the best choice for you depends on:

  • Your child’s allergy type: Shots treat a wider range of allergies, while tablets are currently licenced for pollen and house dust mite allergies.
  • Your child’s lifestyle: Injections require regular clinic visits, while drops are taken at home.

We understand choosing the right approach can be confusing. Our expert team is here to guide you. Schedule a consultation today. We'll discuss your child’s allergies, answer any questions, and help you find the treatment that lets your child breathe easily again.

What Does Subcutaneous Immunotherapy Involve?

Subcutaneous Immunotherapy is a safe and effective treatment option for children aged 8 and over who suffer from allergies that haven't been controlled by medications like antihistamines and nasal sprays. These allergies can be to things like pollen, dust mites, or furry animals.

It works by giving your child tiny doses of what they're allergic to in a series of injections under the arm. Over time, these injections help their body build a tolerance to the allergens, reducing allergy symptoms for years to come.

The Treatment Process

We understand that needles can be scary for children, and we're here to make the appointment as comfortable and stress-free as possible. Here's a breakdown of what to expect:

  • Quick and Easy Injections: The injections themselves only take about 10 seconds each.
  • Friendly and Caring Staff: Your child will be seen by a friendly and experienced nurse in a comfortable environment.
  • Pre-Injection Checkup: Before each injection, a nurse will check to make sure your child is healthy and well enough to receive the dose.
  • Monitoring for Safety: After the injection, your child will be observed for at least an hour to ensure they experience no serious reactions. Our team will be there every step of the way.

The initial treatment typically involves a series of 4 injections, spaced one to two weeks apart.  For pollens, this is done each year of the three-year program. For optimal results with pollen allergies, it's important to start this treatment at least 3 months before the hayfever season begins.

For House Dust Mites or furry animals, this initial course is followed by 4-6 weekly injections and would be reviewed at 6 months for improvement.  If successful this would ordinarily be continued for 3 years for maximal long-term benefit.  When treatment is commenced for furry animal allergy, it is recommended that the home environment is allergen-free with minimal exposure for the first 4 months of treatment.

Our Paediatric Allergy Specialist

Our paediatric allergy service is led by Dr Tom Dawson, a highly-trained paediatric consultant. Dr Dawson specialises in infections and allergies and has a wealth of experience in immunotherapy treatments. He trained at University College London before treating patients at our Birmingham clinic and has since made a name as an industry expert in his field. 

Chairing the Midlands Paediatric Allergy Group, Dr Dawson is deeply committed to ensuring that outstanding clinical practices are followed for paediatric allergy services across the UK. He is a member of the BRIT committee, a group monitoring nationwide immunotherapy use, as well as the British Society for Allergy and Clinical Immunology Standards Group.

No matter how severe your child’s allergies are, Dr Dawson always takes a compassionate approach to treatment. If your child is suffering from severe allergies, Dr Dawson will be happy to see you for a consultation and will work with you to find a suitable treatment for your child.

Prices

Initial Immunotherapy Consultation

£295

(Consultation required prior arranging the Immunotherapy treatment)

First Year Sublingual Immunotherapy Consultation

£1,800

The cost for the first year of Sublingual Immunotherapy includes:

  • 30-minute observation time in the clinic after the first dose is administered
  • 3 months of medication issued at the first appointment
  • 3-month follow-up appointment
  • 9 months of medication which will be issued at the follow-up appointment. 
  • One optional follow-up appointment within the first year in the unlikely event it is required

Second Year Immunotherapy Treatment

£ 1,600

Why Choose Us?

If you have any concerns about your child’s allergies, it is wise to book an appointment with an experienced allergy specialist today. As industry experts in our field, we make allergy treatments more accessible for families in Birmingham and the surrounding areas. When you choose us, you do not have to wait for weeks on end to see a qualified paediatrician. You can book an appointment with our specialist in a matter of days. We are proud to provide:

  • Appointments with a specialist within days
  • Private consultations with allergy experts
  • No waiting lists
  • State-of-the-art medical facilities and technology
  • No GP referrals required
  • Exceptional patient care

Visit Our Paediatric Allergy Clinic In Birmingham

If your little one is experiencing issues with their allergies, the team at our Birmingham clinic can help. We specialise in allergen immunotherapy and can provide a range of treatments to reduce allergy symptoms. The clinic is conveniently located just outside of Birmingham City Center on Highfield Road and can be accessed by both car and public transportation.

FAQs

How effective is immunotherapy for allergies?

Immunotherapy is highly effective for treating allergies. We advise that treatment is continued for at least three years to decrease the risk of allergies returning.

What are the side effects of allergy immunotherapy?

Generally, local reactions such as oral discomfort and tingling and throat itch reduce over the first few weeks. While systemic reactions, such as hives and nasal congestion and eczema flares are very uncommon, it is wise to consult a medical professional as soon as possible to rule out anything more serious.

How long does allergy immunotherapy last?

Most patients experience lasting effects. In some cases, allergies can return after the treatment has stopped.

How long does it take to work?

Most children will see the biggest improvement in their hay fever symptoms during the first year of treatment. There may be further improvements in the second season, but this is less likely in the third year. However, we advise taking the treatment for the third year to improve long-term outcomes.

What treatments are available?

Some sublingual preparations are licensed and can treat allergies to grass and tree pollen, as well as house dust mites. These would include Grazaxâ, Itulazaxâ and Acarizaxâ. Other unlicensed products are available for the treatment of animals or moulds in the form of drops.

Which allergies does immunotherapy work for?

Immunotherapy works for aeroallergens causing allergies to pollen and house dust mites as well as animals.

Similarly, some people with oral symptoms due to the pollen on foods such as fruits may see an improvement in their symptoms. Those with seasonal asthma symptoms may also see improvements.

It is worth noting that there are some immunotherapy treatments for food allergies but these need to be started in a hospital setting.

Is immunotherapy safe for children?

Yes, immunotherapy is safe for children. Most people will have some side effects at the beginning of treatment with an itchy or tingly tongue and throat. Generally, this only lasts for a few minutes and improves with the duration of treatment. These side effects are usually not reported after 6 weeks.

Treatment may need to be paused for a few days occasionally if these symptoms occur during an illness or after trauma inside the mouth.

Also, keep in mind that there is a very small risk of a severe allergic response, although this is more commonly associated with those who have received subcutaneous (injectable) treatment as opposed to sublingual treatment. Similarly, there are risks for those with severe or uncontrolled asthma and therefore immunotherapy is not recommended for this group. Some immunotherapy products may not be suitable for those with an allergy to fish.

At what age can you start immunotherapy?

Research studies have demonstrated effectiveness in children as young as age 4. However, we recommend our licensed treatments from 6 or 12 years of age depending on the preparation. After all, it may be more difficult to administer treatment in some children under 6.

What is the success rate of immunotherapy in children?

After three years about 15% of those treated will not require any treatment for their hay fever. Most requiring regular treatment with nasal spray and/or antihistamine will need only intermittent treatment. There is also evidence of improvement in asthma symptoms in those with mild asthma or seasonal asthma.

The success rate is dependent on compliance with the treatment. Those who take the treatment every day will see the biggest improvement. Those who do not take their treatment daily will not see as big of an improvement. It is also important for the treatment to be started three months before the pollen season for maximal effectiveness.

Are there any side effects to subcutaneous immunotherapy?

While SCIT is a safe treatment, it’s important to be aware of some potential side effects. These can include:

  • Uncomfortable, red, and itchy swelling at the injection site, lasting up to 72 hours
  • Feeling tired after the injection
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