Allergy Shots vs. Sublingual Immunotherapy: Which is Right for You?

For those who suffer from allergies, finding long-term relief can be life-changing. Two popular treatments that offer lasting results are allergy shots and sublingual immunotherapy. Both aim to reduce sensitivity to allergens over time, but they differ in their approach and suitability for different individuals. So, how do you choose the right treatment? Let’s break down the differences to help you make an informed decision.

What Are Allergy Shots?

Allergy shots involve regular injections of small amounts of allergens under the skin, typically in the upper arm. The goal is to gradually desensitize your immune system to the allergens, reducing or eliminating allergic reactions over time.

How It Works

Initially, you’ll receive injections once a week during the build-up phase, which lasts several months. Once the effective dose is reached, you enter the maintenance phase, with injections every few weeks for three to five years.

Who It’s For

Allergy shots are highly effective for individuals with allergic rhinitis (hay fever), asthma, and insect sting allergies. They can treat a wide range of allergens, including pollen, dust mites, mold, and pet dander. They can also be helpful for people with allergen-induced eczema and pollen food syndrome (oral allergy syndrome) linked to pollen cross-reactive foods.

Pros

• Long-term Relief: Many patients experience significant improvement or complete relief from their allergy symptoms.
• Comprehensive: Effective for multiple allergens, even in patients with severe allergies.
• Insurance Coverage: Typically covered by insurance.

Cons

• Time Commitment: Frequent visits to the doctor’s office are required, especially during the build-up phase.
• Injection Pain: Some people may be uncomfortable with needles or experience mild pain or swelling at the injection site.
• Risk of Reactions: There is a small risk of allergic reactions, ranging from mild to severe, which is why the shots are administered in a medical setting.

What Is Sublingual Immunotherapy (SLIT)?

Sublingual immunotherapy (SLIT) involves placing drops or tablets containing allergens under your tongue. Like allergy shots, the goal is to desensitize your immune system over time, but the delivery method is different.

How It Works

SLIT is usually taken daily at home. The first dose is typically administered in a doctor’s office to monitor for any adverse reactions, but subsequent doses are self-administered.

Who It’s For

SLIT is commonly used to treat allergic rhinitis caused by pollen, dust mites, and some other specific allergens. It’s a good option for people who prefer a needle-free treatment or have limited access to a doctor’s office.

Pros

• Convenience: Treatment is done at home, reducing the need for frequent doctor visits.
• Painless: No injections are required, making it an attractive option for those averse to needles.
• Low Risk of Severe Reactions: While mild side effects can occur, the risk of severe allergic reactions is lower compared to allergy shots.

Cons

• Limited Scope: SLIT is currently FDA-approved for only a few specific allergens, which may limit its effectiveness for individuals with multiple or severe allergies.
• Consistency Needed: Daily adherence is critical for SLIT to be effective, which requires a high level of commitment.

Insurance Coverage

Coverage for SLIT can vary, and it may not be as widely covered as allergy shots. The FDA-approved SLIT tablets are available for grass pollen, ragweed pollen, and dust mites, making it an option for individuals allergic to these specific triggers. However, SLIT drops, while effective, are not FDA-approved and are typically not covered by insurance. However, patients can use health savings accounts (HSAs) or flexible spending accounts (FSAs) to cover SLIT drop costs.

Which Option Is Right for You?

Choosing between allergy shots and SLIT depends on various factors, including the severity of your allergies, your lifestyle, and personal preferences.

Consider Allergy Shots If:

• You have multiple or severe allergies.
• You don’t mind regular doctor visits for injections.
• You want a treatment that has been widely used and studied over many years.

Consider SLIT If:

• You have mild to moderate allergies caused by specific allergens.
• You prefer a needle-free, home-based treatment.
• You’re looking for a convenient option that fits into a busy lifestyle.

Consult with an Allergy Specialist

Before making a decision, it’s essential to consult with an allergy specialist who can evaluate your specific situation and recommend the most appropriate treatment plan. Both allergy shots and SLIT offer effective, long-term relief from allergy symptoms, but the right choice depends on your individual needs.

Get Personalized Allergy Treatment at Northeast Allergy

At Northeast Allergy, our experienced team is here to guide you through your options and help you find the best treatment for your allergies. Whether you’re considering allergy shots, SLIT, or another form of therapy, we’ll work with you to create a personalized plan that fits your life. Schedule a consultation today to start your journey toward lasting allergy relief.