Studies have shown that the OIT process can be done safely and effectively. The number one goal of OIT is safety: to avoid anaphylaxis if the allergic food is accidentally ingested. By reducing the risk of anaphylaxis, patients and their families experience less fear and anxiety over accidental exposures and gain overall improvement in quality of life (eating at restaurants, enjoying birthday parties, traveling, etc.).
The first initial day of OIT takes about 5-6 hours in our office. The remainder of the program requires clinic visits every two weeks that will last about an hour and a half. The duration of the program is different for each individual but is typically around nine months.
After you finish the program, you will be required to take a daily maintenance dose.
Patients who have a history of anaphylaxis to certain foods AND a positive skin test or blood test are eligible.
The program typically takes about nine months to reach maintenance dosing. The first-day procedure in the office will take 5-6 hours. You will have every other week appointments, which will be about 1 ½ hours.
No. Before to starting OIT, we will need to make sure any chronic conditions are well controlled, such as asthma, allergies, and eczema. Your doctor may suggest you take a daily asthma controller or start immunotherapy or antihistamine regimen to help ensure a safe OIT journey. You should continue to take any other routine medications throughout OIT unless directed otherwise by your allergist.
There must be a minimum of 14 days between dose increases. All dose increases must be done in our office.
You have a 21-27 hour dosing window. You will need to give the dose at least 21 hours apart but no longer than 27 hours.
Children should be observed for at least one hour after the dose is given. They should not be allowed to sleep during this time.
There should be at least 21 hours and no more than 27 hours between your last dose and your appointment time. We will assist you in scheduling your appointments, so it is manageable with your home dosing schedule. NEVER increase the dose at home; doing this will result in discharge from the program.
Yes, we offer multiple foods at the same time when recommended by your physician.
Your physician will make recommendations on what foods you may qualify to challenge to. The benefit of doing oral food challenges is that if you fail a challenge, you may be able to do multiple foods simultaneously during OIT.
You will be given written instructions regarding how to treat reactions. Education regarding a reaction, including a detailed emergency action plan, will be provided at your first initial day of treatment. FAI has an emergency on-call nurse and doctor 24/7.
Do not administer the dose less than one hour before boarding, and do not administer the dose while flying. If there are scheduling conflicts while traveling, please let us know, and we will provide you special dosing instructions. A letter explaining the procedure and need for food solution for the Transportation Safety Authority is available on request.
There are no preservatives in the food solution. It MUST be kept cold.
Call as soon as you know you need more solution or doses. We will always supply you with the appropriate amount of doses needed for your personalized schedule.
If your child is sick (fever, asthma flare, or other illness), call us before giving any doses. Illness can increase the risk of having a reaction.
Taste is personal; experiment. Small volumes could be mixed with a semi-solid food such as apple sauce or pudding. However; the entire dose of oral immunotherapy mixture must be taken. If the total amount gets too large, it will be difficult to consume all of it. If you are having a difficult time masking the flavor, ask our staff for recommendations.
The number one goal is safety: to avoid anaphylaxis if the allergenic food is accidentally ingested. The freedom that comes from OIT is being able to eat foods without reading labels or worrying about cross-contamination.
Once you reached maintenance, there should be follow-up at one month and then every six months thereafter. Labs will be repeated at the one-month follow-up and yearly.
Exercise should be avoided for at least two hours after dosing, and doses should not be given immediately following exercise. Exercise close to the time of dosing increases the chance of a reaction. Exercise restriction applies to escalation and maintenance dosing.
Once someone is desensitized to a food, they must continue to consume the food to remain desensitized.
Call us to schedule an OIT consultation with your allergist to discuss treatment options for your food allergy.