immunotherapy is an accelerated version of traditional immunotherapy. Allergy
Partners’ standard immunotherapy build up schedule calls for 28 incremental
doses given once or twice a week. In Cluster, this build up period is condensed
into 8 ‘sessions’ held once or, ideally, twice a week.
What is Cluster Immunotherapy?
At each session, the patient will receive 2-3 doses of immunotherapy separated
by a 30 minute waiting period. While sessions may last up to 90 minutes, a
patient can reach maintenance dosages in a little as 4 weeks. Such a schedule is
very appealing to patients desiring to see results quicker or whose schedule is
better suited to a more intensive initial phase of immunotherapy.
What are the Risks?
As with any change, however, there can be some drawbacks. With such rapid
escalation in dosing, there can be an increase rate of local reactions. To
combat this, Allergy Partners recommends pre-medication with a non-sedating
antihistamine and a leukotriene modifier.
In addition, Cluster may not be suited
for extremely sensitive patients or those with significant asthma or underlying
medical conditions. Some providers may choose a slightly modified schedule based
on your history, symptoms, and test results.As always, your Allergy Partners
physician will discuss the relative risks and merits of Cluster with you to
ensure that you receive immunotherapy in the manner best suited to your