Cluster ImmunotherapyCluster 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
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.
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 individual situation.