Our Services

SERVICES

We Offer

Evaluations We Offer

  • Allergic Rhinitis
  • Anaphylaxis
  • Angioedema (swelling)
  • Asthma
  • Chronic Cough
  • Chronic Rhinitis
  • Contact rash/allergy
  • Drug allergies, including antibiotic allergies
  • Environmental/seasonal allergies
  • Eczema
  • Food allergy
  • Headache
  • Hives
  • Mast cell disease
  • Recurrent respiratory infections
  • Stinging insect allergy (ex: bee sting)
  • Vaccine allergy
Cold sick woman blowing nose

Tests We Perform

  • Exhaled nitric oxide
  • Spirometry
  • Skin testing
  • Food challenges
  • Patch testing for contact allergies
  • Drug challenges to rule out antibiotic allergies and other medication*
  • Vaccine testing *
  • Venom testing*
Young doctor giving a patient injection.

*Penicillin, drug, vaccine and venom testing are all done at least 6 weeks after the initial reaction

Treatments We Offer

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Subcutaneous immunotherapy (SCIT) for all environmental/seasonal allergies

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Biologic Therapy

  • Asthma: Xolair, Fasenra, Dupixent, Nucala
  • Eczema/Atopic Dermatitis: Dupixent
  • Chronic urticaria (hives): Xolair
  • Chronic Rhinosinusitis with Nasal Polyps: Dupixent, Xolair, Nucala
  • EGPA ( Eosinophilic Granulomatous with Polyangiitis – formerly Churg Strauss syndrome): Nucala

Allergy Shots

Why allergy shots?

    • Optimal allergy treatment, particularly for patients with multiple  environmental allergies. For most of patients, completion of allergy shot treatment course removes the need for daily medications.
    • Used for both environmental allergies (pollens, animal dander, dust mite, and mold) and stinging insect  allergies
    • Significantly reduces nasal, eye, and respiratory symptoms 

How does it work?

    • The injection is a small dose of the allergens that cause your symptoms
    • Desensitizes the patient so the body will tolerate the allergens that trigger symptoms

How is it done?

    • Patients start off with one injection per week. Over 6 to 8 months, increase intervals until the monthly maintenance dose is achieved
    • Allergy shots must be administered in the clinic for patient safety to ensure that adverse reactions can be promptly treated

When will I feel better?

    • Many patients notice improvements after 6 months, though some patients may take longer

How long do I have to get shots?

    • The average course of treatment is 3-5 years.

What to expect for each allergy shot visit

    • You must stay at the clinic for 30 minutes after your injection so we can monitor you for any symptoms of an allergic reaction
    • Common side effects vary from local redness, itching, and swelling; throat itching; congestion; sneezing; hives; wheezing
    • Possible side effect: anaphylaxis
    • We will treat your symptoms as necessary if they occur 
    • Treatment of side effects can range from administering antihistamines, breathing treatments, and sometimes use of an EpiPen (in rare situations)
    • Certain medications may interfere with allergy shot treatment. These include beta-blockers (e.g. Metoprolol) and ACE inhibitors (e.g. Lisinopril). If you are taking these medications, please inform our providers so we can adjust your treatment accordingly