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VETERINARY SURGEONS Referral
Protocol CLIENTS Introduction
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Immunotherapy is the only specific treatment available for atopic patients. These sterile solutions will be formulated in Holland to contain the allergens that caused the reactions during your pet’s own (intradermal) skin test and/or blood test. We will be giving increasing amounts of the allergens regularly in an attempt to reduce your pet’s reactivity to these allergens when they are encountered under natural circumstances. Lowered reactivity will lead to development of tolerance and lead to reduced irritation. The first bottle will be used for basic induction therapy and administration will be dictated by one of two schedules. The routine immunotherapy induction phase will last approximately three months. Further bottles will then need to be ordered to continue the maintenance phase of the therapy. The bottles and needles need to be safely disposed of at the surgery. Heavy exercise and large meals should be avoided one hour before and after injections. With routine induction, I will request that you remain in the surgery for at least thirty minutes after the initial two injections so that we can observe your pet for adverse reactions. These reactions are very uncommon. The signs that indicate a reaction include laboured breathing, vomiting, diarrhoea and hives on the skin. There may be a temporary increase in the level of itching during the induction phase of hyposensitisation, which may require some treatment. It is important that we try to avoid giving steroid treatment during the first six to nine months of treatment as this may interfere with the development of tolerance. I offer a new protocol, known as rush immunotherapy, which will allow the duration of the induction period to be greatly reduced. Your pet will be hospitalised for a day under close observation and given an increasing dose of immunotherapy injections throughout a whole day. Between sixty and seventy percent of pets are likely to benefit from this treatment. With the standard induction, most patients will respond within the first nine to twelve months, if they are going to respond. But the response to rush immunotherapy may be as short as six months. Other treatments may have to be given during the vaccination regimen whilst we are waiting for the irritation to abate. Close monitoring of the response is important and subsequent adjustments
to the various treatments are often needed. Please contact me if you have
any queries once your pet is on immunotherapy treatment and I will respond
to your questions as soon as possible.
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