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Allergen Immunotherapy

Purpose

Your individualized course of allergy shots (immunotherapy) is designed to decrease your allergic sensitivities. The vast majority of allergic patients (80-90%) will experience substantial reductions in their symptoms over time (months to years). Many also reduce or eliminate the need for other medications. Together with avoidance of offending allergens and medication allergy shots represent one of the recommended treatments for allergic rhinitis, allergic conjunctivitis, atopic dermatitis and asthma. Allergy shots are not useful for food/drug allergies or non-allergic conditions like infections.

Treatment Duration

The length of a treatment course varies on a case by case basis but in general a course requires 3 to 5 years of maintenance treatment for completion. Initially there is a build-up phase where the injections are given more frequently but as the High Dose, or maintenance dose, is reached the frequency of injections may be adjusted. The total duration of therapy can vary considerably from patient to patient. During your treatment you will be re-evaluated frequently by your physician. These visits will occur at least annually.

Schedule of Administration

Your series of injections begins at a low dose selected by your physician based on your skin test results and history. Over time the shots build gradually until you reach your High Dose. This High Dose is called the maintenance dose and you will stay on it for the duration of your treatment course unless it is changed by your physician. Maintenance therapy can be continued if you are pregnant BUT notify your OAAC physician when you become pregnant.

The build-up phase of the allergy shots can occur in different formats. Your physician will help you decide which is right for you. Most common is the weekly building schedule. Various accelerated schedules include: 2 or 3 time a week shots, clusters of several shots given on the same day and finally RUSH therapy where many injections are given on one day and then weekly shots follow until you are at your High Dose. RUSH therapy is associated with significantly more side effects (see below) and is not for every patient. However, it does bring you to the High Dose level in a month rather than slowly over many months. This is an advantage for some patients.

Safety

All allergy shots carry some risks for severe anaphylactic reactions. Therefore the injections need to be administered in a medical facility under medical supervision on a regular basis. Weekly or twice weekly shots from our clinic carry a risk of anaphylaxis of 0.015 to 0.02% of injections compared to nationally published risks of 0.1 to 0.3% of injections. RUSH therapy carries a nationally published risk of almost 40% of shots whereas our RUSH risk is closer to 10% of injections. This marked increase in risk however makes RUSH therapy unacceptable for many patients.

Recent News

SuperUser Account
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Important Recall Notice: Mondelēz Global LLC’s RITZ Peanut Butter Cracker Sandwiches

On July 8, 2025, Mondelez Global LLC announced a voluntary recall affecting specific carton sizes of RITZ Peanut Butter Cracker Sandwiches due to a labeling error. This proactive measure highlights the company’s commitment to consumer safety, especially for individuals with food allergies.

What Products are Affected?

The recall affects the following carton sizes of RITZ Peanut Butter Cracker Sandwiches sold nationwide:

  • 8-pack of RITZ Peanut Butter Cracker Sandwiches (11.4 oz.)
  • 20-pack of RITZ Peanut Butter Cracker Sandwiches (27.6 oz.)
  • 40-pack of RITZ Peanut Butter Cracker Sandwiches (55.2 oz.)
  • 20-pack Variety Pack of RITZ Filled Cracker Sandwich (27.3 oz.), which includes both Cheese and Peanut Butter varieties.

Reason for Recall

The identified issue stems from a labeling error where the individually wrapped packs inside the cartons may be incorrectly labeled as Cheese variety, even though they may contain the Peanut Butter variety. This presents a significant risk for individuals with peanut allergies or those who experience severe sensitivity to peanuts, as consuming these incorrectly labeled products may lead to serious or potentially life-threatening allergic reactions.

Importantly, although the outer cartons are correctly labeled and include necessary allergen advisory statements indicating the presence of peanuts, those with allergies should exercise caution.

Specific Details of the Recall

The affected products have Best When Used By dates ranging from November 25 to January 22, 2026, detailed as follows:

1. RITZ Peanut Butter Cracker Sandwiches – 8 Count
  • UPC: 0 44000 88210 5
  • Best When Used By Dates: November 25 – January 26
2. RITZ Peanut Butter Cracker Sandwiches – 20 Count
  • UPC: 0 44000 07584 2
  • Best When Used By Dates: November 25 – January 26
3. RITZ Peanut Butter Cracker Sandwiches – 40 Count
  • UPC: 0 44000 07819 5
  • Best When Used By Dates: November 25 – January 26
4. RITZ Filled Cracker Sandwich – 20-Count Variety Pack
  • UPC: 0 44000 08095 2
  • Best When Used By Dates: November 25 – January 26

No Reports of Illness

As of the announcement date, Mondelez Global LLC has stated that there have been no reports of injuries or illnesses related to this product. The decision to initiate the recall was made as a preventative measure after discovering defects in the film packaging rolls from a supplier error.

What Should Consumers Do?

Consumers who possess the affected products are advised to discard them immediately. For further information, individuals can reach Mondelez Global LLC’s Consumer Relations specialists at 1-844-366-1171, available 24/7. Those seeking assistance during business hours can connect with customer service representatives Monday through Friday from 9 AM to 6 PM ET.

 

FDA Recall notice:  https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/mondelez-global-llc-conducts-us-voluntary-recall-four-carton-sizes-ritz-peanut-butter-cracker#recall-announcement

The post Important Recall Notice: Mondelēz Global LLC’s RITZ Peanut Butter Cracker Sandwiches appeared first on Oklahoma Allergy and Asthma Clinic.

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