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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.

Conditions Treated

Recent News

SuperUser Account
/ Categories: News

Very High Tree Pollen Levels Continue – Third highest Tree Pollen levels in 2026

Highest Levels of Tree Pollen Detected in the United States for 2/27/2026

February 27, 2026

A VERY HIGH ALERT has been issued for tree pollen levels in Oklahoma City, marking the SEVENTH VERY HIGH ALERT in the last eleven days, and the EIGHT HIGH or VERY HIGH ALERT in that same timeframe. Today’s counts are the highest reported in the U.S. and the third highest recorded this year.

This marks the FIFTH day this year in the TOP TEN days for Cedar Season (in the past five years), and TENTH highest day for Tree Pollen (All Seasons) in twenty years.

Cedar Fever and Regional Impact

Cedar tree pollen contributes to “Cedar Fever”, a winter allergy affecting millions across Oklahoma, Texas, Arkansas, and Missouri. Unlike spring and summer allergies, Cedar Fever peaks from late November to February, with pollen grains capable of traveling hundreds of miles in Oklahoma winds.

Recommendations to Reduce Exposure

OAAC allergists recommend the following steps:

  • Limit outdoor activities on high pollen days
  • Keep windows closed at home and in vehicles
  • Change clothes and shower after being outdoors
  • Leave shoes at the door to avoid tracking pollen inside
  • Wash hands frequently, especially after outdoor contact
  • Wear a dust mask for outdoor chores
  • Use and regularly replace HEPA filters in HVAC systems

Medical Management

  • Continuous use of nasal sprays and antihistamines may help, but proper diagnosis is essential
  • Seasonal allergies cannot be diagnosed by history alone. OAAC allergists offer simple tests to identify specific triggers

OAAC serves patients of all ages across the southwest region, with clinics in Edmond, Norman, northwest Oklahoma City, and the OU Health Sciences Center campus.

Contact and Appointment Information

Visit www.oklahomaallergy.com for clinic locations.
To schedule an appointment or request more information, call (405) 235-0040 or visit the website.

The post Very High Tree Pollen Levels Continue – Third highest Tree Pollen levels in 2026 appeared first on Oklahoma Allergy and Asthma Clinic.

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Main Office

750 N.E. 13th, 3rd floor
Oklahoma City, OK 73104
405-235-0040

Mon-Thu: 7:30am – 5:20pm
Fri: 7:30am – 11:30am
Sat (Injections only):
8:00am – 11:40am

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