Oraleir, 100 ir, 300 ir Initial Course 31 pcs.

The exact mechanism of allergen action in allergen-specific immunotherapy (ASIT) is not completely clear.

The following biological changes have been proven: The appearance of specific antibodies (IgG4), which play the role of “blocking antibodies”; a decrease in plasma levels of specific IgE for an extended period; a decrease in the reactivity of the cells involved in the allergic reaction; an increase in the activity of interaction between Th2 and Th1 and even Th0 lymphocytes, leading to a positive change in cytokine production (decrease in IL-4 and increase in gamma interferon) that regulates IgE production.

In addition, ASIT induces an immune response, which allows the maintenance of immunobiological memory over a long period of time.

The effectiveness of ASIT is greater when treatment is started early in the disease.

Indications

Allergen specific immunotherapy (ASIT) for patients with type 1 allergic reactions (IgE-mediated), manifested as rhinitis or rhinoconjunctivitis, with hypersensitivity to pollen of meadow grasses (hedgehog, common common spike, perennial chaff, meadow bluegrass, meadow thymothea), confirmed by positive results in skin testing and/or increased content of specific lgE.

The immunotherapy can be given to adults and children from the age of 5 years.

Active ingredient

Grass pollen allergens

Composition

Active ingredient:

Allergen extract from a mixture of grass pollen (hedgehog, common spikelet, perennial spikelet, meadow bluegrass, meadow timothy) in equal proportions of 100 IR and 300 IR;

Auxiliary substances:

Microcrystalline cellulose – 12.5 mg,

croscarmellose sodium – 2.5 mg,

colloidal silicon dioxide – 0.5 mg,

magnesium stearate – 0.7 mg,

lactose monohydrate – up to 100 mg.

How to take, the dosage

Treatment with the drug should be carried out by an allergist. If the drug is used in pediatric practice, the physician should have appropriate experience in treating children. It is recommended to take the first tablet under the supervision of a physician to monitor the patient’s condition for 30 minutes.

The treatment should be started 4 months before the expected flowering season, continued throughout the dusting season and discontinued at the end of it. The drug is recommended to be taken in the morning on an empty stomach. The tablet should be placed under the tongue and held until completely dissolved (for at least 1 minute), then swallowed.

Interruptions in drug intake should be avoided. The dose should not be increased after a drug skip. If the missed dose is less than 7 days, it is recommended to resume taking the drug in the same dose at which the treatment was interrupted, and then follow the recommended regimen. In case of prolonged absences (more than 7 days) it is necessary to consult with the attending physician.

Special Instructions

In case of surgical operations in the oral cavity (including removal of tubes) the therapy should be interrupted until complete recovery (at least for 7 days). If severe allergic reactions develop, the doctor may recommend taking epinephrine.

It should be taken into account that patients taking tricyclic antidepressants, monoamine oxidase inhibitors have an increased risk of side effects on its administration up to fatal outcome. There is no clinical experience with concomitant vaccination and treatment with the drug.

Vaccination should only be done after consultation with your doctor.

The drug does not affect the ability to drive or operate machinery.

Contraindications

• High sensitivity to one of the excipients;
• Treatment with beta-blockers;
• severe immunodeficiencies and autoimmune diseases; cancer;
• inflammatory diseases of the oral mucosa (erosive and ulcerative form of squamous capitis, ulceration, mycosis);
• heritable galactose intolerance, lactase deficiency Lapp, impaired glucose and galactose absorption.

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Side effects

Immune system disorders: allergic reactions.

CNS and peripheral nervous system disorders: headache, dizziness, change in taste sensation, paresthesia.

An organ of vision: conjunctivitis, hyperemia.

Hearing organ: itching of the ears, congestion of the ear.

Respiratory system: irritation in the throat, difficulty breathing, swelling, rhinitis symptoms, sore throat, coughing, choking, dysphonia.

Gastrointestinal tract: itching, swelling, inflammation, numbness, tingling sensation in the mouth, increased salivation, dry mouth, lips, vesicular rash in the mouth, on the lips, glossodynia, gastrointestinal disorders, inflammation in the gastrointestinal tract.

Skin and subcutaneous tissue: facial swelling, itching, urticaria, angioedema, eczema.

General disorders: fatigue, anxiety.

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