Sublingual Allergy Drops Training for Physicians: Expert Advice from an Allergist with Experience

It’s been over one hundred years and now (finally!) the field of allergy has a new form of immunotherapy to desensitize patients to environmental allergens. Welcome to the treatment of sublingual allergy drops.

Sublingual Allergy Drops

Dr. Dean has been practicing sublingual immunotherapy for 16 years. He wrote about his experience, how he learned about this relatively new treatment and how it transformed his medical practice in his book, Dr. Dean Mitchell’s Allergy and Asthma Solution (De Capo, 2006).

His next exciting challenge is working with and training fellow doctors, from all over the United States, in sublingual allergy drops. His goal with this training is to make the treatment more widely available for allergic patients across the country.

Treatment To Date

Primary care doctors, such as family practitioners, pediatricians and internists, see a lot of allergic patients on a daily basis. Certain other specialties also see a high proportion of allergy sufferers: ENTs (ear, nose and throat), ophthalmologists and even gynecologists.

Up until now, most of these practices have either referred their patients to an allergist for skin testing – and possibly allergy injections – or they have just treated them with antihistamines.

The sublingual allergy drop physician training and treatment method has sparked a deep interest in all of these physicians because, for the first time, they can feel comfortable caring for their allergic patients in this simple yet specialized way.

What Are The Steps?

The first step before you decide if your patient needs sublingual allergy drops is allergy testing. Allergy testing has never been safer or easier. The most common practice is to do prick skin testing with a variety of environmental allergens: dust mites, pollens, animal dander, or molds.

In the past skin testing required using needles, which of course nobody liked. Today, however, the multi-test prong that is used is plastic and feels like a gentle tooth pick against the skin. The test literally takes seconds, and can be interpreted within 15 minutes. In certain cases where patients may have very sensitive skin or have a skin disease (like eczema), a blood test may be a better option when testing for these allergies.

Once the allergy testing results are known, it’s time to analyze if a patient would benefit from sublingual allergy immunotherapy. In his sublingual allergy drops physician training, Dr. Dean discusses a number or things:

  • The criteria for whether a patient is a good candidate for allergen immunotherapy
  • Does the patient have unavoidable allergen exposure, for example is there a pet in the home that the family has difficulty removing?
  • Is the patient allergic to dust mites which are prevalent in everyone’s home?
  • Whether they have multiple allergen exposures that limit their quality of life

We have treated many patients allergic to trees and grass who, after starting the sublingual allergy drops treatment, were so grateful that they could finally enjoy beautiful spring weather.

Sublingual Immunotherapy Training

Over the past two years, Dr. Dean has personally trained doctors in sublingual immunotherapy from all over the east coast (from Maryland to Pennsylvania). These doctors flew in for one day immunotherapy intensive training to bring the allergy testing and sublingual allergy drops into their own practices.

In other states, mainly states on the west coast, Dr. Dean is working with companies that are helping to train all types of physicians in the allergy drops program.

Dr. Dean’s days of being called a “Shot Doctor” are finally over. Now he is getting used to being called “Drop Doctor”, a name he can happily live with.

Please contact our office if you would like further information how to bring allergy testing and the sublingual allergy drops into your practice.

Dr. Dean Mitchell
Mitchell Medical Group, NYC & Long Island

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