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Lying in the Grass

Sub-Lingual (Oral) allergy drops

May 9th, 2019

Sub-lingual immunotherapy (SLIT) is an effective alternative method to injections to treat seasonal allergies, rhinitis, asthma and eczema.  Drops are compounded by prescription based on allergy testing done in office by an allergist or through blood testing.  Patients receive initially very low, then gradually increasing daily amounts of allergens over a period of days to months, allowing the immune system to develop tolerance to those allergens, and improvement or discontinuation of symptoms. Health Canada has approved SLIT therapy for ragweed and grass pollens and is studying SLIT for other environmental allergens.  

The great advantage of SLIT therapy is that it is administered at home with guidance of your doctor, and is particularly helpful for children or the elderly, people who travel, or people who are anxious around needles.  Doses start at one drop, once a day, and are gradually increased in strength to reach an effective maintenance dose to manage symptoms.  Many patients with seasonal allergies or asthma report improvement in their symptoms in the first 4-6 weeks, and significant decrease in need for medication therapies such as anti-histamines or asthma inhalers with maintenance doses.  Recommended duration of treatment to achieve desensitization is three to five years, but sometimes can be achieved in about two years.  

I have used SLIT therapy in my practice for about 12 years and have had consistently good results with mild to severe allergies, with very few adverse effects.  We often will postpone daily dosing when patients are sick, but otherwise patients can take their drops daily, year round, and SLIT therapy does not interfere with other prescribed medicines or natural health products.  Dosing may need to be adjusted to lower initial doses and slower increase when patients are highly sensitive, very young or pregnant, but otherwise, the safety profile with this therapy is very high. 

Neighbourhood Cafe

Upcoming Fertility Awareness Methods Q & A at Kingston Integrated Health

May 31, 2019 5pm

Are you curious about cycle charting and whether these methods are useful or reliable? Whether you've had bad experiences with the birth control pill or IUD, are trying to understand irregular cycles or conditions such as PCOS, or hoping to conceive a healthy pregnancy, there are several methods that can help you understand your menstrual and fertility cycles and make informed choices for your own reproductive needs. 

There are a number of new apps on the market and many women are looking to make, or have made the switch to fertility awareness methods or FAM.  Some are 'do it yourself' via apps and some incorporate training programs such as Billings, Justisse, FEMM, or Creighton Methods with an app or paper charting.  

Dr. Trevorrow will be on hand to discuss various menstrual tracking apps and methods, which biomarkers and more reliable (mucus versus temperature or both), and which apps and methods maintain the privacy of your personal data. She will also have some resources on hand if you wish to take a deeper dive into FAM for women's health.  It should be a lively discussion! 

See our blog invitation link below for more info.