Peanut allergy oral immunotherapy (Maintenance phase) (1927)
Key points below
Maintenance phase
What is Palforzia and peanut OIT?
Palforzia is a peanut protein. It is given to lessen allergic reactions to peanuts (desensitization). It is given as a powder that is swallowed. There are 3 phases of treatment.
- The third phase is called Maintenance phase.
How does the 3rd (maintenance dose) phase work?
During this phase the patent will stay on the same daily dose at home. It’s important not to miss a dose. Call the office if you miss a dose. How long you will stay on the maintenance dose is different for each patient.What is the dose of Palforzia that will be taken?
During the maintenance phase the dose will always be 300 mg daily. This was the last level you reached in the second phase.What are the risks?
Mild reactions may happen during or after the challenge. They include rash, a few hives, eczema that gets worse, diarrhea, sneezing, stuffy nose, and runny nose, a change in behavior or headache.
Serious reactions do not happen often, but they can lead to death if not treated. Tell the nurse right away if there are any of the following:
- Hives: Rash, swelling or itching of more than one part of the body.
- Swelling: Any part of the body, inside or out. This includes the mouth, tongue or throat. It can be one or many parts of the body.
- Breathing problems: Shortness of breath, coughing, wheezing or chest feeling tight.
- Other: Constant sneezing, feeling dizzy, stomach ache, nausea or just not “feeling right.”
Call 9-1-1 if any of these symptoms happen after leaving the clinic!
What happens after this visit?
The patient will continue taking the 300 mg dose every single day. The daily dose should be given during a rest time. It should not be give:
- two hours before or after exercise
- during illness
- on periods of extreme stress
- after too little sleep
- on an empty stomach
Continue to avoid peanuts and always carry your epi-pen. Your allergist will tell you when to follow up.