Staloral Mite allergen, 3 pcs., 10 IR/ml, sublingual drops (set), Initial course
The effectiveness of ASIT is higher in cases where treatment is started in the early stages of the disease.
Dosage and treatment regimen The dosage of the drug and the regimen for its use are the same for all ages, but can be changed depending on the individual reactivity of the patient. The attending physician adjusts the dosage and treatment regimen in accordance with possible symptomatic changes in the patient and individual response to the drug. Treatment consists of two stages: initial and maintenance therapy.
1. Initial therapy begins with a daily dose of the drug at a concentration of 10 IR/ml (blue bottle cap) with one click on the dispenser and gradually increases the daily dosage to 10 clicks. One press of the dispenser is about 0.1 ml of the drug. Next, they proceed to daily administration of the drug at a concentration of 300 IR/ml (purple bottle cap), starting with one press and gradually increasing the number of presses to the optimal (well tolerated by the patient). The first stage can last 9 - 21 days. During this period, the maximum dosage is reached, individual for each patient (from 4 to 8 presses daily of the drug with a concentration of 300 IR/ml), after which they proceed to the second stage.
2. Maintenance therapy with a constant dose using a vial of concentration 300 IR/ml. The optimal dose achieved in the first stage of initial therapy continues to be taken in the second stage of maintenance therapy. Recommended dosage regimen: from 4 to 8 presses on the dispenser daily or 8 presses 3 times a week. Duration of treatment Maintenance therapy is recommended for 3-5 years. If improvement has not occurred after the first year of treatment, the advisability of ASIT should be reconsidered. Directions for use: Before taking the drug, make sure that:
- the expiration date has not expired;
- a bottle of the required concentration is used.
It is recommended to take the drug in the morning before breakfast. The drug should be dropped directly under the tongue and held for 2 minutes, then swallowed. Children are recommended to use the drug with the help of adults. To ensure the safety and integrity of the drug, the bottles are hermetically sealed with plastic caps and rolled with aluminum caps.
Break in taking the drug If you miss taking the drug for a long time, you should consult your doctor. If you miss taking the drug for less than one week, it is recommended to continue treatment without changes. If the gap in taking the drug was more than one week at the initial stage or during maintenance therapy, it is recommended to carry out treatment again with one click on the dispenser, using the same concentration of the drug (as before the break), and then increase the number of clicks, according to the scheme of the initial stage of therapy to the optimal well-tolerated dose.
Staloral “Allergen of mites”
The effectiveness of ASIT is higher in cases where treatment is started in the early stages of the disease.
Dosage and treatment regimen
The dosage of the drug and the scheme of its use are the same for all ages, but can be changed depending on the individual reactivity of the patient.
The attending physician adjusts the dosage and treatment regimen in accordance with possible symptomatic changes in the patient and individual response to the drug.
Treatment consists of two stages: initial and maintenance therapy.
1. Initial therapy
start with a daily dose of the drug at a concentration of 10 IR/ml (blue bottle cap) with one click on the dispenser and gradually increase the daily dosage to 10 clicks. One press of the dispenser is about 0.1 ml of the drug.
Next, they proceed to daily administration of the drug at a concentration of 300 IR/ml (purple bottle cap), starting with one press and gradually increasing the number of presses to the optimal (well tolerated by the patient). The first stage can last 9-21 days. During this period, the maximum dosage is reached, individual for each patient (from 4 to 8 presses daily of the drug with a concentration of 300 IR/ml), after which they proceed to the second stage.
Recommended scheme for the initial ASIT course:
| Bottle 10 TS/ml (blue cap) | Bottle 300 TS/ml (purple cap) | ||
| Day | Number of presses on the dispenser | Day | Number of presses on the dispenser |
| 1 | 1 | 7 | 1 |
| 2 | 2 | 8 | 2 |
| 3 | 4 | 9 | 4 |
| 4 | 6 | 10 | 6 |
| 5 | 8 | 11 | 8 |
| 6 | 10 | ||
2. Maintenance therapy
constant dose using a vial of concentration 300 TS/ml.
The optimal dose achieved in the first stage of initial therapy continues to be taken in the second stage of maintenance therapy.
Recommended dosage regimen: from 4 to 8 presses on the dispenser daily or 8 presses 3 times a week.
Duration of treatment
Maintenance therapy is recommended for 3-5 years.
If improvement has not occurred after the first year of treatment, the advisability of ASIT should be reconsidered.
Mode of application
Before taking the drug, make sure that:
- the expiration date has not expired;
-use a bottle of the required concentration.
It is recommended to take the drug in the morning before breakfast.
The drug should be dropped directly under the tongue and held for 2 minutes, then swallowed.
For children
It is recommended to use the drug with the help of adults.
To ensure the safety and integrity of the drug, the bottles are hermetically sealed with plastic caps and rolled with aluminum caps.
For first use, open the bottle as follows:
1. Tear off the colored plastic cap from the bottle.
2. Pull the metal ring to remove the aluminum cap completely.
3. Remove the rubber plug.
4. Remove the dispenser from the plastic packaging. Holding the bottle firmly with one hand, with the other hand, pressing firmly on the top flat surface of the dispenser, snap it onto the bottle.
5. Remove the orange protective ring.
6. Press the dispenser firmly 5 times over the sink. After five clicks, the dispenser dispenses the required amount of the drug.
7. Place the dispenser tip in your mouth under your tongue. Press the dispenser firmly as many times as prescribed by your doctor to obtain the required amount of the drug. Hold the liquid under your tongue for 2 minutes.
8. After use, wipe the dispenser tip and put on the protective ring.
For subsequent use, remove the protective ring and follow steps 7 and 8.
Taking a break from taking the drug
If you skip taking the drug for a long time, you should consult your doctor.
If you miss taking the drug for less than one week, it is recommended to continue treatment for changes.
If the gap in taking the drug was more than one week at the initial stage or during maintenance therapy, it is recommended to carry out treatment again with one click on the dispenser, using the same concentration of the drug (as before the break), and then increase the number of clicks, according to the scheme of the initial stage of therapy to the optimal tolerated dose.
Seasonal allergies (hay fever)
- The allergen is taken once a day - in the morning or evening before meals and brushing teeth
- The appropriate amount of the allergen “Staloral Birch” or “Staloral Mites”
using a dispenser (
count PRESSES! not drops
), it
must be held in the mouth for about 2 minutes
and swallowed.
Store the allergen in its original packaging in the refrigerator (t +4-+8°C). Wash your hands. Do not drink or eat anything allergen for 40 minutes
, wait these 40 minutes before brushing your teeth - Allergen "Oralair"
does not require refrigeration - For the entire period of allergen treatment and dusting, follow a diet excluding your cross-allergens (see below)
- During treatment, a call to the allergist is required when switching to a bottle with a purple cap and a scheduled examination once every 2-3 months (in April - for those who are allergic to tree pollen; in June - for those who are allergic to meadow grass pollen =cereals; in August-September and March-April – for allergies to house dust mites). At least once a year, do a General blood test with leukemia and ESR, a General urine test, a feces test for worm eggs and a scraping for enterobiasis.
- When opening a new bottle of Staloral, always use a new dispenser and make the first 3-5 presses into the sink (it is necessary to “drive” the air out of the dispenser for accurate dosing of the allergen).
- The interval between doses of the allergen with different concentrations is unacceptable (i.e. between the blue and purple bottles of “Staloral”).
- An opened bottle of “Staloral” can be used for no longer than 2 months. Therefore: 1) if for one reason or another you interrupted treatment for more than 2 weeks, contact your allergist before resuming ASIT; 2) the blue bottle should be thrown away 2 months after opening; 3) we recommend taking the purple bottle you started “to the last drop,” even if it seems to you that the dusting of trees in your region has already stopped or you are going on vacation to another region in May and the first half of June.
- For acute diseases: a break from ASIT is necessary - no more than 8-10 days - and consultation with an allergist before resuming taking the allergen
- If vaccination or tuberculin diagnostics is necessary: stop allergen treatment a week before vaccination; the break after vaccination should be 2 weeks (inactivated vaccines), 4 weeks (live vaccines, for example, against measles, mumps, rubella, chickenpox, oral polio vaccine), 8-12 weeks (after BCG). We recommend scheduling vaccinations and tuba. samples, diaskin test for the season when you do not take the allergen and dusting has not yet begun (for example, September-October-November-the first half of December)
- If undesirable effects occur: itching in the mouth/ears, nasal congestion, sore throat, coughing, sneezing, rash, etc. for longer than 20 minutes, rinse your mouth with water, take an antihistamine (any of the following in a single age dose) and consult an allergist
- from 12 years: Rupafin or Allegra-180 (Fexadin-180) or Erius (Dezal, Lordestin, Desloratadine-TEVA,
Ezlor) or Nixar, Kestin-BR - sublingually 1 tablet * 1 r / day 1 tablet * 1 r / day
- from 6 years: - Erius (Dezal) syrup - 5 ml*1r/denili
— Xyzal (Suprastinex, Glencet) or Zyrtec (Zodak, Cetrin, Letizen) 1 tablet *1 ruble/day
__________________________________________
If symptoms recur for several days in a row, you can take the indicated drug the evening before for at least 7-15 days continuously: this alleviates the unpleasant manifestations of itching and will allow you to continue therapy.
DIET REMINDER during ASIT and dusting (cross plant allergens)
| I am allergic to pollen... | Foods and drinks that may contribute to adverse events and should be avoided | Medicinal plants and components of cosmetics |
| TREES (birch, alder, willow, hornbeam, hazel, oak, elm, ash, maple, etc.) Dusting season*: 5/IV-20/VI ASIT | Honey and bee products, birch sap, raw apples, pears, kiwis, cherries, cherries, plums, peaches, apricots, nectarines, quinces, persimmons, jack fruit (including juices and smoothies made from them), sometimes black olives, bananas tree nuts (hazelnuts, walnuts, almonds, pecans, pistachios, macadamia, cashews, pine), sometimes peanuts, incl. in the composition of chocolates, chocolate spread, peanut butter, cognac, cider, Calvados, raw carrots and potatoes, herbs and spices (celery, dill, parsley, curry, anise, cumin, onion), peas, tomatoes, cucumbers. | Birch leaf, birch buds, birch tar, alder cones, oak bark, buckthorn bark, pine buds and others. Carefully! – tomato seedlings and cosmetics with herbal ingredients (shampoos, shower gels, creams, toothpaste, etc.) Herbal medicine, aromatherapy, essential oils are excluded! |
| CEREAL (MEADOW) HERBS: timothy, fescue, cocksfoot, bluegrass, foxtail, ryegrass, oats, wheat, barley, rye, corn, etc. Dusting season*: 10/VI-10/VIII ASIT drug "Oralair" | Honey and bee products, chak-chak. Muesli and muesli bars, baked goods (baked goods, pancakes, etc.) or products containing flour, bran (for example, breaded, battered); beer, kvass, vodka, mead, coffee substitutes and even coffee itself corn, peanuts, legumes, strawberries, wild strawberries, citrus fruits, sorrel | All cereal herbs for example, oats, corn silk, bran, wheat germ, oat milk, etc. Herbal medicine, aromatherapy, essential oils are excluded! |
During the flowering (dusting) period of “dangerous plants” you should:
- refrain from traveling outside the city and walking in forested areas
- keep the windows tightly closed, and if necessary, put a gauze net on the window, constantly moistening it. Option - use an air conditioner and an air purifier (and in the car as well)
- when going outside: wear safety glasses, hats and use “ Nazaval”
"(any age, pregnant, lactating - without restrictions), "
Prevalin
" (from 6 years old - children's, from 12 years old - regular), intranasal HEPA filters (from 4 years old, size S; from 16-18l for men, size L), "
AquaMaris-Ectoin
”, and upon return, rinse the mucous membranes of the nose and eyes, take a shower and wash your hair.
- keep a diary of symptoms, also noting medications taken in it
- it is best to go to another climate zone, where there is no “dangerous” plant or it does not bloom. If you haven’t left, start pre-seasonal treatment with an allergist
- Postpone scheduled preventive vaccinations, tuberculin tests (Mantoux, Pirke) and Diaskin test, surgical interventions, extraction (removal) and prosthetics of teeth, X-ray contrast and endoscopic types of medical examination to another time of the year.
Look for Pollen Monitoring information in the relevant region on the Internet (www.new.paracels.net - Tyumen, www. allergotop.com - Moscow and Moscow Region, www.microvita.ru - Central Europe, www.polleninfo.org - European Union countries) .
Participate in the PollenClub project yourself (mobile application and website, the Archive contains information on past dusting seasons, linked to a world map).
* DUST CALENDAR for different regions of Russia - www.new.paracels.net - in the section “Patients: Seasonal allergies”
At the end of the ASIT season
Give your Procedure Sheet and Symptom Diary to your allergist - analyze them together and plan the next season of therapy.
Remember: TREATMENT WITH THE ASIT METHOD TAKES 4-5 YEARS, and the patient bears equal responsibility with the doctor for the success and safety of allergen treatment!
CONSULT YOUR DOCTOR WITH ANY QUESTIONS!
