Our appointment this morning was uneventful. We arrived and had his vitals taken, he did a breathing test, and they documented if he's had any asthma recently needing medication.
The nurse practitioner then answered questions and explained the basics of the treatment tomorrow and Wednesday.
We will arrive early, and there will be a group of kids starting the peanut program with us tomorrow. It is one big room where everyone sits together. :) The liquid peanut protein will be administered orally, every 15 minutes. It will simply be a liquid in a syringe that they squirt in the back of his throat. We should be there approximately 4-5 hours tomorrow for treatment.
The most common side effects are "oral itch" (an itchy mouth) or an upset stomach.
He needs to eat a good breakfast tomorrow, and he will basically be playing the ipad or reading a book while we are there tomorrow. He can eat snacks during the day.
They also gave us prescriptions for medicines incase he has severe reactions while doing our home dosing.
Allegra (liquid form)
Prednisolone (liquid form)
Zantac (liquid form)
Albuterol
EpiPens
Probiotics
The home dosing is what will be the most labor intensive part of this process. He will need daily doses twice a day. They should be about 12 hours apart (as much as possible). He can't have the dose later than 9pm.
No vigorous activity 30 minutes prior to dosing OR 2-4 hours after dosing. This includes any activity that will elevate heart rate or increase body temperature.
Must eat 15-60 minutes prior to dosing. Never take dose on an empty stomach.
Avoid junk food.
Must stay awake to be monitored after dosing for one hour after dose is administered.
Swish and swallow with preferred drink after each dose to avoid oral itch.
If child becomes ill (fever, rash, congestion, cough, wheezing, sore throat, etc) contact the office before the next dose. Since their body is already fighting the allergen, they often don't updose you as soon when you're fighting another infection or virus.
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