Immunotherapy, an allergy treatment that introduces sensitive allergens to your body in small doses to build tolerance, is an effective way to manage allergy symptoms, especially here in the grass seed capital of the world. Immunotherapy can be administered in two forms: orally as drops or as a shot. If you and your allergist are discussing starting an immunotherapy treatment for your allergies, you’re probably considering which method would work best for you.

What Are Allergy Shots?
Allergy shots are professionally known as subcutaneous immunotherapy, or SCIT. They involve regular injections of small amounts of allergen extracts. These must be performed by your allergist at their office and involve two phases: the build-up phase, during which you receive a dose once a week, and the maintenance phase, when shots are spaced out further.
Pros of Allergy Shots
- Proven to be very effective in reducing symptoms
- Especially effective in reducing allergy-related asthma or severe symptoms
- Typically results in faster symptom relief than allergy drops
- Lasts for years after treatment
- Administered under medical supervision
Cons of Allergy Shots
- Injections can cause discomfort or pain
- Requires regular visits to your allergist’s office, which can be inconvenient
- Chance of mild allergic reaction at the injection site (note: you will still be in the doctor’s office, so this can be effectively mitigated)
What Are Allergy Drops?
Allergy drops—also called sublingual immunotherapy, or SLIT—contain the same medications as allergy shots, but are administered as a liquid under the tongue. You drip the liquid under your tongue, hold it there for a moment, then swallow. This treatment can be done at home.
Pros of Allergy Drops
- Convenience: can be taken at home or even when away from home, without medical supervision
- Painless, without injection
Cons of Allergy Drops
- Longer time to reach full effectiveness
- May not be as effective for severe allergies (discuss this with your allergist)
Which Is Right for Me?
Research suggests that both allergy shots and allergy drops are, generally, equally effective at treating and managing allergy symptoms, so there is no “better” option; rather, it comes down to preferences and lifestyle. Consider the lists of pros and cons above. What fits your needs better? If you travel a lot, allergy drops might be a better choice, but if you want to see results fast, allergy shots would be the way to go.
Talk to your allergist about the two forms of immunotherapy and which might suit you better. There are many factors at play, and we want to make sure you get the allergy care you deserve. Now is a great time to start immunotherapy so you can have sufficient immunity once spring arrives! Cal Willamette ENT & Facial Plastic Surgery to learn more.
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