All posts by Charleston Allergy and Asthma

Allergy Shots vs. Over-the-Counter Meds: Which Do You Need?

Finding relief from persistent symptoms is a top priority for many allergy sufferers. If this is true for you, you may wonder whether over-the-counter (OTC) medications could do the trick or if you need a more heavy-duty treatment such as allergy shots. 

 

Advantages of Allergy Shots Over OTC Meds

Over-the-counter medications can be effective in reducing allergy symptoms such as runny nose, sneezing, itchy eyes and congestion. However, the relief they offer is generally short-lived with many medications lasting just 24 hours, meaning that you have to take them daily. How do allergy shots differ?

They can provide long-term relief from symptoms triggered by seasonal allergies, indoor allergens and even insect bites. Therefore, allergy shots can be a good option if you’d like to cut down on your long-term use of allergy meds. 

They may also be necessary if you’ve been unable to find OTC medicines that successfully keep your symptoms under wraps or you can’t avoid the allergens that trigger your symptoms.

In fact, allergy shots are the closest thing we have to a cure for allergies. They are also more cost effective than a lifetime of OTC medication. To put it plainly, medicines are simply a band-aid for your symptoms, while allergy shots can make a positive impact on your immune system for the long haul.

 

How Do Allergy Shots Work? 

Allergy shots are a form of immunotherapy. Within each allergy shot is a small amount of the allergen that triggers your symptoms. While not enough to lead to a full-blown allergic reaction, it is enough to stimulate your immune system and is tailored specifically for you. 

Over time, as your board-certified allergist increases the dose of allergens in each shot, your body builds up a tolerance for them, which results in a reduction of symptoms or even complete desensitization. 

 

Allergy Shots: What to Expect

Generally, allergy shots are injected into the upper arm and are administered in two phases. The first usually takes three to six months. During this period, shots with higher allergen doses each time are administered one to three times a week. Then, during the maintenance phase, which lasts three to five years, you’ll receive a shot monthly. 

What results can you expect from this form of treatment? While your symptoms will not go away overnight, most patients see significant improvement within the first year of treatment and even more progress thereafter. By year three, most people are desensitized to the allergens contained in the shots and no longer have significant allergic reactions to those substances. 

While some need ongoing immunotherapy treatment to keep allergy issues under control, some can discontinue treatment after the three to five-year period without the return of allergy attacks. In either case, it’s always a welcome relief for our patients not to have their lives constantly interrupted by runny nose, sneezing, skin rashes, congestion and the laundry list of other unpleasant symptoms caused by allergens. 

Would you like to discuss whether allergy shots would be an appropriate treatment for you? Contact us today to schedule an appointment with one of our board-certified allergists. 

Sources: 

https://www.mayoclinic.org/tests-procedures/allergy-shots/about/pac-20392876

Read More

Coping With COVID-19: A Mom’s Perspective | Charleston Allergy & Asthma

If you’ve managed to escape the grips of COVID-19 so far or don’t personally know anyone who’s tested positive for it, it can be hard to imagine the challenges of coping with it day-to-day. Yet, in light of the seriousness of the pandemic, we’re sharing the story of a mom whose life and family were impacted by the virus. It’s the story of our very own Dr. Carolyn Word.

Dr. Word’s COVID-19 Experience 

Despite being cautious, the majority of her immediate family came down with COVID-19, leading them to spend a total of 26 days in quarantine. 

It all started when her three-year-old daughter, although masked all day at preschool, was exposed. Dr. Word said, “We put her in quarantine and decided to test the whole family in an abundance of caution.” She, her husband and her other two children initially tested negative. 

Even still, everyone except her husband Robert got sick. He was spared because the decision was made for him to live apart from the family so he could return to work sooner. The rest of the family progressively fell ill. Symptoms ranged from cough, dry throat, and nasal congestion to fever, fatigue and headache. Dr. Word also experienced loss of smell and taste.

Beyond the physical symptoms, other challenges came with the situation as well. The family was separated due to quarantine, which was especially difficult around Thanksgiving and Christmastime. For Dr. Word, there was also the anxiety of trying to balance caring for her first priority—her children—while still trying to work via telehealth. And, that’s not to mention an often-overlooked effect of isolation. Dr. Word said, “The moment I knew we had a positive COVID test, there was a shame that came with it, as if we’d done something wrong. And I’m a rule follower.” 

Despite the challenges, though, the family tried to stay positive, eat healthy, play card games, enjoy crafts and do their best to take care of one another. Now that her family has recovered from COVID-19, Dr. Word has some words of wisdom to share.

 

Dealing With COVID-19: What You Can Do

If you come down with COVID-19, keep these three things in mind. 

  1. Make Healthy Choices: Be as active as possible, do deep breathing exercises for good lung expansion, drink lots of water, make healthy food choices and take vitamins. Besides that, do your best to keep your mind sharp with reading and other activities and keep your spirits up by video chatting with family and friends. 
  2. Be Prepared: While you don’t need to hoard supplies, you should be sure that you have the vitamins and medications you need on hand, especially if you have a condition such as asthma. It’s also wise to have a pulse oximeter, which measures your oxygen levels and can help you monitor the status of your health. 
  3. After COVID, Consider Plasma Donation: Some who recover from COVID-19 have antibodies in their blood, which can help people currently fighting the illness to fight off infection more efficiently. Once you have fully recovered from COVID-19, consider donating convalescent plasma as Dr. Word did. 

While there’s still a lot of mystery surrounding COVID-19, we do know that everything from its severity to the recovery process varies from person to person. Therefore, it’s important to continue to be extra cautious (for ourselves and others), and to know how best to handle it if impacted by the virus. From everyone here at Charleston Allergy & Asthma, stay safe and, if you have concerns or need information about coping with asthma and COVID-19, don’t hesitate to reach out

Read More

What You Should Know About COVID-19 & Other Vaccines

While always a topic of interest, the COVID-19 pandemic has created more conversations than ever before surrounding vaccination. Specifically, many people are curious about the history of vaccines, how the coronavirus vaccine works, and how it compares to others. Dr. Meredith Moore, a board-certified allergist/immunologist on our Charleston Allergy & Asthma team offered some insight into these important topics. 

A Brief History of Vaccines

In 1796, Edward Jenner created the first successful vaccine using material from cowpox to ward off smallpox. 1885 saw the creation of the rabies vaccine and, thereafter, as a result of the dawn of bacteriology (the study of bacteria), many advancements were made through the 1930s. These included the development of tetanus, typhoid, cholera and tuberculosis vaccines. Then, in the ‘40s, the flu vaccine became available. Currently, it’s one of more than 20 vaccines that are in routine clinical use in the U.S. today. 

How were these and other vaccines made and how do they work? Many were created using a difficult, time-consuming process that involved:

  1. Growing enough of a dangerous virus or bacteria to mass-produce a vaccine
  2. Either inactivating it so that it can’t cause illness or purifying and stabilizing a portion of it so that it can be administered to patients

By safely introducing the immune system to the virus or bacteria, if and when real exposure happens, the immune system recognizes it as foreign material and aggressively launches an attack, producing antibodies to fight off infection. Is the same true of the COVID-19 vaccine?

What Makes the COVID-19 Vaccine Different

There are at least three things that set the COVID-19 vaccine apart. 

  1. Although having been researched for decades, the coronavirus vaccine uses a new technology with mRNA, which is a code that helps the body to produce proteins capable of fighting the virus. The use of this technology eliminated the need to grow the SARS-CoV2-2 virus to produce the vaccine, which allowed for rapid and relatively inexpensive production.
  2. mRNA is nothing more than a code, similar to a recipe card with instructions for generating the proteins needed to combat the SARS-CoV2-2 virus. Since it doesn’t contain a live virus, it’s safer than its counterparts because it can’t cause mutations. 
  3. The proteins in the coronavirus vaccine remain stable and potent in the vials without the help of the preservatives, adjuvants or antibiotics needed for other vaccines.

These positive advancements can give you peace of mind if you choose to be vaccinated. But you may still have questions. 

COVID-19 Vaccine FAQs

You’re not alone if you’ve wondered about any of the following. Here are answers to some common questions about the COVID vaccine. 

  1. How effective is it and how long does it last? The vaccine can provide up to 95% protection against COVID-19 and can reduce the severity of illness in those who still get infected. However, right now, it’s not certain how long this protection lasts.
  2. Why are some COVID-19 vaccines administered in two doses? The first dose exposes the immune system and the second boosts your antibody levels and immune response. The vaccine is only partially effective within two weeks of the first dose of the mRNA vaccines. Full effectiveness is reached seven days after receiving the second vaccine for most people, which highlights the importance of receiving both doses.
  3. Is vaccination necessary if I’ve already had COVID? Because we don’t know how long immunity lasts it is recommended that you still receive the vaccine. Plus, if you were to become infected again, even asymptomatically, you could pass the infection to others. The vaccine would reduce that risk. 
  4. Are masks, social distancing and other precautions necessary after vaccination? Besides the uncertainty surrounding how long immunity lasts, it’s good practice to keep taking precautions. If a significant portion of the population were to publicly abandon the recommended safety measures before widespread vaccination, this could perpetuate the spread of the disease.

To stay informed as more information becomes available, visit the CDC’s vaccine FAQs. It’s also recommended that you regularly check for updates on South Carolina’s vaccination plan so that you can make arrangements to get your vaccine as soon as you’re eligible.

 

Sources: 

https://www.historyofvaccines.org/timeline/all
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/vaccine-benefits.html
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/faq.html
https://scdhec.gov/covid19/covid-19-vaccine

 

Read More