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January 31, 1977

Self-Administration of Allergy Desensitization Extracts

JAMA. 1977;237(5):449. doi:10.1001/jama.1977.03270320027014

To the Editor.—  In a recent issue of The Journal (236:1290, 1976) Dr Frederic Speer stated that, as a consultant, he allows patients to self-administer their immunotherapy injections and implies that most allergists approve of this policy.It is the policy of our office and the recommendations of most authorities in our field that immunotherapy injections be given in a physician's office under the supervision of the physician.1,2 Fortunately, anaphylactic reactions from immunotherapy injections occur infrequently, but they do occur often enough to warrant their administration in a physician's office, where this potentially serious adverse reaction may be treated.The necessity of having the immunotherapy injections administered in a physician's office does definitely increase the cost of treatment, but the substantial increase in safety to the patient does warrant this increase in cost. The patient receiving immunotherapy injections cannot be equated with the diabetic patient who can usually safely