Patients with allergies often complain of migraines and headaches.  Several recent publications indicate a close association between migraines and allergic rhinitis, more commonly known as hay fever.  Food allergies have also been implicated in the pathophysiology of migraines and other types of headaches, wheat being the most frequently quoted food.  For those patients with allergic rhinitis/sinusitis, control of their allergies with immunotherapy and medication has often led to significant improvement in their allergies as well as their migraines.  At BalanceMD, we are excited to now offer our patients sublingual immunotherapy as another treatment option for those suffering from allergies in hopes of also improving their allergy-related headaches. 

Allergies may lead to sinus inflammation and pressure, which may serve as a trigger for migraine headaches.  A recent study by Dr. Theodoropoulos reveals a definite link between allergies and migraine, with allergic responses serving as a trigger factor in migraine.  We now recognize that what had been referred to as "sinus" headache in the past is actually migraine.  Approximately one in three patients who suffer from migraine develop dizziness or vertigo as part of their migraine symptoms.  Thus the importance of obtaining an allergy history in every "dizzy" patient.  Click here for the SLIT Informational Handout.

Allergy Treatment with Sublingual Immunotherapy (SLIT)


If you're


       interested in treating the cause...not just the symptoms...of allergies

       ready to take control of your allergies & your health

       not seeing the results after trying other treatment

       unable to tolerate, or have seen no results from injection immunotherapy...


Let us know if you would like a referral to speak with Suzy Gibson regarding testing and treatment of food and environmental allergies.

Suzy Gibson, CMA, CMOM, our allergy coordinator, has been working with patients of all ages with mild to severe allergies for several years.  She is familiar with the many types of testing and treatment options that are available today.  She knows that every patient is different and a solid history and care plan is necessary to obtain maximum results.

During your initial visit with Suzy, she will evaluate your history to determine a preliminary diagnosis.   Before deciding a treatment plan, she will order one or more blood tests to help determine your personalized treatment plan.  When the test results are available, Suzy can tailor allergy drops that will treat your specific condition.  The drops, or treatment set, are mixed by experienced technicians using all available FDA-standardized extracts.  Each patient typically receives one or two bottles intended to last 90 days.

Once you have your drops, Suzy will help you understand your treatment program and how to implement it successfully.  Since allergy is a treatable condition, but chronic and prone to relapse, we usually require a follow-up visit in six months after your initial consultation. Once allergy drop therapy is started, results will vary for each patient.  Some patients may experience almost immediate improvement, but typically it requires several months of treatment before you'll feel noticeably better.  We re-evaluate your progress, retest as needed, and continue to adjust your treatment plan for maximum results.  Although it's tempting to stop treatment once you start feeling better, it's important that you continue treatment through its full course to ensure long-term effects.


How Do Allergy Drops Work?

Allergy drop treatment works similar to shots by delivering a slowly increasing dose of physician-prescribed antigen that over time builds the body’s tolerance. The difference is that the drops are placed under the tongue and affect the immune system through very specialized cells found under the tongue. Research shows these cells are a friendlier and effective route for long-term desensitization, making it an ideal option for patients who aren’t candidates for shots. Most patients take allergy drops each day for three to five years.


I’ve heard about injection immunotherapy.  Are sublingual drops safe and effective?

Allergy drops have been used around the world for more than 60 years, and many studies show that allergy drops are safe and effective. Dosing levels and the route of administration are safe enough to effectively treat infants, children, and people suffering from chronic conditions that previously made them unable to receive immunotherapy via shots.

In fact, the World Health Organization has endorsed sublingual immunotherapy as a viable alternative to injection therapy. The well-respected Cochrane Collaboration, the world’s most-trusted international organization dedicated to reviewing healthcare treatments, recently concluded allergy drop immunotherapy significantly reduced allergy symptoms and use of allergy medications.

The safety profile for sublingual immunotherapy is superior to injection based on research studies and patient treatment experience.

Compliance has not been studied extensively. However, one large managed-care organization did find 50% of patients receiving allergy shots dropped out of therapy during the first year. In contrast, many of the studies noted that sublingual immunotherapy compliance rated much higher, with approximately 90% of patients complete their treatment.


What are the advantages of Allergy drops?

Aside from the benefits of being able to treat more patients, including children, asthmatics and others who aren't able to tolerate shots, there are other advantages to allergy drops.

Lower cost, fewer clinic visits.  Compared to shots, allergy drops cost less and require fewer clinic visits. Most patients receiving allergy drops need only a few clinic visits the first year, and once every 6-12 months thereafter until visits are no longer needed.

More convenient, fewer medications.  You can take allergy drops at home or wherever you need to be, making it much easier to stick with treatment. And many patients find they need less medication to control symptoms after beginning allergy drops.

More healthy days.  The end benefit is simply feeling better. Our patients typically report fewer clinic visits and hospitalizations, as well as less time lost from work and school, after taking their drops consistently.

Call toll-free 888-888-3499 to schedule an appointment.

Our Allergy Consultant:

Suzan Gibson, CMA, CMOM
Useful Links:


Article from ENT Today comparing SCIT (shot immunotherapy) and SLIT (oral drop immunotherapy)


Dr. Scott Sanders



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