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House dust mite sublingual tablets (Actair®): a guide to their use as allergy immunotherapy for house dust mite-induced allergic rhinitis

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Abstract

House dust mite (HDM) allergen extract sublingual tablets (Actair®) are a valuable option to reduce allergy symptoms in patients with HDM-induced allergic rhinitis. Allergy immunotherapy (AIT) with 300 index of reactivity (IR) Actair® reduced the symptoms of allergic rhinitis in placebo-controlled natural-field and environmental exposure challenge chamber trials. Significant beneficial effects with 300 IR Actair® relative to placebo were shown as early as 2 months after the initiation of treatment, with efficacy being continuously maintained during the rest of the 1-year AIT period, as well as during a subsequent AIT-free year. Precautions should be followed to minimize the risk of systemic and local allergic reactions inherent to AIT.

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Acknowledgments

The manuscript was reviewed by: K.-C. Bergmann, Allergy-Centre-Charité, Charité- Universitätsmedizin Berlin, Berlin, Germany; F. Horak, Vienna Challenge Chamber Institute for Allergy Research, Vienna, Austria; C. Incorvaia, Allergy/Pulmonary Rehabilitation Unit, Istituti Clinici di Perfezionamento Hospital, Milan, Italy; S. Saluja, Saran Ashram Hospital, Dayalbagh, Agra, India; R. B. Shah, GMERS Medical College and Hospital, Gandhinagar, Gujarat, India. During the peer review process, the manufacturer of Actair® was offered an opportunity to comment on the article. Changes resulting from comments received were made by the author on the basis of scientific and editorial merit.

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Correspondence to Katherine A. Lyseng-Williamson.

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The preparation of this review was not supported by any external funding.

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K. A. Lyseng-Williamson is a salaried employee of Adis/Springer, is responsible for the article content and declares no conflicts of interest.

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Lyseng-Williamson, K.A. House dust mite sublingual tablets (Actair®): a guide to their use as allergy immunotherapy for house dust mite-induced allergic rhinitis. Drugs Ther Perspect 32, 219–225 (2016). https://doi.org/10.1007/s40267-016-0305-6

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