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Allergen immunotherapy

House dust mite extracts

Brand names: Acarizax

Adult dose

Dose: 1 tablet sublingually OD (12 SQ-HDM)
Route: SL
Frequency: OD

Clinical pearls

  • HDM-driven moderate-severe allergic rhinitis, allergic asthma in adults; first dose under medical supervision

Contraindications

  • Severe/uncontrolled asthma
  • Active malignancy
  • Severe immune deficiency
  • Recent oral inflammation

Side effects

  • Oral pruritus/oedema
  • Rhinitis
  • Anaphylaxis (rare)

Interactions

  • β-blockers

Reference: BNF; BSACI guideline; https://bnf.nice.org.uk/drugs/house-dust-mite-extracts/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.