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. 2024 Jan 12;8:6–11. doi: 10.5414/ALX02451E

Table 2. Criteria for selecting the allergen immunotherapy application route. Adapted from [6].

PRO CONTRA
Subcutaneous route Medical application = certainty of administration Regular visits to the doctor (time-consuming)
Frequent doctor/patient contact > regular monitoring of the course of the AIT, side effects and underlying illness(es) of the patients Possible anxiety-inducing injections
At least 30 minutes monitoring time after the injection
Risk of systemic allergic reactions (very rare)
Risk of local side effects (frequent)
Sublingual Route Not painful Risk of local side effects (very common, usually mild and self-limiting)
Can be administered at home (usually first application at the doctor’s office with 30-minute monitoring) Usually daily application necessary over a longer period (pre/co-seasonal i.e. several months or perennial > daily “reminder”)
Small number of visits to the doctor/physician required Mucosal contact over 2 minutes and patient motivation required (check especially with children)
Very low risk of systemic reactions (lower than with SCIT)