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. 2014 Aug;21(4):e630–e641. doi: 10.3747/co.21.1966

TABLE IV.

General principles of the 12-step desensitization protocol (adapted from Feldweg et al.57)

Step Solution Rate (mL/h) Time (minutes) Volume infused per step (mL)
1 1:100 dilution of the final target concentration 2 15 0.5
2 5 15 1.25
3 10 15 2.5
4 20 15 5
5 1:10 dilution of the final target concentration 5 15 1.25
6 10 15 2.5
7 20 15 5
8 40 15 10
9 Usual concentration; cumulative dose administered in steps 1–8 10 15 2.5
10 20 15 5
11 40 15 10
12 75 Prolonged until complete dose 232.5