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. 2020 Jul 18;125(5):505–506.e2. doi: 10.1016/j.anai.2020.07.015

eTable 6.

Practice Parameters (Third Update) of Online Repository Proposed Schedule (eTable 5)

Build-up phase for weekly or biweekly injections
Modify dosage accordingly to time interval since missed injection
Up to 7 da Continue as scheduled
8-13 d after missed scheduled injection Repeat the previous doseb
14-21 d after missed scheduled injection Reduce the dose by 25%b
21-28 d after missed scheduled injection Reduce the previous dose by 50%b
A similar dose reduction protocol should be developed for gaps in maintenance immunotherapy.
a

If on weekly build-up, then it would be up to 14 days after administered injection or 7 days after the missed scheduled injection.

b

Then increase dose each injection visit as directed on the immunotherapy schedule until the therapeutic maintenance dose is reached.