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. 2021 Jul 8;5:195–243. doi: 10.5414/ALX02257E

Consensus statements. Consensus statements.

Acute therapy
Patients at risk for anaphylaxis should receive emergency medication for self-administration, including an epinephrine autoinjector. Strong consensus
Severe allergic reactions to food should be treated primarily with intramuscular epinephrine. Strong consensus
Antihistamines should be used for acute cutaneous symptoms, especially urticarial reactions and mucosal reactions. Strong consensus
Prophylactic use of antihistamines to prevent food allergic reactions is not recommended. Consensus
Continuous therapy
Cromoglycic acid and ketotifen did not show a consistent therapeutic effect when unselected patient cohorts were treated, therefore currently no consistent treatment recommendation is possible for patients. If gastrointestinal symptoms are present, individual treatment decisions and monitoring are recommended. Consensus