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. 2022 Nov 21;14(6):604–652. doi: 10.4168/aair.2022.14.6.604

Table 5. Dose adjustment rules in the build-up phase.

Time interval since missed injection Dose adjustment
Up to 7 days* Continue as scheduled
8–13 days after missed scheduled injection Repeat previous dose
14–21 days after missed scheduled injection Reduce dose 25%
Over 21 days after missed scheduled injection Reduce previous dose 50%

*If on a weekly build-up, then it would be up to 14 days after administered injection or 7 days after the missed scheduled injection; Then increase dose at each injection visit as directed on the immunotherapy schedule until therapeutic maintenance dose is reached.