From: Sublingual Immunotherapy: Clinical Indications in the WAO-SLIT Position Paper
• To be eligible for SLIT, patients should have the follow: |
   A clinical history of allergy. |
   Documented ALLERGEN-SPECIFIC IgE positive test. |
   The allergen used for immunotherapy must be clinically relevant to their clinical history. |
• Age does not seem to be a limitation. |
• Monosensitized patients are ideal candidates for SLIT, and recently single-allergen SLIT has been demonstrated to be effective in polysensitized patients. |
• Presently, use of SLIT in latex allergy, atopic dermatitis, food allergy, and hymenoptera venom allergy is under investigation: more demonstrations are needed to support clinical use. |
• There is no indication whatsoever for treating non-IgE-mediated hypersensitivity (i.e., nickel sensitivity) with SLIT. |
• SLIT may be considered as initial treatment; failure of pharmacological treatment is not an essential prerequisite for the use of SLIT. |
• SLIT may be proposed as an early treatment in respiratory allergy therapeutic strategy. |
• Special SLIT indications exist in the following patients: |
   Patients uncontrolled with optimal pharmacotherapy (SCUAD). |
   Patients in whom pharmacotherapy induces undesirable side effects. |
   Patients refusing injections. |
   Patients who do not want to be on constant or long-term pharmacotherapy. |