Table 3 Checklist of essential components of education
Counselling information | |
|---|---|
| Advise patient, parent, or guardian to read the FDA-approved patient labelling |
| Advise patient, parent, or guardian that the patient should continue to follow a strict peanut-avoidance diet |
| Advise patient, parent, or guardian that peanut OIT will not prevent allergic reactions to other foods to which they might be allergic |
| Advise patient, parent, or guardian that peanut OIT may cause allergic reactions such as anaphylaxis. Teach them to recognize the signs and symptoms of anaphylaxis |
| Patients should have injectable epinephrine and they should be instructed when and how to use it |
| Inform the patient, parent, or guardian that the first dose of each dose level of peanut OIT must be administered in a health care setting under the supervision of a health care professional, and that after taking the dose, the patient will be monitored for signs and symptoms of an allergic reaction |
| Instruct patient, parent, or guardian that patients with asthma should stop taking peanut OIT and contact their health care professional immediately if they have difficulty breathing or if their asthma gets worse |
| The patient should consume the entire prepared mixture |
Dosing instructions Advise patient, parent, or guardian | |
|---|---|
| The importance of taking each dose daily to avoid loss of treatment effect |
| That each dose should be taken with a meal, at approximately the same time each day, preferably in the evening |
| To observe the patient for at least 60 min after administering peanut OIT for an allergic reaction |
| To contact their health care professional for advice on how to resume peanut OIT if more than 2 doses are missed |
| That the risk of an allergic reaction after peanut OIT may be increased in the presence of • Exercise or exposure to hot water • A medical illness such as a viral infection • Not eating for a day • Sleep deprivation • Use of nonsteroidal anti-inflammatory drugs such as aspirin or ibuprofen • Uncontrolled asthma • Alcohol consumption If one of these happens, it may be necessary temporarily to withhold or decrease the dose of peanut OIT |
