Thank you for your inquiry.
There are two guidelines dealing with your inquiry. Both of these are available online free of charge. One is the Cox, et al., reference copied for you below (1). You can access this at no charge at the website of the Joint Council of Allergy, Asthma, and Immunology. Also, any physician practicing in your group who has access to The Journal of Allergy and Clinical Immunology can access this for you.
The second document which may be of help to you is the Allergen Immunotherapy Preparation Manual.
Thank you again for your inquiry and we hope this response is helpful to you.
1. Cox L, Nelson H, Lockey R, et al. Allergen immunotherapy: a practice parameter, third update. The Journal of Allergy and Clinical Immunology, September 2011; Volume 127 (1), Supplement, page S1-S55.
Phil Lieberman, M.D.