We currently employ 4+ allergy specialists in our practice- I educate nursing and clinical staff- I am looking for best practice standards for administration of allergy injections- I know it is sub-q, and all the precautions with meds, asthma etc. but the doctors seem to vary on site- posterior upper arm vs more anterior below deltoid? As well- to aspirate or not to aspirate? Thank you very much.


Thank you for your inquiry.

Our Ask the Expert website is a repository of knowledge regarding the administration of allergy injections. Answers to the questions you posed have been previously posted, and there are other responses which would be helpful to you as well.

You will be able to access this information quite easily by simply going to our website and entering "allergy injections" in the search box. Listed below are the responses that will answer your specific questions, and I have also listed other responses that may be of help to you as well. The entries are:

Posted 2/13/12 - Needle angle for subcutaneous injection of immunotherapy extract

Posted 2/13/12 - Allergy injections in the leg

Posted 12/19/11 - Preferred location for allergy shots

Posted 11/14/11 - Wiping needle with an alcohol wipe before administering an allergy injection

Posted 10/20/11 - Preferred location for allergy shots

Posted 10/17/11 - Simultaneous administration of influenza vaccine and allergy injections

Posted 8/12/10 - Best location for immunotherapy injection

Posted 8/3/10 - Information on allergen immunotherapy injection techniques and mixing of antigens

Posted 5/6/10 - Who may administer allergy injections

Posted 4/29/10 - Local reactions at allergy injection sites after completion of immunotherapy

Posted 4/27/10 - Reactions to allergy injections

Thank you again for your inquiry and we hope this response is helpful to you.

Phil Lieberman, M.D.

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AAAAI - American Academy of Allergy Asthma & Immunology