Treatment is usually symptomatic for allergic rhinitis and controlling asthma symptoms however for patients with moderate or severe diseases with recurrence of symptoms, allergen immunotherapy can treat the root cause of house dust mite allergy in which the long-term medication for both allergic rhinitis and allergic asthma can be reduced.

Allergic Rhinitis

• Antihistamine oral and/or intranasal

• Intranasal corticosteroids

• Oral steroid as needed

• Surgery as indicated by an ENT doctor

Allergic Asthma

• Inhaled corticosteroids and Bronchodilators

• Oral steroid as needed

• Biologic agent for severe asthma

• Other medications such as leukotriene antagonist and PDE4-inhibitor

Allergen Immunotherapy 

• House dust mite sublingual immunotherapy tablet (SLIT) taken once daily as fast dissolving tablet under the tongue for 3 years. Studies have shown reduction of symptoms for allergic rhinitis as soon as 8-12 weeks and significant reduction of asthma attacks (exacerbations)

• Subcutaneous immunotherapy requiring multiple weekly buildups during first 6 months and adjustment as needed, then administer subcutaneous injection once a month to complete 3-5 years course

• The goal of allergen immunotherapy is to cure house dust mite allergy and reduce medication needed to resolve symptoms and reduce level of symptoms to increase quality of life