Allergy, Immunotherapy & ENT
Compounded formulations for allergy immunotherapy, sinus, nasal, ear, and oral conditions customized to each provider's protocol and each patient's plan.

Treatment Designed Around You

Panels, Protocols, and Program Support
Our pharmacies compound a full range of allergy immunotherapy and ENT preparations, including medicated salt packets for sinus irrigation, topical and nebulized sinus formulations, otic powders, and oral preparations. Our team supports you with protocol development, allergen panel selection, and full program implementation for your practice.
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Allergy, Immunotherapy & ENT Focus Areas

Allergy Immunotherapy
Subcutaneous (SCIT) and sublingual (SLIT) immunotherapy preparations compounded from standardized allergen extracts. Regional and custom panels available for environmental and household allergen categories. Build-up and maintenance protocols designed to gradually reduce sensitivity to specific allergens over time through controlled, repeated exposure.
Immunotherapy Delivery Methods:
- Subcutaneous (SCIT)
- Sublingual (SLIT)
- Toothpaste Immunotherapy

Sinus & Nasal Formulations
Compounded sinus preparations available as medicated salt packets for irrigation, nebulized solutions, and nasal sprays. Formulations can combine corticosteroids, antibiotics, antifungals, and mucolytics into a single preparation at custom concentrations specified by the prescriber.
Sinus & Nasal Delivery Methods:
- Medicated Salt Packet
- Sinus Irrigation
- Nasal Spray
- Nebulization

Ear & Oral Preparations
Compounded otic powders for otitis externa and otitis media, formulated for use with powder insufflators. Oral preparations include betahistine for prescriber-directed protocols and compounded mouthwash formulations combining multiple active ingredients into a single preparation.
Ear & Oral Delivery Methods:
- Otic Powder
- Oral Capsule
- Mouthwash
Allergen Panels by Region
Our pharmacies compound custom and regional allergen panels for immunotherapy programs. Panels can be tailored to the patient’s specific allergen profile or selected from standardized regional blends.
Most Commonly Prescribed
Our network of pharmacies compounds a wide range of active ingredients for allergy, immunotherapy, sinus, nasal, ear, and oral formulations. Availability of specific formulations varies by pharmacy.
Looking for a specific ingredient or formulation?
Your Revelation pharmacy can confirm current availability and discuss options with your provider.
Available Dosage Forms
Compounded allergy, immunotherapy, and ENT formulations are available in multiple delivery methods, including specialized options such as medicated salt packets for sinus irrigation. Contact your Revelation pharmacy for location-specific availability.
- Medicated Salt Packet (Sinus Irrigation)
- Nasal Spray
- Nebulized Solution
- Otic Powder (Insufflation)
- Oral Capsule
- Oral Suspension / Mouthwash
- Subcutaneous Injection (SCIT)
- Sublingual Drops (SLIT)
- Toothpaste Immunotherapy
Compounded for Allergy, Immunotherapy & ENT: What to Know
What is allergy immunotherapy?
Allergy immunotherapy is a long-term treatment approach that introduces controlled amounts of specific allergens to the immune system over time, with the goal of gradually reducing the body’s sensitivity to those allergens. It is prescribed and supervised by a healthcare provider and is available in subcutaneous (injection) and sublingual (under-the-tongue) forms. A compounding pharmacy can prepare custom allergen panels and dosing protocols based on the prescriber’s specifications
What is the difference between subcutaneous and sublingual immunotherapy?
Subcutaneous immunotherapy (SCIT) is administered by injection, typically in a clinical setting. Sublingual immunotherapy (SLIT) is administered as drops placed under the tongue and can often be taken at home after an initial supervised dose. Both methods are designed to deliver allergen extracts to the immune system; the choice between them depends on the prescriber’s protocol, the patient’s allergen profile, and individual preference. Your Revelation pharmacy can compound either form
Do I need a prescription for compounded allergy or ENT medications?
Yes. All compounded medications require a valid prescription from a licensed prescriber. Immunotherapy protocols, medicated sinus irrigations, otic powders, and other compounded ENT formulations are prepared based on an individual prescription as part of a provider-directed treatment plan
What is a medicated sinus irrigation?
A medicated sinus irrigation is designed to deliver compounded medication directly to the sinus cavities using a rinse device. Our pharmacies offer medicated salt packets that combine a corticosteroid with a pH-balanced salt in a single packet. The packet is dissolved in distilled water and used with a sinus rinse device as directed by the prescriber. Formulations can also include antibiotics, antifungals, or mucolytics depending on the prescriber’s protocol
Are compounded allergy and ENT formulations available for pediatric patients?
Yes. Compounding allows prescribers to specify age-appropriate dosages, concentrations, and delivery methods for pediatric patients. Both pediatric and adult immunotherapy protocols are available. Contact your Revelation pharmacy to discuss pediatric formulation options with their clinical team.
Why Compounding for Allergy, Immunotherapy & ENT?
01
Custom Allergen Panels
Regional and patient-specific allergen combinations for immunotherapy programs, including environmental, household, and custom panels.
02
Multi-Ingredient Formulations
Corticosteroids, antibiotics, antifungals, and mucolytics combined into a single sinus irrigation, nasal spray, or otic preparation at the prescriber's specified concentrations.
03
Specialized Delivery Methods
Medicated salt packets for sinus irrigation, powder insufflation for otic conditions, nebulized sinus formulations, and sublingual immunotherapy drops.
04
Allergen-Friendly Options
Preparations can be made without dyes, gluten, lactose, or other common allergens and excipients that may be present in commercially available products.
05
Clinical Pharmacist Support
Our Doctor of Pharmacy team provides consultation, protocol development, allergen panel selection, and build-up and maintenance dosing support.
06
Supplies Available
Sinus rinse devices, nebulizers, powder insufflators, and other clinical supplies available through Revelation Wholesale.
Disclaimer
All compounded medications require a valid prescription from a licensed prescriber. This content is intended for educational purposes only. It is not medical advice and is not a substitute for a provider’s independent clinical judgment. Compounded preparations require a prescription, and any treatment decision should be based on the individual needs of the patient.