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Therapeutic Specialty

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.

For Patients

Treatment Designed Around You

Allergy and ENT formulations are prescribed by your provider and compounded to the exact strength, combination, and delivery method your treatment plan calls for. Each formulation is made to your provider's specifications.
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For Prescribers

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.

Coastal and Central California
Desert Southwest
Eastern Mountains
Intermountain and High Desert
Mid-Atlantic Coastal
Midwest Mississippi Valley
Northeastern Mixed Forest
Northern Great Plains
Northern Great Plains
Northern Great Plains
Pacific Northwest
Southeast Coastal Plains
Household Allergens
Custom Patient-Specific Panels
Active ingredients

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.

Acetylcysteine
Mucolytic
Amphotericin B
Antifungal (Polyene)
Azelastine
Antihistamine
Betahistine
Histamine Analog
Boric Acid
Antiseptic
Budesonide
Corticosteroid
Chloramphenicol
Amphenicol Antibiotic
Ciprofloxacin
Fluoroquinolone
Clindamycin
Lincosamide Antibiotic
Clotrimazole
Antifungal (Azole)
Dexamethasone
Corticosteroid
Diphenhydramine
Antihistamine
Gentamicin
Aminoglycoside
Hydrocortisone
Corticosteroid
Itraconazole
Antifungal (Azole)
Levofloxacin
Fluoroquinolone
Lidocaine
Anesthetic
Mometasone
Corticosteroid
Mupirocin
Topical Antibacterial
Nystatin
Antifungal (Polyene)
SMX/TMP
Sulfonamide Combination
Sulfanilamide
Sulfonamide
Tetracycline
Tetracycline Antibiotic
Theophylline
Methylxanthine
Tobramycin
Aminoglycoside
Vancomycin
Glycopeptide

Looking for a specific ingredient or formulation?

Your Revelation pharmacy can confirm current availability and discuss options with your provider.

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Delivery methods

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

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

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

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

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

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.

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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.