MANAGING INSECT STING ALLERGY The ins and outs of venom immunotherapy A regimen that has been shown to prevent nearly all insect sting reactions, venom immunotherapy is usually effective in patients who are at high risk and might otherwise need multiple doses of epinephrine.

Preview Insect sting allergy can lead to severe, even fatal, reactions in susceptible persons. Although self-injection epinephrine often terminates the reaction, it is not always effective. In this article, Dr Graft explores the use of venom immunotherapy (VIT) in selected patients in whom successful treatment can produce psychosocial as well as physiologic benefits.