Emergency treatment of insect sting allergy
As mentioned above, the most effective emergency treatment in an
anaphylactic reaction is epinephrine (adrenaline). Epinephrine
starts to work within seconds upon intramuscular injection and can
save your life even in the most severe cases of anaphylaxis. It is
the only emergency treatment that can stop the evolution of an
anaphylactic attack and prevent life-threatening
complications.
Epinephrine is available in auto-injectors that can be carried
easily and are very simple to use in an emergency.
Any patient, who has had an anaphylactic reaction, or those with
large localised allergic reactions to insect stings, should always
carry an epinephrine (adrenaline) auto-injector with them.
Tip: having the epinephrine auto-injector
available at all times and being perfectly familiar with its mode
of employment is of the utmost importance when dealing with an
anaphylactic reaction.
In people who have experienced a generalized reaction (anaphylaxis)
and have a medically confirmed allergy to insect venom,
desensitization treatment (immunotherapy) might be recommended,
especially for bee and wasp hypersensitivity.
Immunotherapy is a long term treatment which seeks to change the
reactivity of the immune system and to prevent the occurrence of an
allergic reaction to the venom in case of a subsequent sting. The
treatment involves administration of progressively increasing doses
of the allergenic venom, up to a maintenance dose which is
administered regularly at intervals of 4-8 weeks for a few years.
People treated with immunotherapy develop a tolerance to the insect
venom. Consequently if they are stung again they may not develop
symptoms at all, or manifest only mild symptoms.