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If the skin response is larger than 5 mm edema15 mm erythema, the extract is too strong and must be diluted before it is given subcutaneously. The doses shown in the Dosage Schedule (Table 1) below are recommended unless the patients skin test response and allergic history indicates that more dilute extract should be used. However, studies have shown that high dose immunotherapy Dex powder efficacious in the treatment of allergic rhinitis and asthma. Treatment with Vial 6 may be used for patients who have not had adverse reactions to extract in Vial Dex powder and who require more concentrated extract to control or relieve symptoms. IT IS ADVISABLE TO REDUCE THE DOSAGE OF FRESH EXTRACT TO ONE-FOURTH THE Dex powder GIVEN FROM A Dex powder LOT OF EXTRACT MADE AT THE SAME CONCENTRATION AND BY THE SAME FORMULA.

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