Acacia

ACACIA — acacia baileyana pollen injection, solution
RED ALDER — alnus rubra pollen injection, solution
TAG ALDER — alnus incana subsp. rugosa pollen injection, solution
WHITE ALDER — alnus rhombifolia pollen injection, solution
ARIZONA ASH — fraxinus velutina pollen injection, solution
OREGON ASH — fraxinus latifolia pollen injection, solution
WHITE ASH — fraxinus americana pollen injection, solution
ASPEN — populus tremuloides pollen injection, solution
BAYBERRY — morella cerifera pollen injection, solution
AMERICAN BEECH — fagus grandifolia pollen injection, solution
BEEFWOOD/AUSTRALIAN PINE — casuarina equisetifolia pollen injection, solution
BIRCH — betula nigra pollen injection, solution
BLACK BIRCH — betula lenta pollen injection, solution
WHITE BIRCH — betula populifolia pollen injection, solution
BOX ELDER — acer negundo pollen injection, solution
MOUNTAIN CEDAR — juniperus ashei pollen injection, solution
RED CEDAR — juniperus virginiana pollen injection, solution
SALT CEDAR — tamarix gallica pollen injection, solution
EASTERN COTTONWOOD — populus deltoides pollen injection, solution
FREMONT COTTONWOOD — populus fremontii pollen injection, solution
WEST COTTONWOOD — populus deltoides subsp. monilifera pollen injection, solution
ARIZONA CYPRESS — cupressus arizonica pollen injection, solution
BALD CYPRESS — taxodium distichum pollen injection, solution
AMERICAN ELM — ulmus americana pollen injection, solution
CEDAR ELM — ulmus crassifolia pollen injection, solution
CHINESE ELM — ulmus pumila pollen injection, solution
EUCALYPTUS — eucalyptus globulus pollen injection, solution
HAZELNUT — corylus americana pollen injection, solution
SHAGBARK HICKORY — carya ovata pollen injection, solution
WHITE HICKORY — carya alba pollen injection, solution
ONE SEED JUNIPER — juniperus monosperma pollen injection, solution
PINCHOT JUNIPER — juniperus pinchotii pollen injection, solution
ROCKY MOUNTAIN JUNIPER — juniperus scopulorum pollen injection, solution
UTAH JUNIPER — juniperus osteosperma pollen injection, solution
WESTERN JUNIPER — juniperus occidentalis pollen injection, solution
LINDEN — tilia americana pollen injection, solution
BLACK LOCUST — robinia pseudoacacia pollen injection, solution
MANGO BLOSSOM — mangifera indica pollen injection, solution
COAST MAPLE — acer macrophyllum pollen injection, solution
RED MAPLE — acer rubrum pollen injection, solution
SILVER MAPLE — acer saccharinum pollen injection, solution
SUGAR MAPLE — acer saccharum pollen injection, solution
MELALEUCA POLLEN — melaleuca quinquenervia pollen injection, solution
MESQUITE — prosopis juliflora pollen injection, solution
WHITE MULBERRY — morus alba pollen injection, solution
RED MULBERRY — morus rubra pollen injection, solution
MULBERRY — broussonetia papyrifera pollen injection, solution
BLACK OAK — quercus velutina pollen injection, solution
BURR OAK — quercus macrocarpa pollen injection, solution
CALIFORNIA BLACK OAK — quercus kelloggii pollen injection, solution
CALIFORNIA LIVE OAK — quercus agrifolia pollen injection, solution
GAMBIL OAK — quercus gambelii pollen injection, solution
RED OAK — quercus rubra pollen injection, solution
CALIFORNIA VALLEY WHITE OAK — quercus lobata pollen injection, solution
VIRGINIA LIVE OAK — quercus virginiana pollen injection, solution
WATER OAK — quercus nigra pollen injection, solution
WHITE OAK — quercus alba pollen injection, solution
OLIVE POLLEN — olea europaea pollen injection, solution
ORANGE POLLEN — citrus sinensis pollen injection, solution
QUEEN PALM — syagrus romanzoffiana pollen injection, solution
PECAN POLLEN — carya illinoinensis pollen injection, solution
PEPPER TREE POLLEN — schinus molle pollen injection, solution
LOBLOLLY PINE — pinus taeda pollen injection, solution
LONGLEAF PINE — pinus palustris pollen injection, solution
PONDEROSA PINE — pinus ponderosa pollen injection, solution
SLASH PINE — pinus elliottii pollen injection, solution
SCRUB PINE — pinus virginiana pollen injection, solution
WHITE PINE — pinus strobus pollen injection, solution
WESTERN WHITE PINE — pinus monticola pollen injection, solution
YELLOW PINE — pinus echinata pollen injection, solution
LOMBARDY POPLAR — populus nigra pollen injection, solution
WHITE POPLAR — populus alba pollen injection, solution
PRIVET — ligustrum vulgare pollen injection, solution
RUSSIAN OLIVE — elaeagnus angustifolia pollen injection, solution
SWEET GUM — liquidambar styraciflua pollen injection, solution
EAST SYCAMORE — platanus occidentalis pollen injection, solution
WEST SYCAMORE — platanus racemosa pollen injection, solution
BLACK WALNUT — juglans nigra pollen injection, solution
CALIFORNIA BLACK WALNUT — juglans californica pollen injection, solution
ENGLISH WALNUT — juglans regia pollen injection, solution
BLACK WILLOW — salix nigra pollen injection, solution
ARROYO WILLOW — salix lasiolepis pollen injection, solution
PUSSY WILLOW — salix discolor pollen injection, solution
POPLAR — populus deltoides pollen injection, solution
BALSAM POPLAR — populus balsamifera subsp. trichocarpa pollen injection, solution
Nelco Laboratories, Inc.

WARNING

Diagnostic and therapeutic allergenic extracts are intended to be administered by a physician who is an allergy specialist and experienced in allergenic diagnostic testing and immunotherapy and the emergency care of anaphylaxis.

This product should not be injected intravenously. Deep subcutaneous routes have been safe. Sensitive patients may experience severe anaphylactic reactions resulting in respiratory obstruction, shock, coma and/or death. (See Adverse Reactions)

Serious adverse reactions should be reported to Nelco Laboratories immediately and a report filed to: MedWatch, The FDA Medical Product Problem Reporting Program, at 5600 Fishers Lane, Rockville, Md. 20852-9787, call 1-800-FDA-1088.

Extreme caution should be taken when using allergenic extracts for patients who are taking beta-blocker medications. In the event of a serious adverse reaction associated with the use of allergenic extracts, patients receiving beta-blockers may not be responsive to epinephrine or inhaled brochodialators.(1) (See Precautions)

Allergenic extracts should be used with caution for patients with unstable or steroid-dependent asthma or underlying cardiovascular disease. (See Contraindications)

DESCRIPTION

Allergenic extracts are sterile solutions consisting of the extractable components from various biological sources including pollens, inhalants, molds, animal epidermals and insects. Aqueous extracts are prepared using cocas fluid containing NaCl 0.5%, NaHCO3 0.0275%, WFI, preservative 0.4% Phenol. Glycerinated allergenic extracts are prepared with cocas fluid and glycerin to produce a 50% (v/v) allergenic extract. Allergenic Extracts are supplied as concentrations designated as protein nitrogen units (PNU) or weight/volume (w/v) ratio. Standardized extracts are designated in Bioequivalent Allergy Units (BAU) or Allergy Units (AU). (See product insert for standardized extracts)

For diagnostic purposes, allergenic extracts are to be administered by prick-puncture or intradermal routes. Allergenic extracts are administered subcutaneously for immunotherapy injections.

CLINICAL PHARMACOLOGY

The pharmacological action of allergenic extracts used diagnostically is based on the liberation of histamine and other substances when the allergen reacts with IgE antibodies attached to the mast cells. When allergenic extracts are used for immunotherapy, the effect is an increase in immunoglobulin G (IgG) and an increased T suppresser lymphocyte which interferes with the allergic response.(2) With repeated administration of allergenic extracts changes develop in regards to IgG and IgE production and mediator-releasing cells. The histamine release response is reduced in some patients.

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