Clinical Allergy

Information for Patients

COVID-19/Coronavirus

Our services are now open again and are operating at reduced capacity in a COVID secure environment. Consultations are being performed by telephone or video call as far as possible. We know that some patients will have seen delays in their treatment as a result of the impact of COVID-19 on our services, and we would like to apologise for any inconvenience caused. Patients should please contact the department on 0117 4148392 or 0117 4148393, or at allergyandimmunology@nbt.nhs.uk if they feel their allergy problem requires more urgent attention.

Please access the government coronavirus website for general information and recommendations on coronavirus.

Alert: Emerade autoinjectors recall

The below message is relevant to patients and for carers of patients who carry an Emerade adrenaline autoinjector. We have also written to all GP practices we have on our database and patients for whom we have a record of having prescribed an adrenaline autoinjector in approximately the last 5 years.

This alert refers to three drug alerts which have been raised by the Medicines and Healthcare products Regulatory Agency (MHRA) on 4th March 2020, 7th April 2020 and 18th May 2020 recalling all Emerade adrenaline autoinjector pens.

These alerts can be viewed at:

Testing of all strengths of Emerade autoinjectors (150, 300 and 500 mcg doses) indicate that approximately 13% of pens need higher than normal force to activate, implying a higher risk of activation failure than was previously understood. This has led to sequential withdrawal of each strength of Emerade autoinjector and a recommendation of replacement with an alternative adrenaline autoinjector brand (e.g. Jext or Epipen).

Patients should contact the prescriber of their Emerade autoinjector to arrange this. GPs should inform patients of this alert and arrange for replacement of their Emerade adrenaline autoinjectors. Appropriate training in alternative adrenaline autoinjectors should be provided (in person, with product instructions leaflet, or online (on the manufacturer’s website)). Obtaining a ‘trainer pen’ free of charge from the manufacturer website is encouraged. Old Emerade autoinjectors should be returned to pharmacies after obtaining alternatives, but patients should not break self-isolation to do so.

INFORMATION FOR GP’S – Clinical Allergy Service 

We run regular Adult Allergy (and Immunology/Immunodeficiency) clinics on Tuesday mornings, Thursday afternoons, and all day Friday seeing patients referred (see Patient Referral Pathways) to our service with suspected or confirmed allergic disease. Criteria and advice for whom to refer can be found on the Remedy website

We see patients in our Adult Allergy service with the following conditions:

  • Anaphylaxis
  • Uncontrolled rhinitis (e.g. hayfever)
  • Bee or wasp allergy
  • Drug and anaesthetic allergy
  • Food allergy
  • Urticaria and/or angioedema
  • C1 esterase inhibitor deficiency (Hereditary Angioedema)

Please note we do not see patients for:

  1. “Patch testing” (e.g. for eczema, contact hypersensitivity) – please refer to Dermatology instead
  2. Lactose or food “intolerance” as we do not have expertise in these conditions.
  3. Myalgic encephalomyelitis (ME), chronic fatigue, or fibromyalgia as we do not have expertise in these conditions.
  4. Mast cell activation disorders as we do not have expertise in the management of these conditions.

Our service also performs:

  • Sublingual and subcutaneous desensitisation
  • Omalizumab injections for chronic spontaneous urticaria
  • Drug and food allergy challenges
  • Drug desensitisation

Last updated 26/10/2020