Therapeutic Approach
A Treatment Plan Tailored to You
Dr. Milani builds each treatment plan starting from a precise diagnosis of each patient's allergic or immunological condition. No allergy is identical to another: treatment must reflect the individual's complete clinical picture, taking into account the type of condition, its severity, lifestyle, and any comorbidities. The goal is to offer targeted, effective, and sustainable care.
The treatment process begins with the initial specialist consultation and continues through diagnostic tests, culminating in the selection of the most appropriate treatment plan: pharmacological, immunotherapeutic, or behavioral-dietary. Scheduled follow-up appointments follow to monitor results and adjust the plan based on clinical response. At every stage, Dr. Milani accompanies the patient with expertise and care, acting as an expert guide along the entire journey to wellness.
Specific Immunotherapy
Desensitization: The Therapy That Re-educates the Immune System
Allergen-Specific Immunotherapy (AIT) is a medical treatment that gradually retrains the immune system to tolerate the allergen responsible for the reaction, reducing or eliminating symptoms over time. Unlike symptomatic therapies, it targets the underlying cause of the allergic disease, with lasting benefits even after the end of the treatment cycle.
The protocol is available in two forms: subcutaneous (SCIT, injections administered in the office) and sublingual (SLIT, drops or tablets taken at home). Dr. Milani selects the most appropriate modality based on the patient's allergy profile. Treatment duration averages 3-5 years, with benefits that tend to persist beyond the active treatment period.
Pharmacological Therapies
Managing Symptoms With the Right Medical Therapy
Pharmacological therapy is the cornerstone of symptomatic management for many allergic conditions. Dr. Milani prescribes evidence-based and personalized protocols for each patient, choosing between antihistamines, corticosteroids, bronchodilators, monoclonal antibodies, and emergency epinephrine, always balancing efficacy, tolerability, and quality of life.
Bronchial Asthma
Bronchodilators, inhaled corticosteroids, and, in severe cases, biological drugs (monoclonal antibodies) to reduce dry cough, shortness of breath, and wheezing.
Allergic Rhinitis
Oral antihistamines and nasal sprays with cortisone to reduce itching, sneezing, and seasonal or persistent nasal congestion.
Allergic Conjunctivitis
Antihistamine and mast cell stabilizer eye drops to relieve itchy, burning, and watery eyes.
Urticaria & Edema
Ad hoc antihistamine therapy and, in refractory cases, biological drugs; crisis management with corticosteroids and emergency adrenaline.
Allergic Dermatitis
Emollients, topical corticosteroids, and systemic therapy in extensive cases; identification and removal of the causative trigger.
Anaphylaxis
Prescribing and training in the use of self-injectable adrenaline (EpiPen); personalized emergency plan for high-risk patients.
Food Allergies & Intolerances
Therapeutic Pathways for Food Allergies and Nickel Syndrome
Food allergies and intolerances represent a distinct and complex clinical domain. Dr. Milani manages the entire spectrum, from IgE-mediated food allergies (lip and tongue swelling, hives, anaphylaxis) to non-IgE-mediated food intolerances (lactose intolerance, gastrointestinal syndromes), with personalized diagnostic and therapeutic approaches for each patient.
The treatment plan includes a personalized, low-nickel diet plan, combined with pharmacological support where necessary. Treatment is prescribed only after confirming the diagnosis through specialized allergy testing (patch testing, prick testing, allergy tests), to ensure maximum precision and safety in the clinical intervention.
Frequently Asked Questions
Everything You Want to Know About Therapies
Do you have questions about the duration of treatments, the safety of immunotherapy, or what to expect from your treatment plan? Here you'll find answers to frequently asked questions, explained clearly and without jargon.
How long does a specific immunotherapy treatment last?
Specific immunotherapy has an average duration of 3-5 years. Initial improvements are generally observed 6-12 months after starting treatment. After completing the course, the benefits tend to persist, reducing or eliminating the need for symptomatic medications.
Is immunotherapy safe? Are there any side effects?
Immunotherapy is a well-established and safe treatment, performed under specialist medical supervision. Local reactions (swelling or redness at the injection site) are the most common and generally mild. Serious systemic reactions are rare and are managed on an outpatient basis. The safety profile is assessed individually before initiation.
Are asthma drug therapies forever?
Not necessarily. For mild to moderate asthma, drug therapy may be tapered or discontinued during periods of remission. For moderate to severe forms, long-term maintenance therapy may be necessary. Dr. Milani monitors the patient periodically to adjust therapy based on clinical response.
How does the Nickel Syndrome Diet work?
The treatment begins with a confirmed diagnosis through allergy testing. A low-nickel diet is then implemented, customized based on the patient's most critical foods. The diet is more restrictive in the initial phase; it gradually expands as symptoms improve. Dr. Milani supports the patient throughout the entire process.
When can I expect to see improvements?
It depends on the treatment and the pathology. With symptomatic medications, the benefits are felt quickly (within days or weeks). With specific immunotherapy, the most significant results are seen after 6-12 months. For food intolerances, the improvement in quality of life is often noticed within the first few weeks of starting the diet plan.
Do you have specific questions about your situation? Contact the firm for a consultation.
Studio in Monza · Via Maggiolini 9/A
Book your specialist visit
Dr. Milani sees patients by appointment for specialist consultations in allergology and clinical immunology, diagnostic tests, and personalized treatment plans. Contact the office to schedule an appointment.
