Stasinos Chr. Sikalias · The science of compounding

OIT-001 · Allergist interface and order verification

Laboratory support for individual allergen preparations. This is neither a treatment protocol nor manufacturing authorisation.

Template for local scientific review and approval. This is not an approved SOP of a specific laboratory.

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OIT-001 · 1.0 · 10.09.2026

Scope

Laboratory support for individual allergen preparations. This is neither a treatment protocol nor manufacturing authorisation.

Roles and prerequisites

Responsible pharmacist: approves implementation and release. Trained operator: performs and records work. Reviewer: verifies critical items. Specialist clinician/analytical partner: as specified.

Before implementation complete local document IDs, named roles, suitable equipment, specific specifications and acceptance criteria. Check the applicable framework in your country.

Procedure

  1. Identify the responsible specialist and agreed clinical plan. Patient selection, initiation and dose escalation belong to the specialist clinical team.

  2. Verify the exact allergen, raw-material form, route and dose basis. Clarify in writing whether the order refers to food mass, total protein or another defined quantity.

  3. Agree the required final concentration, dosing device and permitted variability using suitable scientific evidence. Do not arbitrarily convert grams of nut to milligrams of protein.

  4. Confirm a clinical plan for reactions, illness, missed doses and restarting. The pharmacy must not improvise dose changes.

  5. Check whether local facilities, permissions and controls are adequate. Following this template does not certify clinical efficacy or lawful supply.

  6. For pistachio, document the specific basis of the clinical plan. Peanut recommendations do not automatically extend to tree nuts.

Stop criterion

Ambiguous order, no clinical lead or unsupported strength basis: do not compound.

Related records

Sources

These sources inform the original editorial synthesis. Their publishers do not adopt or endorse this SOP.

Local approval

Local version: __________ Effective date: __________
Author: __________ Reviewer: __________ Pharmacist approval: __________
Signatures / dates: __________ Next review: __________