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Optimed Immunology
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Before the catalog

How treatment selection actually works.

The medication list below is comprehensive, but treatment selection is not a menu. Each decision starts with diagnosis, then proceeds through severity, prior response, comorbidities, and what the insurance carrier requires for authorization. These are the five lenses Dr. McNeil uses when building a treatment plan.

01
Immune replacement therapy

When the immune system cannot make enough functional antibody — IVIG, SCIG, or facilitated SCIG.

02
Prevention vs. rescue therapy

For HAE and other episodic conditions, distinguishing daily prevention from on-demand rescue.

03
Biologic therapy for Type 2 inflammation

When asthma, hives, nasal polyps, eczema, or EoE are driven by allergic or eosinophilic biology.

04
Diagnostic-first planning

Some conditions need diagnostic clarification before any advanced therapy is appropriate.

05
Insurance-supported documentation

Objective labs, prior failures, severity, and comorbidities all support prior authorization — which the office handles in-house.

Immunoglobulin Replacement — Intravenous (IVIG)

For patients with primary antibody deficiencies. Administered every 3–4 weeks at home, in our suite, or at a partner infusion center.

Immunoglobulin Replacement — Subcutaneous (SCIG / fSCIG)

Self-administered weekly or biweekly at home, with HyQvia offering monthly large-volume facilitated subcutaneous dosing.

Hereditary Angioedema — Long-Term Prophylaxis

Daily, weekly, monthly, or less frequent treatments to prevent HAE attacks before they happen.

Hereditary Angioedema — Acute / On-Demand Treatment

Rescue medications for acute HAE attacks. Options include intravenous, subcutaneous, and now oral therapies. Most support patient self-administration at home.

Type 2 Inflammation Biologics

Targeted therapies for severe asthma, chronic urticaria, nasal polyps, atopic dermatitis, and EoE. Selection is based on phenotype, comorbidities, and dosing preference.

Autoinflammatory / Periodic Fever Treatments

Targeted therapies for selected innate immune disorders, including periodic fever syndromes, when diagnostic criteria and insurance requirements are met.

Asthma Controller & Rescue Therapy

Inhaled and nebulized therapies are selected based on asthma severity, exacerbation history, lung function, biomarkers, and response to prior treatment.

Anaphylaxis Rescue Medications

Emergency medications for patients at risk of severe allergic reactions. Patients should follow their individualized emergency action plan and seek emergency care when appropriate.

Diagnostic Services

Standard and advanced immune testing performed in support of diagnosis and treatment monitoring.

Standard Immunophenotyping Panel

SIP · In-house

Rapid screening of immune disorders and monitoring of immunodeficiency.

COVID Phenotyping Assay

CPA · In-house

Evaluates immune cell function in post-COVID and persistent post-viral immune dysregulation.

Basophil Activation Testing

BAT · In-house

Measures basophil response to allergen stimulation. Used in food allergy management.

Vaccine Response Testing

Pre/post-vaccination titers

Assesses specific antibody response. Key for diagnosing specific antibody deficiency.

Blood-Based Allergy Testing

Specific IgE panels

Comprehensive allergy testing without scratch tests.

Have questions about a specific therapy?

Treatment selection is a shared decision. Schedule a consultation to discuss whether a particular medication is appropriate for you.