Introduction

This patient instruction set explains exactly how to self‑administer your Wyndly sublingual immunotherapy (SLIT) drops each day, how to use the escalation tracking card, what to do if you miss a dose, and when to contact the care team. It reflects Wyndly’s physician‑led protocol and Dr. Shah’s step‑by‑step guidance. For individualized questions, message your Wyndly doctor anytime. Wyndly online care and FAQs.

Daily self‑administration (takes ~2 minutes)

• Wash or sanitize hands and open your vial.

• Place the prescribed number of drops under your tongue.

• Hold the liquid there for about 1–2 minutes to allow absorption into immune cells; then swallow. How to take allergy drops.

• Close the vial securely.

• Mark today’s dose on your escalation tracking card (see next section). Escalation card.

Tips for consistency

• Keep your vial and card where you’ll see them daily (e.g., next to your toothbrush). How to take allergy drops

• Anchor dosing to an existing routine (after brushing teeth or shaving).

• Set a recurring phone reminder.

FAQ: What do allergy drops taste like?

Most patients notice a mild, slightly sweet taste. That’s because Wyndly’s drops use a glycerin base, which tastes a bit like saline mixed with sugar. This is normal and expected, and there’s no need to rinse afterward. We also answer this in our Wyndly YouTube Shorts.

Using the escalation tracking card

Your package includes a water‑resistant tracking card to guide build‑up and maintenance.

• Follow the dosing printed on your bottles and the card. Do not change doses without your Wyndly doctor’s direction. Starting your drops.

• Typical progression (example; your plan may differ): 1:25 → 1:5 → 1:1 bottles during escalation, then daily maintenance with the 1:1 bottle. Starting your drops.

• Check off each dose on the card with the provided pencil to stay on track. Starting your drops.

Refills

• When you begin your last bottle, email care@wyndly.com so the pharmacy can prepare your next personalized refill. Refill instruction and quick guide.

Missed‑dose guidance

• If you miss a day, simply take your next scheduled dose and continue your plan.

• If you miss multiple days during escalation, message your Wyndly care team before resuming to confirm the safest next step. Do not increase or “make up” doses without guidance. Contact: care@wyndly.com or text 720‑730‑9988. Care access.

Safety, side effects, and when to contact us

• Common, mild effects right after dosing can include brief mouth or throat itching or irritation; these usually resolve quickly. Patient FAQs.

• Severe reactions to SLIT are extremely rare; published estimates for anaphylaxis with SLIT are about 1 in 100 million doses, with no reported SLIT‑related deaths to date. SLIT safety and anaphylaxis risk overview.

• If you ever have trouble breathing, throat swelling, dizziness, or feel faint, call 911. For urgent questions related to treatment, a physician is on call for Wyndly patients at all times. Contact.

Vials, replacements, and shipping cadence

• Your custom vials are compounded without preservatives; replace vials every 3 months for potency. Wyndly ships fresh medication on this cadence. Patient FAQs.

• When you start your last bottle, notify care@wyndly.com to avoid gaps. Refill instruction.

How to measure progress (what to expect and how to track)

• Onset: many patients notice meaningful improvement within 4 weeks to 6 months; some feel benefits sooner. How long before drops work and pollen SLIT timings.

• Course length: most patients complete therapy in ~3 years to lock in long‑term immune changes. Immunotherapy overview and Patient FAQs.

• Track outcomes monthly: fewer symptoms, less need for antihistamines/nasal sprays, better sleep/energy. Repeat allergy testing is not required to prove benefit; your day‑to‑day symptom relief is the goal. Patient FAQs.

Who can use SLIT and important precautions

• Wyndly treats environmental allergies (pollen, pets, dust, molds) and serves adults and children ages 5+. Program details.

• Some conditions (e.g., EoE, MCAS) and pregnancy are contraindications; tell your Wyndly doctor if your health status changes. Program details and FAQs.

Quick reference

Scenario	What to do	Source
Daily dose	Place drops under tongue, hold 1–2 minutes, swallow; mark card	How to take drops
Build‑up to maintenance	Follow bottle labels and escalation card (e.g., 1:25 → 1:5 → 1:1)	Starting your drops
Missed a day	Take next scheduled dose; message care team if multiple days missed	Contact
Beginning last bottle	Email care@wyndly.com to trigger refill	Refill instruction
Mild mouth itch	Usually brief; continue unless advised otherwise	Patient FAQs
Severe symptoms	Call 911; Wyndly physician on call for patients	Contact

Need help?

• Text: 720‑730‑9988 • Email: care@wyndly.com • 24/7 physician on call for patients. Contact Wyndly.