The information in this webpage is intended for US residents 18 years and over only, and is not intended to provide medical advice.

Understanding peanut allergy

What is peanut allergy?

When your child has a peanut allergy, the body’s immune system mistakenly overreacts to peanut protein (allergen) as if it is harmful.1

The body creates antibodies called immunoglobulin E (IgE) against the allergen in the food, which cause your child’s body to have an allergic reaction.1,2

Peanuts shown are for illustrative purposes only.

Peanut allergy: one of the most
common food allergies in the
United States2

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1.5 million children

in the United States
are affected.3,4

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40% of children

with food allergies have experienced a severe allergic reaction such as anaphylaxis.4

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23% of children

with a peanut allergy had 1 peanut-related emergency room visit within 1 year.4*


*In a US representative sample of 38,408 children <18 years with peanut allergy (surveyed in 2015–2016).4

Avoidance may not be enough  

Avoiding foods and other products that contain peanuts is essential to reduce the risk of a severe
allergic reaction.2

Even a tiny amount, such as 1/100th of a peanut, can be dangerous to a peanut-allergic child.5,6 No matter how careful you are, your child may still accidentally eat small amounts of peanut due to:

1

Widespread use of peanuts in common food items7,8

2

Cross-contact in kitchens9

3

Inconsistent food labeling10

Monster Peep

Oral immunotherapy and reduced sensitivity

While there is no cure for peanut allergy, oral immunotherapy (OIT) is a type of medically-supervised treatment that helps the immune system gradually increase tolerability to peanut.11,12

Unlike other ways used to manage food allergies, OIT aims to slowly increase the amount of peanut your child can consume in small, controlled doses, so the immune system gradually becomes less sensitive.13,14

The patient images are AI generated and are not real patients treated with PALFORZIA. 
Individual results will vary with each patient.

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STEP 1

Body is gradually exposed to increasing amounts of peanut.13

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STEP 2

The body’s immune system builds up the ability to handle exposure to peanut over time.13

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STEP 3

The immune system becomes less sensitive,* and allergic reactions may become mild or may not occur at all, in the event of accidental exposure.13


It is still important to maintain a peanut-free diet while on OIT.12



*Daily immunotherapy treatment must be continued to maintain the reduced sensitivity effect.

Peanuts shown are for illustrative purposes only.

PALFORZIA® (Peanut [Arachis hypogaea] Allergen Powder) is the only FDA-approved oral immunotherapy for children with peanut allergy12,15

Learn more about PALFORZIA treatment

The patient images are AI generated and are not real patients treated with PALFORZIA. 
Individual results will vary with each patient.

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References:  

  1. Husain Z, et al. J Am Acad Dermatol. 2012;66:136–143.
  2. American Academy of Allergy Asthma & Immunology. Available here.
  3. Children’s Defense. Available here.
  4. Gupta R, et al. Pediatrics. 2018;142:e20181235. 
  5. Baumert JL, et al. J Allergy Clin Immunol Pract. 2018;6:457–465.e4. 
  6. Vickery BP, et al. N Engl J Med. 2018;379:199–2001.
  7. Lieberman JA, et al. Allergy. 2021;76:1367–1384. 
  8. Vander Leek TK, et al. J Pediatr. 2000;137:749–55.
  9. Miller TA, et al. Ann Allergy Asthma Immunol. 2022;128:439–442.
  10. Stankovich GA, et al. Frontiers in Allergy. 2023;4:1060932.
  11. National Institutes of Health. Available here.
  12. PALFORZIA [package insert].: Lenoir, NC. Greer Laboratories, Inc. 
  13. American Academy of Allergy Asthma & Immunology. Available here.
  14. Wood RA, et al. N Engl J Med. 2024;390:889–899.
  15. Casale TB, et al. Expert Rev Clin Immunol. 2023;19:253–265.

Important Safety
Information & INDICATION

IMPORTANT SAFETY INFORMATION

PALFORZIA can cause severe allergic reactions called anaphylaxis that may be life-threatening and can occur at any time during PALFORZIA therapy.

  • You will receive your first dose in a healthcare setting under the observation of trained healthcare staff.
  • You will receive the first dose of all dose increases in a healthcare setting.
  • In the healthcare setting, you will be observed for at least 1 hour for signs and symptoms of a severe allergic reaction.
  • If you have a severe reaction during treatment, you will need to receive an injection of epinephrine immediately and get emergency medical help right away.
  • You will return to the healthcare setting for any trouble tolerating your home doses.

WHAT IS PALFORZIA®?

PALFORZIA is a treatment for people who are allergic to peanuts. PALFORZIA can help reduce the severity of allergic reactions, including anaphylaxis, that may occur with accidental exposure to peanut. PALFORZIA may be started in patients aged 1 through 17 years old. If you turn 18 years of age while on PALFORZIA treatment you should continue taking PALFORZIA unless otherwise instructed by your doctor. PALFORZIA does NOT treat allergic reactions and should not be given during an allergic reaction, including anaphylaxis. You must maintain a strict peanut-free diet while taking PALFORZIA.

Stop taking PALFORZIA and get emergency medical treatment right away if you have any of the following symptoms after taking PALFORZIA:

  • Trouble breathing or wheezing
  • Chest discomfort or tightness
  • Throat tightness
  • Heartburn
  • Trouble swallowing or speaking
  • Swelling of your face, lips, eyes, or tongue
  • Dizziness or fainting
  • Severe stomach cramps or pain, vomiting, or diarrhea
  • Hives (itchy, raised bumps on skin)
  • Severe flushing of the skin

Because of the risk of severe allergic reactions, PALFORZIA is only available through a restricted program called the PALFORZIA Risk Evaluation and Mitigation Strategy (REMS) Program. PALFORZIA is a prescription only medication. Talk to your healthcare provider for more information about the PALFORZIA REMS program and how to enroll.

You should NOT take PALFORZIA if you have uncontrolled asthma, or if you ever had eosinophilic esophagitis (EoE) or other eosinophilic gastrointestinal disease.

Tell your doctor if you are not feeling well prior to starting treatment with PALFORZIA. Your doctor may decide to delay treatment until you are feeling better. Also tell your doctor about any medical conditions you have and if you are taking or have recently taken any other medicines, including medicines obtained without a prescription and herbal supplements.

Your doctor may decide that PALFORZIA is not the best treatment if:

  • You are unwilling or unable to receive (or self-administer) injectable epinephrine.
  • You have a condition or are taking a medication that reduces the ability to survive a severe allergic reaction.

What are the possible side effects of PALFORZIA?

The most commonly reported side effects of PALFORZIA in ages 1 through 3 years were: cough, sneezing, runny nose, nasal congestion, throat irritation, wheezing, stomach pain, vomiting, diarrhea, itchy mouth, pain in the throat, hives, rash, itchy skin, and/or inflammation of the skin around the mouth.

The most commonly reported side effects of PALFORZIA in ages 4 through 17 years were: stomach pain, vomiting, feeling sick, itching or burning in the mouth, throat irritation, cough, runny nose, sneezing, throat tightness, wheezing, shortness of breath, itchy skin, hives, and/or itchy ears.

PALFORZIA can cause severe allergic reactions called anaphylaxis that may be life-threatening.

PALFORZIA can cause stomach or gut symptoms including inflammation of the esophagus (called eosinophilic esophagitis). Symptoms of eosinophilic esophagitis can include:

  • Trouble swallowing
  • Food stuck in throat
  • Burning in chest, mouth, or throat
  • Vomiting
  • Regurgitation of undigested food
  • Feeling sick

For additional information on PALFORZIA and/or the possible side effects, talk with your doctor or pharmacist.

Please see full Prescribing Information, including Boxed WARNING and Medication Guide.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.