Facial swelling (angioedema) without breathing difficulty
Persistent rash despite antihistamine
Reaction spreading beyond the initial site
Call 112 immediately for anaphylaxis:
Difficulty breathing, wheezing
Swelling of tongue, throat, face with breathing difficulty
Rapid heartbeat, dizziness, loss of consciousness
Hives with vomiting or diarrhoea
Use adrenaline auto-injector (EpiPen/Jext/Emerade) if available
What DoktorAkut can do on site
Clinical assessment and triage
IV antihistamine (dimetindene, Fenistil IV)
IV corticosteroid (prednisolone)
Adrenaline IM injection for anaphylaxis (before or alongside calling 112)
IV fluids for hypotension
Private prescription for oral cortisone taper and rescue antihistamines
Prescription of adrenaline auto-injector where indicated
Referral to allergist for specific testing (not within scope of acute visit)
Munich pollen season
The Bavarian Föhn amplifies pollen symptoms. Peak times: hazel/alder January–April, birch April, grass May–August, mugwort/ragweed August–October. For severe seasonal allergy, see an allergologist early for immunotherapy planning.
FAQ
Can DoktorAkut give cortisone IV at home?
Yes — for moderate acute allergic reactions, IV prednisolone 50–100 mg is a standard emergency treatment.
Do you prescribe EpiPens?
Yes, when medically indicated after an anaphylaxis-risk reaction. Follow-up with an allergist is strongly recommended.