Drug Reaction Evaluation and Management Program

The Drug Reaction Evaluation and Management (DREAM) Program offers personalized evaluations for children with drug allergies. These include common drug allergies, including allergies to penicillin and other antibiotics, as well as allergies to ibuprofen and other nonsteroidal anti-inflammatory drugs. We also care for children with more rare drug allergies, such as allergies to anesthetic agents, biologics and chemotherapy, as well as children with allergic reactions to vaccines.
Drug allergy evaluations are important and help confirm or rule out allergies to medications through specialized testing. This allows children to obtain the safest and most effective treatments for their conditions. We individualize each child’s evaluation and management plan, which may include skin testing and/or a graded drug challenge. If indicated and appropriate, we also arrange for a drug desensitization to allow a child to more safely receive a medication that cannot be avoided.
The DREAM Program is the only comprehensive program in the region, and one of the few in the nation, dedicated to diagnosing and treating children with drug allergies.
How we serve you
The DREAM Program offers evaluations, treatments and management for children with drug allergies, as well as access to related programs that may offer additional resources for families.
Conditions we treat

Why choose the DREAM Program
The DREAM Program at CHOP is the only comprehensive program in the region – and one of the few in the nation – dedicated to diagnosing and treating children with drug allergies. We offer unparalleled diagnosis, treatment and management for children with drug allergies. Over the past decade, the program has grown to support hundreds of families dealing with drug allergies, at multiple CHOP locations.

Meet your team
The DREAM Program team includes a core group of physicians, nurses and pharmacists who collaborate to offer unparalleled diagnosis, evidence-based treatment and management for children with drug allergies.

Our locations
You can visit drug allergy experts at various locations in Pennsylvania and New Jersey.

DREAM Program resources
Caring for a child with a drug allergy can be overwhelming. To help you find answers and feel confident with the care you’re providing for your child, we’ve created the following list of health resources.

Drug allergy resources for professionals
The DREAM Program at Children’s Hospital of Philadelphia offers resources for professionals to help you support your patient’s health and help them avoid allergic reactions.
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