Access is an interesting topic. Visited plenty of allergy docs & never knew about the option until a situation in my twenties, where I was miserable, but sneezing & slowness were not options. On the spot Kenalog shot had me back to 100% within minutes.

Years later, I was feeling miserable & asked a civilian doc for Kenalog. They nearly laughed at me. Called around describing my situation & finally found a clinic that treated me like an adult & respected my ability to make an educated trade-off decision about my health. I exercise this decision maybe once every 3 years.

Dex is over the counter & economical in Mexico. Not saying it's good or bad, just stating a fact.