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The Oregon Clinic, Plaza ENT Division 5050 NE Hoyt #655 Portland, OR 97213 P a G E | 1 (503)488-2400 Fax: (503)231-0121 The Oregon Clinic, Plaza ENT Division 5050 NE Hoyt #655 Portland, OR 97213 P a g e | 1 (503)488-2400 Fax: (503)231-0121 Do NOT take: Clarinex, Claritin or Claritin-D for SEVEN days prior to your test. Do NOT take any of the following medications for THREE days prior to your allergy test: Antihistamines or anything containing one (see the attached list) Muscle relaxers or tranquilizers Tricyclic antidipressants (check with the physician who prescribed the medication prior to stopping the medication) Sedatives Nasal sprays (prescription or over the counter) Non-steroidal anti-inflammatory drugs (NSAIDs) Ibuprofen (Advil, Motrin, etc.) Aspirin, Excedrin or Alka-seltzer Any supplement containing Vitamin C NOTIFY the allergy department if you are given steroids in any form (by mouth, injection, lotion/cream, or intravenously) within FOUR WEEKS prior to your test. You MAY take the following medications up to the time of your test: Asthma medications, although try to avoid for 6 hours before the testing Tylenol (regular or extra-strength only) Birth control pills or hormones Blood pressure medications, except as noted on the attached beta-blocker medication list** Fluid pills Plain decongestants (those without histamines) Sinus rinse HOLD the following drugs the morning of the test and bring them with you: _________________________ _________________________ _________________________ _________________________ **If you take beta-blockers (see attached list), you may not be able to have allergy testing or injections. Please discuss this with the allergy nurse before your test or any allergy injections. Also, please notify the allergy staff if you have any cardiac problems, take cardiac medications, or have a pacemaker. The test will take approximately 1 ½ hours. Please wear something short-sleeved or sleeveless and bring a pair of shorts. When being seen in the allergy clinic for either testing or treatment, please DO NOT wear scented products (body lotion, perfumes, cologne, hair spray, etc.) that may affect your fellow patients. If it is necessary to cancel your test, please notify us at least 24 hours prior to your appointment. If we are not notified and you do not show up for your appointment, there will be a $100.00 missed appointment charge. Please eat before you come for your appointment as this is NOT a fasting test. You are encouraged to please call the office if you have any questions. omc 04/2012 The Oregon Clinic, Plaza ENT Division 5050 NE Hoyt #655 Portland, OR 97213 P a g e | 2 (503)488-2400 Fax: (503)231-0121 DRUGS THAT INTERFERE WITH ALLERGY TESTING Tricyclic antidepressants: OMIT for THREE (3) days prior to allergy testing. Please check with your prescribing physician before stopping antidepressants. Please advise the nurse if you are taking any tricyclic antidepressants Amitriptyline (Elavil, Tryptizol, Laroxyl) Amitriptylinoxide (Amioxid, Ambivalon, Equilibrin) Butriptyline (Evadyne) Clomipramine (Anafranil) Demexiptiline (Deparon, Tinoran) Desipramine (Norpramin, Pertofrane) Dibenzepin (Noveril, Victoril) Dimetacrine (Istonil, Istonyl, Miroistonil) Imipramine (Tofranil, Janimine, Praminil) Imipraminoxide (Imiprex, Elepsin) Lofepramine (Lomont, Gamanil) Melitracen (Deanxit, Dixeran, Melixeran, Trausabun) Metaprime (Timaxel) Nitroxazepine (Sintamil) Nortriptyline (Pamelor, Aventyl) Noxiptiline (Agedal, Elronon, Nogedal) Pipofezine (Azafen/Azaphen) Propizepine (Depressin, Vagran) Protriptyline (Vivactil) Quinupramine (Kevopril, Kinupril, Adeprim, Quinuprine) Atypical Compounds: Amineptime (Survector, Maneon, Directim) – Norepinephrine-dopamine reuptake inhibitor Iprindole (Prondol, Galatur, Tetran) – 5-HT2 receptor antagonist Oppiramol (Insidon, Pramolan, Ensidon, Oprimol, Seroquel) – Tianeptine (Stablon, Coaxil, Tatinol) – Selective serotonin reuptake enhancer Trimipraine (Surmontil) – 5-HT2 receptor antagonist Antidepressants: HOLD the night before and the morning of the test! Citalopram (Celexa, Cipramil, Cipram, Dalsan, Recital, Emocal, Sepram, Seropram, Citox) Dapoxetine (Priligy) Escitalopram (Lexapro, Cipralex, Esertia) Fluoxetine (Prozac, Fontex, Seromex, Seronil, Sarafem, Ladose, Fulctin, Fluox, Depress, Lovan) Fluvoxamine (Luvox, Fevarin, Faverin, Dymyrox, Favoxil, Movox) Indalpine (Upstene) – discontinued Paroxetine (Paxil, Seroxat, Sereupin, Aropax, Deroxat, Divarius, Rexetin, Xetanor, Paroxat, Loxamine) Sertraline (Zoloft, Lustral, Serlain) Zimelidine (Zelmid, Normud) – discontinued omc 04/2012 The Oregon Clinic, Plaza ENT Division 5050 NE Hoyt #655 Portland, OR 97213 P a g e | 3 (503)488-2400 Fax: (503)231-0121 DRUGS THAT INTERFERE WITH ALLERGY TESTING Antihistamine-containing medications – OMIT for THREE (3) days prior to allergy testing! Actifed Naldecon Allegra Nolahist Atarax Novahistine Atrohist Nolamine Benadryl (Diphenhydramine) Optimine Chlorpheniramine Phenergan Chlor-Trimeton Poly-Histine Comhist Ritalin Deconamine Rondec Dimetapp Ru-Tuss Dramamine Tagamet Excedrin PM Tavist I and Tavist II Isoclor Teldrin Kronofed A and Kronofed A Tylenol PM Jr. Zantac Marax Zyrtec Midol PM NOTE: Claritin and Claritin-D are to be OMITTED for SEVEN (7) days prior to allergy test Please AVOID any over-the-counter preparations for cold, sinus or allergy. If in doubt, please call the allergy clinic. Inhalers should also be AVOIDED for SIX (6) hours before testing if possible: Azmacort Alupent Brethaire Proventil Serevent Tornalate Ventolin Tilade Flovent omc 04/2012 The Oregon Clinic, Plaza ENT Division 5050 NE Hoyt #655 Portland, OR 97213 P a g e | 4 (503)488-2400 Fax: (503)231-0121 BETA BLOCKER MEDICATION LIST If you take beta blockers you may not be able to have allergy testing or injections. Please discuss this with the allergy nurse before your test or any allergy injections. BRAND NAME GENERIC NAME Betachron Propranolol Betagan** Levobunolol Betimol** Timolol Betoptic** Betaxolol Hydrochloride Betoptic S** Betaxolol Blocadren Timolol Bystolic Nebivolol Cartrol Carteolol Coreg Carvedilol Corgard Nadolol Corzide Nadolol & Bendroflumethlazide Inderal Propanolol Inderal LA Propanolol Inderide Propranolol & Hydrochlorothiazide (HCTZ) Inderide LA Propranolol & HCTZ Innopran XL Propranolol Istalol** Timolol Levatol Penbutolol Lopressor Metoprolol Lopressor HCT Metoprolol & HCTZ Metipranolol Metoprolol Normodyne Labetalol Ocupress** Carteolol Hydrochloride Optipranolol** Metipranololetaxolol Hydrochloride Sectral Acebutolol Tenorectic Atenolol & Chlorthalidone Tenormin Atenolol Timolide Timolol & HCTZ Timoptic** Timolol Timoptic XE** Timolol Gel Forming Toprol XL Metoprolol Trandate Labetalol Trusopt** Dorzolamide Hydrochloride Visken Pindolol Zebeta Bisoprolol Ziac Bisoprolol & HCTZ **Italicized names are ophthalmic eye drops omc 04/2012 .
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