List Usual Medications (including Vitamins and Herbal) Richmond
Name, Dosage, and Frequency Allergy and PLEASE EAT Asthma 1. Specialists, P.C. BEFORE YOU 2.
3. Name COME IN. 4. Appt. Date:
5.
6.
7. Important Information
The following medications 8. Regarding your may be continued: 9.
Antibiotics 10. Current Medications
Birth Control Pills 11. Cardiac (Heart) Medications and your Appointment Diabetic Medications 12. Hormones 13. Prescription Sedatives
Seizure Medications 14. Some medications may interfere Thyroid Medications 15. with allergy testing. Review the Blood Pressure Medications 16. medications inside at least 17. ONE WEEK BEFORE your visit.
18. Call if you have any questions about your 19. medications.
RAAS-108 (Rev 08.10.2020) 20. Discontinue 3-5 days before appointment or Do not use the day of the appointment **Check with your prescribing physician before as soon as possible if less than 5 days: stopping any medications. ASTHMA MEDICATIONS:
**Read package ingredients of any over the BENADRYL / DIPHENHYDRAMINE (Inhaled Steroids) counter cold/ flu/ sinus and sleep medications. (Stomach Medications) Advair Asmanex Pulmicort Cimetidine Pepcid Breo Dulera Symbicort Famotidine Ranitidine Alvesco Flovent QVAR Discontinue one week before appointment or Metoclopramide Zantac
as soon as possible if less than 1 week: Nizatidine (Inhaled Bronchodilators) Acrivastine Dymista Do not use the day of the appointment Albuterol ProAir Advil PM Elavil (Anti-Inflammatory/Pain Medication) Atrovent Proventil Alavert & Alavert D Excedrin PM Combivent Spiriva Allegra & Allegra D Fexofenadine Acetaminophen Celecoxib Ketoprofen DuoNeb Ventolin Amitriptyline Hydroxyzine Advil Excedrin Midrin Ipratropium Xopenex Antivert Ipratropium Aleve Fioricet Motrin Levalbuterol Astelin Levocetirizine Aspirin Ibuprofen Nabumetone Astepro Loratadine Butalbital Indocin Naproxen Atarax Meclizine Celebrex Indomethacin Tylenol (Oral Bronchodilators) Atrovent Mirtazapine Albuterol Ventolin Azelastine Mucinex Allergy (Nasal Sprays) Terbutaline Vospire ER Bonine Nyquil Beclomethasone Flunisolide Omnaris Bromfed Olopatadine Budesonide Fluticasone Qnasl Brompheniramine Patanase Cromolyn Mometasone Rhinocort (Oral Steroids) Carbinoxamine Periactin Flonase Nasacort Triamcinolone Cetirizine Phenergan Medrol Prednisolone Zetonna Chlorpheniramine Phenyltoloxamine Flonase- Nasonex Methylprednisolone Prednisone Chlortrimeton Promethazine Sensimist Orapred Prelone Clarinex Remeron (Eye Drops) Pediapred Claritin & Claritin D Semprex Acular Emadine Optivar Clemastine Simply Sleep (Oral Theophylline) Cyproheptadine Triaminic Alaway Epinastine Pataday Desloratadine Tylenol PM Alocril Ketorolac Patanol Theo-24 Uniphyl Dimenhydrinate Unisom Alomide Ketotifen Zaditor Theo-Dur Dimetapp Vistaril Azelastine Lastacaft Zyrtec Doxepin Xyzal Bepreve Naphcon Doxylamine Zyrtec & Zyrtec D Claritin Olopatadine (Leukotriene Modifiers) Dramamine Zzzquil Elestat Opcon Accolate Zafirlukast Montelukast Zyflo Vitamins, Herbal Medicines & Topical Steroids, Singulair Homeopathic Medicines Cortisone Creams & Ointments