Allergy Testing Brochure

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Allergy Testing Brochure Instructions Regarding Beta Blockers Medications Common Beta Blockers Continued: Inderal Beta blockers are used to treat high Inderide blood pressure, heart disease and Kerlone glaucoma. If you are currently taking a Labetalol beta blocker you will need to check with Levatol your prescribing doctor to see if you may Levobunolol (eye drops) Allergy Testing & Injections Lopressor safely stop this medication one week prior to testing. You will not be able to Metipranolol (eye drops) Metoprolol receive allergy injections while on a Beta Nadol Blocker. Your prescribing doctor may Nebivolol want to switch you to a different class of Normodyne medications if you are considering Ocupress (eye drops) allergy treatment after your testing is Optipranolol (eye drops) completed. Penbutolol Propranolol Sectral Sotalol Common Beta Blockers: Timoptic (eyedrops) Tenoretic Acebutolol AK Beta (eye drops) Tenormin Relief is Here! Atenolol Timolide Your physician has ordered allergy testing Betagan (eye drops) Timolol as a part of your evaluation and treatment Betapace Toprol planning. Our primary goal is to ensure that Betaxolol (eye drops) Trandate you are safe, comfortable and well- Betoptic (eye drops) Visken Zebeta informed throughout this process. Allergy Bisprolol testing allows your physician to create a Blocadren Ziac Breviboc treatment plan that addresses your specific Bystolic Antidepressants: immunotherapy needs. Our experienced Cartrol allergy testing team will ensure that you Carteolol (eye drops) Some antidepressants can affect allergy receive excellent care and will be there Coreg testing results. NEVER stop your every step of your journey. Corgard antidepressants without asking your Corzide prescribing doctor. If you are taking an Esmolol antidepressant, please notify us. (281) 203-5015 www.entwoodlands.com Preparing for the Test 1 Day prior to Testing: Carefully review the medication list. Follow the One week (7 days) prior to testing stop Men: You will need to shave both the upper instructions on when to stop medications that taking: outer sides of your arms, just below the Beta Blockers: see specific instructions on the other interfere with allergy testing. If the medication shoulder to above the elbow, and the inner side of this form forearms from 3 inches below the wrist to 2 that needs to be stopped was not prescribed at *ALL Nasal Sprays our office, contact the prescribing doctor to inches above the inner elbow area. Do not *ALL Anti-Inflammatory Medications shave your arms the morning of the test. confirm that you may safely stop taking the *ALL Steroid Medications This must be done at least 12 hours prior to medication for the duration required prior to Acrivastine Loratadine testing to allow any skin irritation to subside. testing. If you are taking a medication listed Allegra Montelukast under the Beta Blocker list, it is very important Antivert (Meclizine) Naprosyn you discuss with your doctor if you may change Astemizole Nolamine The Day of the Test: that medication for testing and long term, should Atrohist Optivar (eye drops) Azatadine you need to start allergy injections. Patients Patanol (eye drops) Do NOT drink any caffeinated Benadryl using Beta Blocker medications may not receive Periactin beverages 4 hours prior Bromfed Phenergan allergy injections as these medications interfere Shower in the morning. Do NOT Brompheniramine Promethazine with the medications we give for extreme Chlorpheniramine apply any lotion, cream or perfume Pyrilamine on your arms. (deodorant is fine) reactions and can result in patient injury or even Cimetadine Ranitidine Adeath. If you are unable to change to another Claritin Rynatan Do NOT smoke or use tobacco medication your treatment plan may need to be Clarinex Rynatuss products 4 hours prior. changedallergy i to medical management or sublingual Codimal DH Syrup Singulair Do NOT apply any lipstick. therapy. Cetirizine Semprex Cyproheptadine Tagamet What to expect During the Test: Diphenhydramine Tavist Medications to Stop Dramamine Tussionex The allergy test will take up to 2 hours to Dura-Vent Tylenol Allergy complete. During the appointment there will Threeallergy weeksinject (21 days) prior to testing stop Extendryl Tylenol Cold/Flu be a period of time between the applications taking: Fexofenadine Tylenol PM of the testing antigen and when the results Atarax Xyzal Hydroxyzine Zyrtec can be read. Please bring a book, Vistaril magazine, or electronic tablet to pass the time. Testing is done on the arms. Please Twenty four hours (24) prior to testing stop wear a short sleeved or very loose Four days (4) prior to testing stop taking: taking: sleeved shirt that will be easy to roll up. Cough Syrups, cold remedies, and sleep aids. Aspirin, Advil, Aleve, Excedrin, Ibuprofen An initial “control test” will be performed to Celebrex Nyquil Axid ensure your skin will respond properly to the Celexa Mobic Pepcid testing. If this initial test result is not normal, Cymbalta Paxil Zantac you may have residual medications lingering Dimetane Cough Syrup Prozac Zyflo in your body and the allergy test may have Effexor Wellbutrin Elavil Xanax to be rescheduled. A pulmonary screening Lexapro Zoloft test will be done. This will ensure you do not have a lung condition that would put you at risk during testing. Please inform us if you have asthma, a history of a lung condition or use inhaled medications. .
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  • Allergy Testing and History Form
    Skin Testing Information and Consent 1. Skin Testing An allergy skin test is used to identify the substances that are causing your allergy symptoms. We will apply several extracts of common allergens to the skin and observe for a reaction. The reactions are then graded and confirmatory intradermal testing may be performed. This involves placing a small amount of extract under the skin of the upper arm. We then observe the reaction and record the results. On the day of testing please wear a short-sleeved shirt that can be pushed up comfortably to your shoulder. Allow 1-2 hours for your test session. You will need to stay on the premises during this time. Please do not bring children to your appointment. 2. Risks of Skin Testing Bleeding and infection may occur due to abrading of the skin. Any time the skin integrity is broken it puts on at risk for infection. However, this is a rare occurrence. The antigens used for testing are sterile and approved by the FDA. Occasionally, skin testing can trigger a severe allergic reaction requiring treatment with medications and/or treatment in the ER. Patients with asthma are at increased risk for triggering an asthma attack during testing. You should not undergo testing if you feel that you have allergy or asthma symptoms are currently under poor control. 3. Contraindications to Skin Testing Women who are pregnant or anyone who is currently taking Beta-Blockers, Tricyclic Anti-depressants or MAOI’s medications will NOT be skin tested. Please be sure to inform us of ALL your medications before the skin test is applied.
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  • Supporting Information a Analysed Substances
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  • BETA RECEPTOR BLOCKERS MC Objective
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  • CARTEOLOL HYDROCHLORIDE- Carteolol Hydrochloride Solution Sandoz Inc ------Carteolol Hydrochloride Ophthalmic Solution USP, 1% Rx Only Sterile
    CARTEOLOL HYDROCHLORIDE- carteolol hydrochloride solution Sandoz Inc ---------- Carteolol Hydrochloride Ophthalmic Solution USP, 1% Rx Only Sterile DESCRIPTION Carteolol Hydrochloride Ophthalmic Solution USP, 1% is a nonselective beta-adrenoceptor blocking agent for ophthalmic use. The chemical name for carteolol hydrochloride is (±)-5-[3-[(1,1-dimethylethyl) amino]-2- hydroxypropoxy]-3,4-dihydro-2(1H)-quinolinone monohydrochloride. The structural formula is as follows: C16H24N2O3•HCI Mol. Wt. 328.84 Each mL of sterile solution contains Active: carteolol hydrochloride 10 mg (1%). Preservative: benzalkonium chloride 0.05 mg (0.005%). Inactives: sodium chloride, monobasic and dibasic sodium phosphate, sodium hydroxide and/or hydrochloric acid (to adjust pH to 6.0 - 8.0) and purified water. CLINICAL PHARMACOLOGY Carteolol is a nonselective beta-adrenergic blocking agent with associated intrinsic sympathomimetic activity and without significant membrane-stabilizing activity. Carteolol Hydrochloride reduces normal and elevated intraocular pressure (IOP) whether or not accompanied by glaucoma. The exact mechanism of the ocular hypotensive effect of beta-blockers has not been definitely demonstrated. In general, beta-adrenergic blockers reduce cardiac output in patients in good and poor cardiovascular health. In patients with severe impairment of myocardial function, beta-blockers may inhibit the sympathetic stimulation necessary to maintain adequate cardiac function. Beta-adrenergic blockers may also increase airway resistance in the bronchi and bronchioles due to unopposed parasympathetic activity. Given topically twice daily in controlled domestic clinical trials ranging from 1.5 to 3 months, Carteolol Hydrochloride produced a median percent reduction of IOP 22% to 25%. No significant effects were noted on corneal sensitivity, tear secretion, or pupil size.
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  • San Diego ENT
    San Diego ENT Allergy Skin Testing Instructions Make sure you review all of your medications with your doctor or the medical assistant when you are scheduled for your allergy test. DON’T’S: • Do note take over-the-counter antihistamines, cold medication, or cough syrup for 10 days prior to the test. This includes Benadryl, Claritin, Zyrtec, Allegra, loratadine, cetirizine, and fexofenadine, Tavist, Dramamine,Atarax, and others. • Do not take prescription antihistamines for 10 days prior to the test including Claritin, Zyrtec, Allegra, loratadine, cetirizine, fexofenadine, and Astelin nasal spray. Also stop antihistamine eye drops 10 days prior to testing. • Do not take beta blockers 5 days prior to testing. These include labetalol, metoprolol, carvedilol, and their brand name equivalents. • Do not take anti-acid medication for 48 hours prior to testing including Zantac, Pepcid, and Tagamet. You may continue to take proton pump inhibitors such as Prilosec, Nexium, Prevacid, Protonix, and Aciphex. • Do not take any sleeping medications for 48 hours prior to testing including Tylenol PM and Excedrin PM. DO’S: • Wear something comfortable that will allow access to your back or both upper arms on the day of testing. • You may continue to use nasal steroid sprays such as Flonase, Nasonex, Nasacort, and Rhinocort. Do not use Astelin. • Review the list of medications that need to be avoided below. Antihistamines to stop 10 days prior to testing: Generic Brand Name Acrivastine Semprex Azatadine Optimine, Trinalin Bropheniramine AccuHist, Bromfed,
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  • Draft Guidance on Brimonidine Tartrate
    Contains Nonbinding Recommendations Draft Guidance on Brimonidine Tartrate This draft guidance, when finalized, will represent the current thinking of the Food and Drug Administration (FDA, or the Agency) on this topic. It does not establish any rights for any person and is not binding on FDA or the public. You can use an alternative approach if it satisfies the requirements of the applicable statutes and regulations. To discuss an alternative approach, contact the Office of Generic Drugs. Active Ingredient: Brimonidine tartrate Dosage Form; Route: Solution/drops; ophthalmic Strength: 0.15% Recommended Studies: Two options: waiver or in vivo study Additional comments: Brimonidine tartrate ophthalmic solution products should have comparable physicochemical properties to the Reference Standard (RS) including but not limited to pH, specific gravity, buffer capacity, osmolality, and viscosity, if applicable. Comparative analysis should be performed on three exhibit batches, if available, of both test and RS products. I. Waiver option: To qualify for a waiver of the in vivo bioequivalence (BE) study requirement, a generic brimonidine tartrate ophthalmic solution product must be qualitatively (Q1)1 and quantitatively (Q2)2 the same as the Reference Listed Drug (RLD). An in vivo BE study with clinical endpoints is requested for any brimonidine tartrate ophthalmic solution product that has a different inactive ingredient from the RLD,3 a difference of more than 5% in the amount of any inactive ingredient compared to that of the RLD, or differences in comparative physicochemical characterization data. II. In Vivo option: Recommended studies: One study Type of study: BE study with clinical endpoint 1 Q1 (Qualitative sameness) means that the test product uses the same inactive ingredient(s) as the reference product.
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  • Medicines That Adversely Affect Allergy Skin Testing
    1 OSU Department of Otolaryngology–Head and Neck Surgery Division of Sinus and Allergy at the OSU Eye and Ear Institute 915 Olentangy River Rd. 4th Floor Columbus, Oh 43212 614-366-ENTS (3687) Medicines that affect allergy skin testing: Do not take these medications 5 days or longer (as listed below), prior to your appointment: *This is not an all-inclusive list, review all the ingredients on the package or ask your doctor or pharmacist.* Antihistamines - First Generation Generic Name Brand Names Azatadine Optimine Bromphenarimine BroveX, Dimetane, Lodrane Carbinoxamine Maleate Histex Pd, Palgic and Pediatex AHIST, Aller-Chlor, C.P.M, Chlo-Amine, Chlor-Allergy, Chlor-Mal, ChlorTrimeton, Chlorphen, Chlorpheniramine (6 days) Effidac-24, Histex, Ridraman Clemastine (10 days) Allerhist-1, Contact 12hr Allergy, Tavist-1 Cyproheptadine (11 days) Periactin Dexchlorpheniramine Polaramine Actifed Sinus Day, Aler-Tab, Allergy, AllergySinus, Allermax, Aler-Dryl, Altaryl, Banophren, Benadryl, Calm-Aid, Children's Allergy, Compoz Nighttime, Diphedryl, Diphen-Allergy, Diphenhist, Dormin Sleep Aide, Dytan, Dytuss, Genahist, Hydramine, Ibuprofen PM, Nu-Med, Nytol, PediaCare Diphenhydramine Children's Allergy, Q-Dryl, Quenalin, Scot-Tussin Allergy, Siladryl, Silphen, Simply Allergy, Simply Sleep, Sleep-ettes, Sleep Formula, Sleepinal, Sominex, Tavist, Theraflu, Triaminic, Twilite, Tylenol PM, Unisom Sleep Gels, Valu-Dryl Dimenhydrinate Dramamine Hydroxyzine (8 days) Atarax, Rezine, Vistaril Ketotifen Zatiden Meclizine HCl Antivert, Bonine Methdilazine
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  • These Medications Should Not Be Taken at Least 14 Days Before Skin Testing**
    **THESE MEDICATIONS SHOULD NOT BE TAKEN AT LEAST 14 DAYS BEFORE SKIN TESTING** Prescription and Over the Counter Nasal Sprays Antihistamines Accuhist (brompheniramine) Astelin (azelastine) Actifed (chlorpheniramine) Patanase (olopatadine) Advil Allergy Sinus Astepro (azelastine) Alavert (loratadine) Dymista Allegra/Allegra D (fexofenadine) AlleRx (chlorpheniramine Eye Drops Atarax/Vistaril (hydroxyzine) Bepreve (bepotastine) Benadryl (diphenhydramine) Elestat (epinastine) Biohist LA (chlorpheniramine) Naphcon-A (pheniramine) Bromfed/Bromfed PD (brompheniramine) Optivar (azelastine) Chlor-Trimeton (chlorpheniramine) Pataday (olopatadine) Claritin/Claritin D (loratadine) Patanol (olopatadine) Clarinex/Clarinex D (desloratadine) Visine-A (pheniramine) Deconamine/Naldecon (chlorpheniramine) Zaditor (Ketotifen) Dimetane (brompheniramine) Alaway Dimetapp (brompheniramine) Donatussin (carbinoxamine) Non-Prescription Sleep Aids Histex (brompheniramine) Advil PM (diphenhydramine) Histussin D/Histussin HC (Dexbrompheniramine) Nytol (diphenhydramine) Nalex-A (chlorpheniramine, phenyltoloxamine) Tylenol PM (diphenhydramine) Nyquil (doxylamine) Unisom (doxylamine) Palgic/Palgic-D (carbinoxamine) Pancof HC (chlorpheniramine) Antacid Medications Pannaz (carbinoxamine, methscopolamine) Axid (nizatidine) Periactin (cyproheptadine) Pepcid (famotidine) Polaramine (dexchlorpheniramine) Tagment (cimetadine) Poly-Histine (pheniramine, pyrilamine, Zantac (ranitidine) phenyltoloxamine) Rescon (chlorpheniramine) Respa-AR (chlorpheniramine) Anti-nausea/Anti-vertigo
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  • Ocular Toxicology and Pharmacology
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  • ANTIHISTAMINES Antihistamines Need to Be Stopped 7 Days Prior to Allergy Testing
    ANTIHISTAMINES Antihistamines need to be stopped 7 days prior to allergy testing Actifed Cetirizine Extendryl Rutuss Advil Allergy Chlorphenirmine Fexofenadine Ryna Advil PM Clortrimeton Hydroxyzine Rynatan Alavert Clarinex Hyzine Ryneze Allegra Claritin Lodrane Semprex Allerhist Clemastine Loratadine Singlet Allertan Cogentin Nyquil Sominex Allerx Comtrex Omnaris nasal spray Astelin nasal spray Contac Optivar eye drops Tandur Astepro nasal spray Coricidin Pataday Travist Atarax Cyproheptadine Patanase nasal spray Temaril Atrohist Deconamine Patanol eye drops Theraflu BC Cold Dimetapp PediaCare Triaminic Benadryl Diphenhydramine Pediatan Trinalin Bentyl Dramamine Periactin Tylenol (any but plain) Benztropin Drixoral Polyhistine Unisom Biohist Durahist Pyribenzamine Vicks Bonine Duratan Rescon Vistacot Bromfed Duravent Restall Vistaril IM Brompheniramine Dytan Robitussin Xyzal Carbinoxamine Excedrin PM Rondec Zyrtec ANTI-INFLAMMATORY Anti-inflammatory medications must be stopped 7 days prior to allergy testing Aspirin Celebrex Motrin Aleve Naprosyn (Naproxen) Flexeril Advil Excedrin (PM & Cold/Sinus) Ibuprofen Alka-Seltzer Prednisone Vioxx Meloxicam cold medications BETA BLOCKERS Beta blocker drugs need to be stopped 7 days prior to allergy testing. DO NOT STOP WITHOUT PRESCRIBING PROVIDERS AUTHORIZATION! ORAL COMBINATION PRODUCTS Brand Name Generic Name Brand Name Generic Name Apo-Metoprolol metoprolol Cobetaloc metroprolol/HCTZ Apo-Propranolol propranolol Corzide Nadolol Betaloc metoprolol Inderide propranolol/HCTZ Betapace/AF sotalol
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  • Prior Authorization PDL Implementation Schedule
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  • Instructions for Skin Testing Adult
    Patient Instructions for Allergy Testing Yoon Nofsinger, M.D. 3450 East Fletcher Avenue, Tampa, FL 33613, (813) 972-3353 1. If you are scheduled for skin testing, please wear a sleeveless shirt since testing is performed on the arms and sometimes on the back. If you are having an oral challenge test, please do not eat anything at least 1 hour prior to testing. 2. Do not take antihistamines for 7 days and antidepressants for 14 days prior to testing date. See attached list of medications. Please be careful with over the counter sinus and allergy medications. Contact your prescribing physician first before discontinuing any antidepressants. 3. Notify allergy assistant if you have taken oral steroids within the last four weeks. You should not use any steroid cream on the arms or back prior to testing. 5. You may not undergo allergy testing if you are pregnant. 7. You MAY undergo allergy testing if you currently take a Beta Blocker. Please be aware that you will not be able to receive allergy shots if you are on a Beta Blocker, but you may receive allergy drop therapy. Please contact your prescribing physician to see if it is possible to change your medication. 8. You may not undergo allergy testing or treatment if you are taking a MAO Inhibitor, which are typically prescribed for Parkinson’s and depression (Marplan, Nardil, Parnate and Eldepryl). 8. Please note that you must call us at least 4 days prior to testing date to reschedule your appointment or you will be charged a $50 no show fee.
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