Patient Instruction
2805 Earl Rudder Freeway
College Station, TX 77845
(979)764-3090 Fax (979)764-3172
www.centraltexasent.com
Dr. Thomas A. Salzer
Dr. Steven Wright
Name:
You are scheduled for your allergy skin testing on
The testing will last about one hour. Please allow this time and wear a short sleeve shirt.
INSTRUCTIONS FOR ALLERGY SKIN TESTING
· Patients on Beta Blockers must have their medications reviewed by the allergy department. If you take any of the Beta Blockers please notify us immediately so that we may discuss this with you.
DO NOT stop taking these medications!!
· 5 DAYS PRIOR TO THE SKIN TESTING STOP TAKING ALL ANTIHISTAMINES INCLUDING ASTELIN NASAL SPRAY AND ALLEGRA. A LIST OF ANTIHISTAMINES IS INCLUDED WITH THIS PACKET. ORAL STEROIDS AND STEROID NASAL SPRAYS WILL NOT INTERFERE WITH ALLERGY SKIN TESTING. Last day for antihistamines-
·
IF you have been diagnosed with Dermatographism or if your skin
“whelps” or makes a hive easily when lightly “scraped”, notify the
allergy technician BEFORE the testing date.
· IF you have asthma PLEASE remind the allergy technician when you are brought into the room for allergy skin testing. It is VERY IMPORTANT that we know what your asthma status has been for one week prior to the allergy skin testing as the skin testing can affect your asthma status!
· Please have breakfast before you come in if your testing is in the morning or lunch if your testing is in the afternoon.
We require a minimum of 48 hours cancellation notice for testing appointments.
We are happy you have chosen Central Texas ENT to assist in determining any allergy problems you may have and we are always happy to answer any questions you may have concerning these tests.
We are here to help you.
2805 Earl Rudder Freeway
Bryan, Texas 77802
(979)680-8808 Fax (979)695-6517
www.centraltexasent.com
ANTIHISTAMINES TO AVOID-
STARTING 5 DAYS PRIOR TO YOUR ALLERGY SKIN TESTING DATE:
A.R.M. ALLERGY RELIEF MEDICINE
/ CARDEC / DESIORATADINEACRIVASTINE / CETRIZINE / DEXAPHEN SA
ACTIFED / CHLOMADE / DEXBROMPHENIRAMINE
ACTIFED COLD AND ALLERGY / CHLORAFED / DEXOPHED
ACTIFED HEAD COLD AND SINUS / CHLOR-AL REL / DIMETAPP
ACTIFED SINUS DAY / CHLOR-AMINE / DIPHEDRYL
ADAPIN / CHLORDRINE SR / DIPHENHYDRAMINE
ALER-DRYL / CHLORPHEN / DIPHEN
ALLEGRA-D / CHLOR-PHENIT / DISOBROM
ALLER-CHLOR / CHLORPROMAZINE / DISOPHROL
ALLER-CHLOR DECONGESTANT / CHLORTRIMETON / DIZAPHEDRINE
ALLERHIST / CHLORTRIMETON – D / DOXEPIN
ALLEREST MAXIMUM & ALLEREST 12 HOUR
STRENGTH / CISAPRIDE / DRAMAMINE
AMITRIPTYLINE / CLARINEX / DREXOPHED
ANAFRANIL / CLARITIN / DRIXOMED
ANAMINE / CLEMASTINE / DRIXORAL
ANAPLEX / CLOMIPRAMINE / DRIXTAB
ANTIVERT / CODIMAL-LA / DUOMINE
ASTELIN / COMPAZINE / DURAHIST
ASTEMIZOLE / COMPOZ NIGHTIME SLEEP AID / DURALEX
ATARAX / CONDRIN / DURA-TAP PD
ATROHIST PEDIATRIC CAPSULES / CONTAC 12 HOUR ALLERGY / DURAVENT A
ASATADINE / COPHENE NO.2 / DYTAN
ASELASTINE / CURALER / DYTAN D
BANOPHEN / CYPROHEPTADINE / EFFIDAC 24
BENADRYL / DAYQUIL / ELAVIL
BIOHIST LA / DECONAMINE / EQUINADE
BROMPHED / DECINGEX / ETHANOLOMINE
BROMPHENIRAMINE / DECONOMED S.R. / FAMOTIDINE
C.P.M. / DEMAZINE / FEDAHIST
CARBINOXAMINE / DESIPRAMINE / FEXOFENADINE
GENAHIST
GENAPHED PLUS / PBZ-SR / TELDRIN
HALDOL / PEDIATEX / TEMARIL
HALOPERIDOL / PEDIATEX D / TERFENADINE
HAYFEBROL LIQUID / PELAMINE / THERAFLU
HISMANAL / PERIACTIN / THORAZINE
HISTADE / PHENERGAN / TIME HIST
HISTAFED LA / PHENOTHIAZINE / TOFRANIL
HISTALED / POLAMINE / TRIAD
HISTEX / PROCHLORPERAZINE-withhold morning of test / TRIAMINIC ALLERGY
HYDRAMINE / PROMETHAZINE / TRIAMINIC SOFT CHEWS FOR ALLERGY
HYDROXYZINE / PROPULSID / TRINALIN
IMIPRAMINE / PROREX 25 / TRIPELENNAMINE
ISOPHEN-DF / PROREX 50 / TRIPLEN
KETOTIFEN / QD ALL / TRIPOLIDINE
KLERIST – D / QUINTADRIL / TWILITE
KRONOFED – A / RANITADINE / TYLENOL PM
LEVOCABASTINE / REACTINE / TYLENOL SINUS
LIVOSTIN / RESAID / UNISOM SLEEP GELS MAXIMUM STRENGTH
LORATADINE / RESCON / VAMEX FORTE – R
LODRANE / REZINE / VISTARIL
MECLIZINE / RHINOLAR – EX / VIVACTIL
MEDOZINE / RIDRAMAN / ZANTAC
MEQUITAZINE / RINADE – BID / ZONALON
MERTAZAPENE / RYNA LIQUID / ZYRTEC/ XYZAL
NASAHIST NASAL SPRAY / SCOPALAMINE / PEPCID
ND CLEAR / SCOT-TUSSIN ALLERGY RELIEF FORMULA / REMARON
NORPRAMINE / SELDANE / Antidepressants that have antihistamine effect
NORTRIPTYLINE / SEMPREX D / With hold for 1-2weeks before testing
NOVAFED A / SINEQUAN / AMITRIPTYLINE(ELAVIL)
NU-MED / SINUTAB NIGHT TIME / AMOXAPINE (ASENDIN)
NYQUIL / SINUTAB SINUS AND ALLERGY EXTRA STRENGTH / CLOMIPRAMINE (ALAFRANIL)
NYTOL CAPLET / SOMINEX / DESIPRAMINE(NURPRAMIN)
OPTIMINE / SUDAFED PLUS / DOXEPIN (SINEQUAN)
OPTIVAR / SUDAFED SINUS AND ALLERGY / IMIPRAMINE(TOFRANIL)
ORDRINE / SUPHEDRINE PLUS / NURTRIPTYLINE
ORLENTA / SUPHANAMINE SR / PAMELOR, AVENTYL
ORNADE SPANSULES / TAGAMET- withhold morning of test / PROTRIPTYLINE
OR-PHEN-ADE / TANAFED / TRIMIPRAMINE(SURMONTIL)
PAMELOR / TAVIST 1 / TRAZADONE
PBZ / TAVIST D
Revised 10/22/2010 mms
EMLA CREAM DIRECTIONS
If the patient is two years of age or under:
Two hours before the appointment apply NO MORE than 1/3 of the tube from patient’s shoulders to the small of her back and cover with saran wrap. Bandaids or medical tape should be used to hold the saran wrap in place.
If the patient is 3 years of age or older:
Two hours before testing apply cream liberally from the back of patient’s shoulders to the small of their back and cover with saran wrap.
If the patient has enough surface area on the arms:
Apply cream liberally to both inner-forearms (from wrists to eblows) and cover with saran wrap. The cream should be applied two hours before testing.
The cream will be removed by the office staff prior to testing. Please come to your appointment with EMLA cream applied and covered in Saran Wrap.
DIRECIONES PARA APPLICAR CREMA DE EMLA
Aplica la crema de EMLA ,greso, en la espalda del paciente dos horas antes
de la cita y tapa la espalda con plastico para que no se seca.
EMLA Cream (lidocaine 2.5% and prilocaine 2.5%) is contraindicated in patients with a known history of sensitivity to local anesthetics of the amide type or to any other component of the product. Also in patients taking Class I antiarrhythmic drugs (such as tocainide and mexiletine) since the toxic effects are additive and potentially synergistic
Allergic Reactions: Allergic and anaphylactoid reactions associated with lidocaine or prilocaine can occur. They are characterized by urticaria, angioedema, bronchospasm, and shock. If they occur they should be managed at the nearest emergency facility