1201 Sam Bass Road 4204 E. Stan Schlueter Loop 6600 S. Mopac Expwy, Round Rock, TX 78681 Killeen, TX 76542 Austin, TX 78749 (512) 388-1861 Ph. (254) 690-2800 Ph. (512) 892-3336 (512) 388-0373 Fax (254) 690-5401 Fax (512) 892-3338 Suite 2180 Ph. Fax www.allergycentex.com Allergy Skin Testing Allergy skin testing is one of the main diagnostic tools of an Allergist/Immunoligist. The symptoms due to allergies can manifest in many ways. In addition to the runny nose, sore throat, tearing, and sinus headaches that are usually thought of as the symptoms of allergies, allergies can greatly contribute to other diseases and illnesses as well. Allergies are associated with health issues such as sleep problems, depression, ADD and ADHD, migraine headaches, irritable bowel, hypertension, and has an especially high correlation with asthma. Skin testing provides the Allergist with a very specific and sensitive test to diagnosis which airbore allergens are involved in your symptoms. Our Allergists are testing you for a variety of pollens and environmental allergens specific for this region of Texas. These tested allergens will include trees, grasses, weeds, mold, dust mites, cat, dog, and other environmentals. There are two procedures performed during a skin test. The first procedure is a prick/scratch test where a prick/scratch device that has a small amount of allergen extract on it is used to prick the skin on your back. The second procedure is called an intradermal, which is performed on your arms. Intradermals are an injection of a small amount of allergen directly beneath the skin, and are usually done if you test negative to an allergen on the prick test. Each portion of the test takes approximately 30 minutes. Preparation Instructions for Allergy Skin Testing To ensure your test results are accurate it is important that you discontinue certain medications before testing. On the left in bold is the chemical name for each drug. To the right are name brand and generic names in which that the drug may be found. There are too many drugs that contain antihistamine to list each one here, but this should be an exhaustive list of the antihistamines that you are to discontinue prior to skin testing. Below is a list of medications that need to be discontinued. Discontinue 3 weeks prior to testing: Amitriptyline: Elavil, Tryptanol, Endep, Elatrol, Tryptizol, Trepiline, Laroxyl Amoxaine: Asendin, Asendis, Defanyl, Demolox, Moxadil Doxepin: Aponal, Adapine, Sinquan, Sinequan, Zonalon, Xepin, Silenor Imipramine: Tofranil, Antideprin, Deprenil, Deprimin, Deprinol, Depsonil, Dynaprin, Eupramin, Imipramil, Irmin, Janimine, Melipramin, Surplix Nortriptyline: Sensoval, Aventyl, Pamelor, Allegron, Nortrilen Protriptyline: Vivactil Discontinue 10 to 14 days prior to testing: Azelastine: Astelin Hydroxyzine: Vistaril, Atarax, Rezine, Equipose, Masmoran, Paxistil, Vistaril Pamoate, Alamon, Durrax, Tran-Q, Orgtrax, Quiess, Vistaril Parenteral, Tranquizine Olopatadine: Patanase Discontinue 3 days prior to testing: All OTC drugs that say “PM”, “Bed time”, “Night time” All OTC drugs that say “Sinus”, “Cold”, “Allergy” All Eye Drops that Contain Antihistamine – Product may mention reducing redness Antazoline: Albalon-A, Antazoline-V, Vasocon-A (Eye Drops) 1201 Sam Bass Road 4204 E. Stan Schlueter Loop 6600 S. Mopac Expwy, Round Rock, TX 78681 Killeen, TX 76542 Austin, TX 78749 (512) 388-1861 Ph. (254) 690-2800 Ph. (512) 892-3336 (512) 388-0373 Fax (254) 690-5401 Fax (512) 892-3338 Suite 2180 Ph. Fax www.allergycentex.com Azatadine: Trinalin Repetabs Bromazine/Bromodiphenhydramine: Ambenyl, Amgenal Bromopheniramine: Dimetapp, generic Dimetapp medications Carbinoxamine: Clistin, Palgic, in many liquid medications Cetirizine: Zyrtec, Any Zyrtec related product, Any generic Zyrtec product Chlorphenamine: Chlor-Trimeton, in many allergy medications, and combination allergy-cold medications (i.e. Tylenol Cold/Allergy, etc), Tussionex (prescription hydrocodone cough medication) Chlorphenoxamine Clemastine: Tavist, generic Tavist medications Cyclizine: Marzine, Marezine, Emoquil Cyproheptadine: Periactin Desloratadine: Clarinex Dexbrompheniramine: OTC, often found in combination pain reliever/allergy medications Dexchlorpheniramine: May be used in combination medications or as an antihistamine by itself Dimetindene: Vibrocil Diphenhydramine: All Bendaryl products, Nytol, generic benadryl products, and OTC generic sleeping pill products Doxylamine: Often found in “Night-time” cough/cold/allergy medications, also found in OTC sleeping pills Ebastine: Kestine, Evastin, Ebastel, Aleva Emedastine: Emadine (Eye Drop) Epinastine: Elestat (Eye Drop) Fexofenadine: All Allegra products Ketotifen: Zaditor, Alaway (Both are Eye Drops) Levocetirizine: Xyzal Loratadine: All Claritin products Meclizine: Bonine, Antivert, Dramamine II, Postafen (All used for for motion sickness), generic versions of the same Olopatadine: Pataday (Eye Drop) Pheniramine: Opcon-A, Naphcon-A (Both Eye Drops), Often used in combo pain/cold/allergy medications, possibily in night-time pain/cough/cold/allergy medications because it causes drowsiness Phenyltoloxamine: Often mixed with acetaminophen, codeine, and hydrocodone in pain/cough medications, OTC when with acetaminophen, Prescription when with codeine or hydrocodone Promethazine: Phenergan Talastine: Aganon, Ahanon Discontinue 24 hours prior to testing: Cimetidine: Tagamet Ranitidine: Zantac Famotidine: Pepcid Vitamin C: Doses higher than 500 mg per day *Asthmatic Patients may continue your asthma medications to include your inhalers and maintenance medications