Allergy testing Instruction sheet - ENT Physicians and Surgeons, P.A.

advertisement
Ear Nose & Throat Physicians and Surgeons, P.A.
Allergy Testing Instruction Sheet
Phillip J Christopher
Appointment Date:
Time:
1. You may not take antihistamines for one week (7days) prior to testing,
this includes prescriptions and over the counter medications. If you
are taking Zyrtec or Xyzal, do not take this for two weeks (14
days) prior to testing. Please check with a pharmacist or provider to
verify if the medications you take contain antihistamines. These
medications directly affect the results of your allergy testing, or can
make the testing inconclusive. (Please refer to the list on the back of
this page for other medications that can also influence testing).
2. It is important that you feel well on the day of your testing. If you are
experiencing flu symptoms, nausea, vomiting, fever, hives and/or
breathing problems, the test will be rescheduled for another day.
Please report any changes in your health status. You should eat
before arriving.
3. A parent/legal guardian must accompany patients who are under the
age of 18. Please do not bring minor children other than the patient to
the testing. Adult patients should not bring children to their testing.
4. Please wear a short-sleeved shirt (like a t-shirt or tank top), which can
easily be pulled up on your arm as testing will be on the upper part of
your arms. Restrictive clothing can be uncomfortable or make testing
difficult.
5. The test can take approximately 1.5 hours for environmental testing
and 2.5-3 hours for food testing. Please allow enough time for us to
complete the testing. You may bring a book or other distraction.
6. Please inform us immediately if you are taking medication for high
blood pressure, heart conditions, migraines, or glaucoma. You may
need special instructions.
7. Insurance referrals are YOUR responsibility and must be obtained
prior to testing. The referral must specify or include “ALLERGY
TESTING”.
8. Please call your insurance company to confirm coverage, use code
(95028).
Carol Poitras, RN
Lori Forrence, MA
Manchester 669-0831 x12
Nashua 595-4800 x 26
IN CASE OF INCLEMENT WEATHER, PLEASE CALL OUR OFFICE
BEFORE ARRIVING FOR YOUR APPOINTMENT.
List of medications that will affect your skin testing
results
Actified (triprolidine)
Alavert (loratadine)
Allegra / Allegra D (Fexofenadine)
AllerX / AllerX-D
Antivert (Meclizine)
Astelin Nasal Spray (consult with MD)
Atarax (Hydroxyzine)
Axid (nizatidine)
Benadryl (diphenhydramine)
Claritin / Clarinex (Desloratadine)
Chlorpheniramine
Chlor-Trimeton
Dimetapp (brompheniramine)
Dramamine (dimenhydrinate)
Drixoral (dexobrompheniramine)
Excedrin PM (contains Diphenhydramine)
Livostin Eye Drops (consult with MD)
Meclizine
Midol PM (contains Diphenhydramine)
Naldecon
Novahistine
Nyquil
Optivar Eye Drops (Consult with MD)
Palgic
Patanse Nasal Spray
Pepcid (famotidine)
Phenergan (promethazine)
Ritalin (methylphenidate)
Rondec (carbinoxamine)
Rynatan (azatadine)
St Johns Wart
Seroquel (quetiapine)
Tagamet (Cimetidine)
Tavist / Tavist D (clemastine)
Tussionex
Tylenol PM (contains Diphenhydramine)
Tylenol Cold and Sinus
Xyzal
Zantac (ranitidine)
Zyrtec / Zyrtec D (cetirizine)
Most multi-symptom cold products (please ask your Pharmacist)
Download