Medications to stop before Allergy Testing

Medications to stop before Allergy Testing

"Non-Sedating" Long Acting Antihistamines:
- Astemizole (Hismanal) Withhold for 14 weeks before testing.
- Cetirizine (Zyrtec Withhold 4 days before testing.
- Loratadine (Claritin) Fexofenadine (Allegra) Withhold for 1 week before testing.
Antidepressants that have antihistamine effect:

Amitriptyline (Elavil), Clomipramine (Anafranil),Doxepin (Sinequan), Imipramine (Tofranil), Trimipramine (Surmontil), Amoxapine (Asendin), Desipramine, (Nurpramin), Nurtriptyline (Pamelor, Aventyl), Protriptyline (Vivactil), Maprotiline (Ludiomil), Mirtazapine (Remeron), Trazodone (Desyrel), Nefazadone (Serzone) Withhold for 2 weeks before testing.

Miscellaneous Anti-Anxiety Agents:

Hydroxyzine (Vistaril, Atarax), Alprazolam (Xanax), Clonazepam(Klonopin) Withhold for 1 week before testing.

Herbal Supplements:

Astragalus, Licorice, Green Tea, Milk Thistle, Saw Palmetto, St. John’s Wort, Feverfew Withhold 1 week before testing

Antihistamines:

Diphenhydramine (Benadryl), Chlorpheniramine (Chlor-Trimeton), Brompheniramine (Dimetapp), Clemastine (Tavist, Antihist), and Combination Drugs (Actifed, Drixoral, Trinalin) Withhold for 4 days before testing.

Topical Steroid Anti-Inflammatories:

creams, ointments, gels, solutions, lotions Withhold morning of test.

Histamine Blockers:

Cimetidine (Tagamet), Ranitidine (Zantac), Nizatidine (Axid), Famotidine (Pepcid) Withhold morning of test.

Leukotriene Receptor Agonists:

Montelukast (Singulair), Zileuton (Zyflo), Zafirlukast (Accolate) Withhold night before and morning of test.

Miscellaneous:

Cisapride (Propulsid), Metoclopramide (Reglan) Withhold morning of test. Prochlorperazine (Compazine) Withhold for 3 days

MEDICINES THAT HAVE NO EFFECT ON ALLERGY TESTING

Asthma inhalers: Corticosteroids – inhaled or short term oral, Cromolyn (Intal IH/Nasalcrom), Omeprazole (Prilosec), Lansoprazole (Prevacid), Valproate (Depakote), Quinine, Fluvoxamine (Luvox)

Antidepressants and Anti-anxiety: Bupripion (Wellbutrin), Buspirone (BuSpar), Chlordiazepoxide (Libritabs), Citalopram (Celexa), Clorazepate (Tranxene), Diazepam (Valium), Estazolam (Prosom), Flurazepam (Dalmane), Fluoxetine (Prozac), Lorazepam (Ativan), Midazolam (Versed), Nefazodone (Serzone), Paroxetine (Paxil), Oxazepam (Serax), Quazepam (Doral) Sertraline (Zoloft), Temazepam (Restoril), Trazadone (Desyrel), Triazolam (Halcion), Venlafaxine (Effexor), Zolpidem (Ambien) Inhaled Short Acting Beta Adrenergics: Albuterol (Proventil, Ventolin), Levalbuterol (Xopenex), Bitolterol (Tornalate), Isoetharine (Bronkosol), Metaproternol (Alupent, Metaprel), Pirbuterol (Maxair), Terbutaline (Brethaire, Brethine), Isoproterenol (Isuprel), Primatene Mist

Mast Cell Stabilizers: Cromolyn Sodium (Intal), Nedocromil Sodium (Tilade)

Herbal Supplements: Aloe, Bilberry, Cascara Sagrada, Cat’s Claw, Cayene, Devil’s Claw, Echinacea, Evening Primrose, Garlic, Ginger, Ginkgo, Ginseng, Goldenseal, Echinacea, Evening Primrose, Gota Kola, Grapeseed Extract, Valeria

Oral Bronchodilators: Albuterol, (Volmax, Ventolin, Proventil, Proventil (Repetabs), Metaproterenol (Metaprel), Terbutaline (Bricanyl, Brethaine)

Long Acting Beta Adrenergics: Salmeterol (Serevent) Anticholinergies: Ipratropium (Atrovent), Combivent
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Medications to stop before Allergy Testing

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