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Your First Visit

In preparation for your first visit

The need for testing and/or challenges will be evaluated during your consultation. Please allow 1-3 hours for your visit and any additional testing.

Feel free to bring small toys or books to entertain your child and attempt to arrange childcare for siblings.

What to bring

All allergy/asthma medications and equipment (i.e. inhalers, medications, spacers, peak flow meters).
Records of prior allergy testing or procedures and any relevant lab results. (You can get these results from your primary care provider or the facility where the tests were done.)
A list of medications.
Any other medical records you would like us to review.

Medication adjustments

Medication adjustments are necessary in anticipation of allergy and/or pulmonary testing. Please consult our office at 253‑383‑5777 if you have any questions.

Which medications should be stopped?

2 weeks prior to the appointment

Periactin (Cyproheptadine)

5 days prior to the appointment

Oral antihistamines (i.e., Claritin®, Allegra®, Zyrtec®, Benadryl®, Alavert®, Hydroxyzine®, Atarax®, Loratadine®, Dimetapp®, Tylenol Cold®, Pediacare®)
Allergy pills and other over-the-counter allergy/cold medications

48 hours (2 days) prior to the appointment

Singular® and Accolate®

24 hours (1 day) prior to appointment

Skin creams should not be applied to the back.
Anti-reflux medications (Zantac®, ranitidine, Axid®, Pepcid®)

6 hours prior to the appointment

Short-acting bronchodilators (i.e., Albuterol®, Proventil®, Ventolin®, Maxair®)

Day of appointment

Advair or Servent in anticipation of lung function testing.

Note: If the patient’s asthma or breathing problem is unstable or worsens after stopping medications, continue these medications if necessary and any recommended testing can be rescheduled.

Which medications should be continued?

All nasal, inhaled, oral steroids, and antibiotics SHOULD BE CONTINUED. These include Pulmicort®, Flovent®, Oraped®, Flonase®, Nasonex®, Nasacort®, Prednisone®, Prelone®, Rhinocort®, and other medicatios in these categories. If you have any questions, please contact our office at 253‑383‑5777.

Your First Visit

In preparation for your first visit

What to bring

Medication adjustments

Which medications should be stopped?

2 weeks prior to the appointment

5 days prior to the appointment

48 hours (2 days) prior to the appointment

24 hours (1 day) prior to appointment

6 hours prior to the appointment

Day of appointment

Which medications should be continued?

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