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 pulmonary 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 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

  • Singulair®

24 hours (1 day) prior to appointment

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

6 hours prior to the appointment

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

Day of appointment

  • Advair®, Symbicort®, and Dulera® in anticipation of lung function testing.