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An allergy consult appointment does not guarantee skin testing will be done; Dr Siroty will make a clinical decision the day of the appointment. Bee venom testing needs to be done 8 weeks post sting. Why Skin Test: Is used to assist the allergist in determining what may be causing allergic symptoms. Extracts of common allergens (dust, pollens, mold, etc) are injected into the superficial layers of the skin. A positive reaction resembles a mosquito bite in appearance and is usually itchy. A positive or negative skin test must be correlated with the patient’s clinical history and physical findings determine its relevance. Skin Testing Instructions: NO Antihistamines should be taken for forty-eight hours preceding the test except for ATARAX (hydroxyzine) 3 days, CLARITIN 4 days, ZYRTEC 7 days. Common Antihistamines That Should NOT Be Taken: Actifed Contac Novahistine Allerest Dimetane Optimine Allegra Dimetapp Periactin Benadryl Diphenhydramine Phenergan Bronkaid Doxepin Polaramine Chlorpheniramine Drixoral Primatene Tabs Chlor-Trimeton Fedahis Patanase spray Rynatan Sinubid Travist Tedral Terfenadine Trinalin Vistaril Also stop over the counter allergy, cold remedies and sleeping pills containing diphenhydramine (benadryl) 48 hours prior to appointment You May Take: o Decongestants such as Mucinex, Phenylephrine HCL, Sudafed and Guaifenesin. o All other medications should be taken as prescribed by your physician. o Eye drops: Patanol eye drops are okay to use. (Patanol refrigerated may help) Asthma Patients: continue to take your regular medicine unless it is on the list. If you have any questions concerning the above medications, which do not appear on this list, please contact the Internal Medicine Department at 891- 4500. Bring all your medications with you, if this is not possible bring in a list of your current medications and their doses. Testing Information: testing may take approximately 1-1 ½ hours, Venom testing takes 2-3 hours. You may eat before, during and after the skin test. If you have a fever or feel ill, please call us before coming in. Skin testing will be performed on your arm, so wear sleeveless or loose fitting clothing. If you need to cancel for any reason, please notify us within 4 hours before the appointment. Do not exercise for 2 hour after skin testing. Revised June 2015