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Prescriber should be contacted prior to initiating
graded challenge Anaphylaxis treatment medications should be
The pharmacist should contact the prescriber if:
The type of rash cannot be ascertained, in which case it
should be assumed to be urticarial (IgG mediated).11
The patient’s history is positive for an IgE-mediated (type 1)
The reaction is a severe, non-IgE-mediated reaction.