Preparation for Allergy Skin Testing

There are several methods of skin testing for allergies. For inhalant allergens, our allergy department uses the MQT (modified quantitative testing) method. It is a combination of a skin prick test done on the interior forearms followed by injecting a small amount of a specific allergen under the cutaneous layer of the skin on the upper arm to make a 4mm “wheal,” or elevated bump, under the skin. This wheal is then measured after 10 minutes and the results are recorded. Food testing is done using only the skin prick method and will be followed by a visit to the lab if additional foods are required for testing. Our food panel contains 28 of the most common food allergens. You will be asked to complete a food diary which will be reviewed by the allergy technician and then you will be given orders for blood work. These results take 2-3 weeks to come back from the lab so we ask that you get to the lab as soon as possible to get your blood drawn for testing.

All patients undergoing allergy skin testing must have been seen by Dr. Gergits or Verona Roberts, CRNP, prior to testing and after all allergy testing appointments are completed.

All allergy testing appointments include an in-depth environmental allergy consultation and a thorough overview of the immunotherapy program, including avoidance techniques for avoiding offending allergens.

  • If your health plan requires a co-pay it will be charged for each testing appointment.
  • Please be advised: due to time constraints, a 24-hour notice is required for any cancellations. We will charge a $50.00 fee for any missed appointments or appointment not cancelled with enough notice.
  • After two cancelled or missed appointments you will not be rescheduled.
  • If you are running a fever, have had a recent asthma attack, if your allergy symptoms are severe, or if you are on an antibiotic, please call the office to reschedule your testing appointment.
  • Eat breakfast or lunch before your testing appointment. Feel free to bring a bottle of water or soft-drink to have during testing.
  • On the day(s) of your scheduled appointment, please wear a short-sleeved or sleeveless shirt.
  • Do not wear perfumes or body lotions to the testing appointments.
  • Leave small children at home or bring someone with you to watch them in the waiting room during your testing appointment. You will not be able to care for a small child during the testing appointment.
  • You should not be tested if you are pregnant, have HBV, or HIV.

There are several medication restrictions.  They are as follows: 

Reminder: Medications are not only ingested orally. They can be eye-drops, nasal sprays, topical creams and ointments and patches containing medications.

  • No aspirin or aspirin-containing products for 48 hours prior to testing.
  • No naproxen sodium or ibuprofen-containing products such as: Advil, Advil PM, Motrin, Nuprin, Aleve, or Treximet for 48 hours prior to testing.
  • The following common antihistamine-containing preparations must be avoided for 5 days before testing.

    Common sleep-aids:

    Actifed (Chlorpheniramine Maleate)
    Alavert (Loratadine)
    Allegra, Allegra-D (Fexofenadine HCL)
    AlleRx
    Atarax (Hydroxyzine Pamoate)
    Antivert (Meclizine)
    Benadryl (Diphenhydramine HCL)
    Chlorpheniramine
    Chlor-Trimeton (Chlorpheniramine Maleate)
    Claritin, Claritin-D, Redi-tabs (Loratadine)
    Clarinex (Desloratadine)
    Comhist
    Compoz
    Comtrex
    Contac
    Deconamine
    Diphenhydramine HCL
    Dimetapp
    Drixoral
    Dramamine
    Extendryl (all forms)
    Excedrin PM, Migraine
    Fexofenadine
    Kronofed A, Jr.
    Loratadine
    Marax
    Midol, Midol PM
    Naldecon
    Novahistine
    Nolahist
    Nolamine
    Nyquil
    Nytol
    Optimine
    PB2 (tripelenamine)
    Palgic
    Phenergan
    Polyhistine
    Promethazine w/Codeine
    Rondec
    RuTuss
    Rynatan
    Sleepinol
    Seldane, Seldane-D
    Semprex, Semprex-D
    Sominex
    Sudafed Sinus & Allergy
    Tavist
    Teldrin
    Thera-Flu
    Triaminic
    Tussionex
    Tylenol Allergy, Tylenol Cold & Sinus, Tylenol PM
    Unisom
    Vistaril
    Xyzal
    Zyrtec, Zyrtec-D

    Anti-Histamine Eye Drops:

    Alestat
    Alocril
    Alomide
    Crolom
    Optivar
    Pataday
    Patanol
    Zatidor

    Anti-Histamine Nasal Sprays:

    Astelin (Azelastine)
    Astepro
    Dymista
    Patanase

    All Phenothiazines:

    Compazine
    Mellaril
    Phenergan
    Prolixin
    Thorazine
    Trifluoperazine

    Acid Reflux Meds:

    Aciphex
    Cimetidine (Tagamet)
    Famotidine (Pepcid, Mylanta)
    Histamine H-2 Receptor Antagonist
    Nizatidine (Axid, Axid AR, Tazac)
    Ranitidine (Zantac)
  • No oral steroids (Prednisone, Dalalone, etc.) for 2 weeks prior to testing.
  • No Acid Reflux Meds:  Proton Pump Inhibitors for 1 day prior to testing.

    These include:

    Dexilant
    Nexium (Esomeprazole) 
    Prevacid (Lansoprazole)
    Prilosec(Omeprazole)
    Protonix (Pantoprazole Sodium)
  • If you are on antidepressants or anti-anxiety medications and Dr. Gergits has not discussed this with you, please contact our office. These include:

    Benzodiazepines:

    Ativan
    Dalmane
    Doral
    Halcion
    Klonopin
    Librium
    Prosom
    Resoril
    Serax
    Tranxene
    Valium
    Xanax, Xanax XR

    Tricyclics:

    Adapin
    Amitriptyline
    Anafranil
    Ascendin
    Aventyl
    Clomipramine
    Desipramine
    Doxepin
    Elavil
    Endep
    Imipramine
    Levate
    Norpramin
    Nortriptyline
    Pamelor
    Prudoxin
    Sinequan
    Surmontil
    Tofranil, Tofranil PM
    Vivactil
    Zonalon

    Others:

    Buspar
    Effexor X
    Remeron
    Serzone
    Wellbutrin
    Zyban

  • No steroid injections.

    These include:

    Depomedrol for 6 weeks prior to testing
    Kenalogfor 6 weeks prior to testing
    Decadron for 4 weeks prior to testing
    Celestone for 4 weeks prior to testing

  • No ADHD medications: Atomoxetine (Strattera) – Persons taking this medication cannot be tested.

  • If you are taking a medication known as a beta-blocker you cannot be tested.
    Please carefully review the following list of beta-blockers to ensure you are not currently using a beta-blocker. You must obtain permission from your primary care physician to temporarily hold this medication for testing (ask for our consent form).

    Beta-blockers:

    Anselol (Atenolol)
    Apo-Atenolol (Atenolol)  
    Betapace (Sotalol)
    Blocadren (Timolol Maleate)
    Brevibloc (Esmolol HCL)
    Bystolic (Nebivolol)
    Cartrol (Carteolol HCL)
    Corgard (Nadolol)
    Coreg, Eucardic (Carvedilol)
    Emcor (Bisoprolol Fumarate)
    Inderal (Propranolol)
    Innopran XL (Propanolol)
    Kerlone (Betaxolol HCL)
    Levatol (Penbutolol)
    Lopressor (Metoprolol Tartrate)
    Monocor (Bisoprolol Fumarate)
    Normodyne (Labetalol HCL)
    Noten (Atenolol)
    Sectral (Acebutolol HCL)
    Tenormin, Tensig (Atenolol)
    Toprol XL (Metoprolol Succinate)
    Trandate (Labetolol HCL)
    Zebeta (Bispropolol fumarate)
    Visken (Pindolol)
    Ziac (Bisoprolol)

    Topically applied beta-blockers: (eye drops, etc.)

    Betagan (Levobunololyne)
    Betimol (Timolol)
    Betoptic (Betaxolol)
    Istalol (Timolol)
    Ocupress (Carteolol)
    Optipranolol (Metipranolol)
    Timoptic (Timolol)

    Combination diuretics with beta-blockers:

    Corzide (Nadolol-Bendroflumethiazide)
    Inderide (Propanol-Hydrochlorothiazide)
    Lopressor/Hydrochlorthiazide (Metoprolol-Hydrochlorothiazide)
    Normozide or Trandate (Labetalol-Hydrochlorthiazide)
    Tenoretic (Atenolol-Chlorthalidone)
    Timolide (Timolol-Hydrochlorothiazide)

  • Please inform the allergy technician if you are on any prescription pain medications.


Common over-the-counter medications and prescription allergy medications you may take prior to allergy testing.

These include:

Flonase (Flucticasone)
Mucinex (not Mucinex–D)
Nasocort
Nasonex
Omnaris
Q-Nasal
Regular Tylenol (Acetaminophen)
Rhinocort
Robitussin (Guaifenesin)
Saline Nasal Rinse/Spray
Singulair
Sudafed
Veramyst
Zetonna

Please contact Northeast Ear, Nose and Throat Associates, Inc. if you have any questions concerning testing and/or medications.

Phone – (570) 387-4368

Fax – (570) 387-6223