STOP 7 or 10 DAYS BEFORE APPT.

STOP 3 DAYS BEFORE APPT.

DO NOT TAKE MORNING OF APPT.

LAST DOSE NIGHT BEFORE APPT.

*Antihistamines/ Cold Meds

(7 days):

Allegra (fexofenadine), Alavert, Clarinex (desloratadine),

Claritin (loratadine),

Xyzal (levocetrizine),

Zyrtec (cetirizine), Actifed, AlleRX, Bromfed (brompheniramine), Chlortrimeton, Codimal, Dimetapp, Duratuss, DuraVent, Rynatan, Rynatuss, Semprex-D, StaHist, Tavist (clemastine), Trinalin, Tussicaps, Tussi-12D, Tussionex, Allergy/Sinus meds, Dicel, Palgic, Atarax (hydroxyzine), Phenergan (promethazine)

Eye Drops(7days):

Optivar, Zaditor, Alaway (ketotifen)

Nasal Sprays

(10 days):

Astelin, Astepro, Patanase, Dymista

*Antihistamines

Benadryl

Heartburn meds: Pepcid, Tagamet, Zantac, Axid,

Vertigo/Dizziness

Meds:

Antivert (meclizine)

Eye Drops:

 Elestat, Pataday, Patanol, Lastacaft.

Over-the-counter pain/sleeping

 aids with  “PM”

ex: Tylenol PM

STOP 7 Days Prior:

**Irritable Bowel

Meds (7days) Hysoscyamine (Levsin, Levbid, Anaspaz, etc.) Librax

Donnatel

Bentyl

 ● Inhalers: Albuterol, Combivent, Maxair, Proventil, Terbutaline, Ventolin, Xopenex, ProAir

Atrovent

●ONLY hold above inhalers IF symptoms allow

If you have an afternoon appt, refrain from using inhalers after 8:00 am.

Advair, Foradil, Spiriva, Serevent, Symbicort, Dulera, Breo, Incruse, Anoro, Stiolto.

NO RESTRICTIONS:

Inhalers: Alvesco, Asmanex, Flovent, Intal, Pulmicort, QVAR, Arnuity.

Nasal Sprays: Flonase (fluticasone), Nasacort (triamcinolone), Nasonex, Omnaris, Veramyst, Zetonna, Fluosinolide, QNasl, Rhinocort

Other: Accolate, Singulair, Theophylline, Zyflo, topical steroid creams such as hydrocortisone cream

*If evaluation is for hives, it is OK to continue antihistamines.

**MUST obtain permission from PCP BEFORE discontinuing the following medications;

these medications need to be held 7 days OR LONGER.

**Antidepressants, sleeping aids: doxepin, Elavil (amitriptyline), Norpramin

(desipramine), Pamelor (nortriptyline), Surmontil (trimipramine), Vivactil (protriptyline)

If you have any questions, or you feel you cannot go without a medication, please contact us at 317-708-2839.