New Patients
You have been referred to Allergy & Asthma Clinic of San Antonio. These forms can be printed and completed before your first visit to our clinic. We look forward to seeing you!
New Patient Forms
New Patient Allergy Questionnaire
HIPPA form - does not needed to be printed and is provided for your reference
To review all online forms available, click here.
Medications to Avoid Before your First Appointment
Your evaluation may involve skin testing for allergies.
There are medications that may interfere with the skin test and should not be taken 3 days before your appointment.
- A list of antihistamine medications to avoid is below.
- Additionally, some medications for nausea, ulcers or gastroesophageal reflux disease (GERD) may also interfere with skin testing and should be held if possible.
- Examples include: Axid, Pepcid, Tagamet and Zantac.
Decongestants, steroid nasal sprays and asthma inhalers should be continued.
Brand Names of Common Antihistamines
Actifed
Alavert (D)
Allegra (D)
Allerest
Antivert
A.R.M.
Astelin Nasal Spray
Atarax
Atrohist
Axid
BC Cold Powder
Benadryl
Brexin
Bromfed
Cerose
Cheraclos
Chlorafed
Chlor-Trimeton
Cimetidine
Claritin (D)/Clarinex
Codiclear
Codimal
Comhist
Compazine
Comtrex
Contac
Coricidin
Cryopeptidine
D Allergy
D.A. Chewables
Deconamine
Dimetane
Dimetapp
Dorcol
Doxepin
Dramamine
Dristan
(Cold Product)
Drixoral
Duravent-A
Dura-Tap
Elestat Eye Drops
Extendryl
Fedhist
4-Way Tablets
4-Way Nasal Spray
Histex
Hismanol
Kronofed
Livostin Eye Drops
Medi-flu
Naldecon
Nolahist
Nolamine
Novafed
Novahistine
Nyquil
Optimine
Optivar
Ornade
Orthoxicol
Pataday/Patanol Eye
Pannaz
PBZ
Pediacare
Pepcid
Percogezic
Periactin
Phenergan
Polaramine
Pyroxate
Quelidrine
Remeron
Rondec
Robitussin
Ru-Tuss
Ryna
Rynatan
Rynatuss
Seldane
Semprex
Seroquel
Sin-Aid
Sinarest
Sine-Off
Sinequan
Singlet
Sinubid
Sinulin
Sinutab
Sudafed Plus
Sudal-12 Chewable
Tagamet
Tavist
Teldrin
Temaril
Thera Flu
Tigan
Triaminic
Triaminicin
Triaminicol
Trinalin
Tusssinex
Tylenol Allergy
Tylenol Cold
Tylenol NightTime
Tylenol PM
Tylenol Sinus
Unisom
Vick’s 44 M
Xyzal
Zyrtec-D
Zaditor Eye Drops
Zantac
Generic Names of Common Antihistamines
acrivistine
astemizole
azatadine
azelastine nose spray
brompheniramine
carbinoxamine
cetirizine
chlorpheniramine
cimetidine
clemastine
cyproheptadine
dexbrompheniramine
diphenhydramine
famotidine
fexofenadine
hydroxyzine
levocabastine eye drops
loratadine (D)
meclizine
nizatidine
oloptadine eye drops
phenindamine
phenyltoloxamine
prochlorperazine
promethazine
pyrilamine
ranitidine
terfenadine
trimethobenzamide
trimeprazine
tripelennamine
triprolidine
any-over-the-counter sleep-aid PM medicine
Download Medications to Avoid in a printer-friendly version here.
Please contact us if you have any questions!