What Not To Take Before Allergy Testing

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Knowing what to avoid before allergy testing is crucial for getting accurate results. Certain foods, drinks, and medications can interfere with the test results, leading to false positives or negatives.

By avoiding them, you can ensure the most accurate diagnosis, helping your healthcare provider develop an effective treatment plan.

Individuals dealing with allergies may find themselves already taking antihistamines or other allergy medications to manage their symptoms before considering allergy testing. It’s important to recognize that these medications can significantly impact the accuracy of test results. However, antihistamines are not the only culprits when it comes to potential interference.

Female doctor crossing her arms with medications that should be avoided before an allergy test. — Never discontinue taking a prescribed medication without consulting your doctor.

What to consider before allergy testing

Avoid Antihistamines: Stop taking antihistamines before testing as they can suppress allergic reactions, leading to false negatives.
Watch Food Intake: Certain fruits and vegetables, like apples and bananas, can cause false positives; avoid them before testing.
Skip Caffeine: Caffeine affects physiological reactions and may skew test results; avoid it before testing.
Consult About Medications: Some antidepressants, heartburn meds, and sleep aids can interfere with results; consult your doctor.
Keep Essential Medications: Do not stop essential medications for chronic conditions without consulting your doctor.

Medications to Stop Before Getting Tested for Allergies

In addition to antihistamines, there are other medications that may affect the results of allergy tests. These include certain antidepressants, heartburn medications, and some sleep aids. It’s important to provide your doctor with a complete list of all medications, treatments, or herbal remedies you are taking. Never discontinue taking a prescribed medication without consulting your doctor.

What Happens If You Take Antihistamines Before an Allergy Test?

Antihistamines block the immune response to allergens by actively suppressing the immune system’s reaction to allergens, making it more challenging for diagnostic tests to detect the presence of allergies accurately. This can lead to a false negative result on an allergy test.

If you are concerned about discontinuing an antihistamine, speak to your doctor, who can give you strategies to help you feel well during that period of time.

Blood thinners like aspirin and ibuprofen should be avoided as they increase bleeding risk and affect test accuracy. — Stop antihistamines before testing as they can suppress reactions, leading to false-negative results.

What Not To Eat Before An Allergy Test

Avoiding certain foods and drinks before an allergy test can help ensure accurate results. For example, certain fruits and vegetables with high cross-reactivity with allergens, such as apples, cherries, melons, cucumbers, and bananas, can result in false-positive allergy test results.

The specialists at Becker ENT Princeton can provide a tailored list of what to avoid before testing based on your medical history.

Why Should Caffeine Be Avoided Prior to Allergy Testing?

Caffeine, found in coffee, tea, and some soft drinks, can impact physiological reactions such as heart rate and blood pressure. It may mask symptoms and reduce immune system responses during an allergy test. It can also increase anxiety, which can affect the accuracy of allergy test results.

Spicy foods may skew allergy test outcomes by causing inflammation. — Caffeine in coffee can interfere with allergy test results.

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According to the Type of Allergy Test

Allergy tests come in different forms, and the type of test you need will depend on your symptoms and medical history.

What Not to Do Before an Allergy Skin Test or Scratch Test?

The skin prick or scratch test identifies allergies by introducing allergens to the skin through tiny pricks — This minimally invasive test helps diagnose allergies to pollen, mold, pet dander, dust mites, and certain foods.

The skin prick (or scratch) test is one of the most common ways to diagnose allergies. During this minimally invasive procedure, small amounts of allergens are pricked into the surface of the skin, usually on the forearm or back. To ensure your skin reacts naturally to the allergens, you should avoid:

Heavy sun exposure or irritation to the test area, which can affect skin sensitivity.

Antihistamines (oral and nasal): Stop taking them 3–7 days before the test (your doctor will advise based on the specific medication).

Topical corticosteroids or skin creams: Especially on the test area, as they may suppress reactions.

What Not to Do Before Intradermal Allergy Testing

This minimally invasive test helps diagnose allergies to pollen, mold, pet dander, dust mites, and certain foods.

When skin prick test results are inconclusive, doctors may recommend an intradermal test, where allergens are injected just under the skin’s surface. Before an Intradermal Test, Avoid:

Avoid all antihistamines, including prescription and over-the-counter types, as well as nasal sprays like Azelastine.

Do not apply creams or lotions to the test site.

Discontinue certain asthma or allergy medications like over-the-counter antihistamines and nasal antihistamine sprays, if instructed by your doctor.

What Not to Do Before a Patch Test

The back of a male patient with patch allergy tests. — A patch test is commonly used to identify specific allergens that cause contact dermatitis.

A patch test identifies delayed allergic reactions, especially those causing contact dermatitis. Allergens are applied via adhesive patches placed on your back for 48 hours. What to Avoid Before a Patch Test:

Don’t use lotions, creams, or oils on your back at least 24 hours before testing.

Avoid sweating, swimming, or vigorous exercise while the patches are on.

Avoid sunburn or skin irritation on the test area in the days before.

What to Avoid Before an Immunoglobulin E (IgE) Blood Test

A patch test is commonly used to identify specific allergens that cause contact dermatitis.

An IgE blood test measures the amount of IgE antibodies in your system — an indicator of how your immune system responds to certain allergens. It’s often used when skin tests aren’t recommended (due to skin conditions or medication restrictions). What to avoid:

Generally, you do not need to stop medications, as this test is not affected by antihistamines.

However, avoid flare-ups or illness before testing if possible, as elevated IgE levels can be influenced by infections or stress.

Check with your provider to see if fasting or timing is required based on the lab’s protocol.

What to Avoid Before a Challenge Test

A food or medication challenge test involves consuming a suspected allergen under close supervision to confirm a diagnosis. Before a Challenge Test:

Strictly avoid the suspected allergen in the days or weeks leading up to the challenge.

Do not take antihistamines or interfering medications, unless told otherwise.

Follow any fasting instructions provided by your doctor.

Medications You Should Not Stop Taking

While it’s important to discontinue certain medications before an allergy test, there are others that you should not stop taking. These include medications for chronic or acute conditions such as heart conditions, high blood pressure, and asthma. Stopping these medications can be dangerous and should only be done under the supervision of a healthcare professional. If you are unsure about any medication, it’s best to consult your doctor.

What are Some Rare Allergies That Can Impact Allergy Testing?

When it comes to allergy testing, identifying the specific allergens is crucial. However, it’s important to note that some individuals may have rarest known allergies that can complicate the testing process. These rare allergies, such as allergies to water, sunlight, or even vibrations, require specialized testing methods to accurately diagnose and manage the symptoms. Expert allergists play a vital role in identifying and addressing these unique allergies for proper treatment and prevention.

Common Concerns About Preparing for Allergy Testing

How long should I stop taking medications before the test?

Typically, you should stop taking antihistamines for at least 5-7 days before the test. Other medications may need to be stopped 48 hours to two weeks in advance. Consult your healthcare provider for personalized instructions.

Can I eat or drink before the test?

Generally, there are no dietary restrictions before an allergy test. However, avoid consuming alcohol and caffeine on the day of the test as they can affect the results.

What should I wear to my allergy test appointment?

Wear loose, comfortable clothing that allows easy access to your arms, as skin tests are usually performed on the forearm. Short sleeves are ideal.

How long does an allergy test take?

The entire process, including preparation and post-test consultation, usually takes about 1-2 hours. The actual skin testing part takes about 20-30 minutes.

Will the allergy test hurt?

Skin tests may cause minor discomfort but are generally not painful. You might experience mild itching or swelling at the test sites.

Can I exercise before my allergy test?

Avoid strenuous exercise for at least a few hours before your test, as it can affect the results. Mild activities are generally fine, but it’s best to consult your healthcare provider.

What if I have a severe reaction during the test?

Severe reactions are rare, but medical professionals will monitor you closely during the test. Emergency medications and procedures are available if needed.

Can I drive myself home after the test?

Yes, you can typically drive yourself home. However, if you experience significant reactions or are concerned, it might be best to have someone accompany you.

Where to Get An Allergy Test in New Jersey or Pennsylvania

If you need help with your allergies or need allergy testing in New Jersey or Pennsylvania, consider the experts at Penn Medicine Becker ENT & Allergy. They have multiple locations in NJ and PA, including Philadelphia, Yardley, Lawrenceville, Hillsborough, Princeton, Mullica Hill, Robbinsville, Sewell, Freehold, Voorhees, Mount Laurel, Monroe, and Plainsboro.