Methacholine Challenge Test
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1 PATIENT & CAREGIVER EDUCATION Methacholine Challenge Test This information will help you prepare for your methacholine challeng e test at Memorial Sloan Kettering (MSK). A methacholine (meth-a-kole-leen) challeng e test (also known as a bronchial or Provocholine challeng e test) is a breathing test that evaluates your lung function. It is used to check for asthma in patients who have a coug h, shortness of breath, or other breathing problems. Methacholine is a medication that causes your airways to narrow if you have asthma. During the test, you will breathe in small amounts of methacholine and your lung function will be measured. If your lung function drops by 20% or more, you may have asthma. This test takes about 90 minutes. Before Your Test When you schedule your test, tell your doctor or nurse if you: Have a history of hives, swelling of the upper airway, or both. Are breast feeding, pregnant, or if there is any chance that you are pregnant. Have a heart condition. If you do, your heart specialist must give you permission to have this test. Take any medications. If you do, you may need to stop taking certain ones before the test (see the Stopping medications section below). Stopping medications You will need to stop taking medications for breathing problems or for your lung s. The table below lists when you should stop taking them. Call your doctor if you have any problems after stopping a medication. Methacholine Challenge Test 1/5
2 If you take any other medications for your lung s or for breathing problems that are not listed below, tell your doctor or nurse. Keep taking all your other medications that are not for breathing problems or your lungs. When to stop taking the medication 6 weeks before your test At least 2 weeks At least 1 week 4 days (96 hours) Omalizumab (Xolair ) Name of medication Fluticasone and salmeterol (Advair ) Flunisolide (AeroBid, Nasalide ) Triamcinolone (Azmacort, Nasacort ) Beclomethasone (Beconase, (QVAR, Vancenase, Vanceril ) Fluticasone (Flonase, Flovent ) Methylprednisolone (Medrol ) Mometasone furoate (Nasonex ) Prednisone Budesonide (Pulmicort, Rhinocort ) Tiotroprium (Spiriva ) Triprolidine and pseudoephedrine (Actifed ) Loratadine (Alavert, Claritin ) Fexofenadine (Allegra ) Triamcinolone (Aristocort, Azmacort ) Azelastine (Astelin ) Hydroxyzine (Atarax ) Diphenhydramine (Benadryl ) Brompheniramine and pseudoephedrine (Bromfed ) Chlorpheniramine and pseudoephedrine (Chlor-Trimeton ) Desloratadine (Clarinex ) Acetaminophen, phenylpropanolamine hydrochloride, chlorpheniramine maleate, and dextromethorphan hydrobromide (Comtrex ) Clemastine (Dayhist ) Pseudoephedrine (Dimetapp ) Pseudoephedrine and brompheniramine (Dristan ) Clemastine (Tavist ) Cetirizine (Zyrtec ) Methacholine Challenge Test 2/5
3 At least 2 days (48 hours) At least 1 day (24 hours) before your test Oxtriphylline (Choledyl ) Formoterol (Foradil ) Cromolyn (Intal, Nasalcrom ) Hydroxyzine, theophylline, ephedrine (Marax ) Aminophylline (Phyllocontin ) Guaifenesin and theophylline(quibron ) Theophylline (Elixophyllin, Quibron -T, Quibron -T/SR, Slo- Bid, Theochron, T-Phyl, Theo-24, Theolair, Theo-Dur, Theolair-SR, Uniphyl ) Salmeterol (Serevent ) Nedocromil (Tilade ) Albuterol (AccuNeb, Proventil, Ventolin, Volmax ) Apinephrine (Adrenalin, MicroNefrin, Primatene ) Metaproterenol (Alupent ) Opratropium (Atrovent ) Terbutaline (Brethine, Bricanyl ) Ipratropium and albuterol (Combivent, DuoNeb ) Isoetharine Isoproterenol (Isuprel ) Pirbuterol (Maxair ) Montelukast (Singulair ) Levalbuterol (Xopenex ) Accolate (Zafirlukast ) Zileuton (Zyflo ) Call your doctor or nurse if you: Develop a lung infection, a cold, the flu or have immunizations in the 2 weeks before the test. If you have had any of these, your test results may not be accurate and you may need to have the test on a later date. Do not feel well enough to perform this test. Need to chang e your appointment. Will be late. Have any questions or concerns. You can reach your doctor or nurse by calling The Day of Your Test Methacholine Challenge Test 3/5
4 Things to remember Don t eat anything 2 hours. You can have a light meal, such as a sandwich, soup, or salad, at least 2 hours. Don t have any products with caffeine, such as coffee, tea, cola, or chocolate, at least 4 hours. Don t perform any strenuous activity the day of the test. Don t wear tig ht clothes. Don t put on lipstick, perfume, or colog ne. Where to go Your test will take place in the pulmonary lab, which is located at 425 East 67 Street. This is a side entrance of the main hospital at MSK. Take the A elevators to the 3 rd floor. Please arrive 15 minutes before your scheduled time. What to expect There are 3 stages for the test. Your technologist will guide you through each one. 1. Your technolog ist will first measure how fast you breathe. They will also check how much air you can breathe before and after you inhale a saline mist. 2. Then, you will inhale different concentrations of methacholine as a mist from a machine. Up to 4 concentrations will be used. Your breathing will be measured after each concentration. Your breathing may feel better, worse, or the same after inhaling the methacholine. Tell your technolog ist if you have any problems. 3. At the end of the test, you will get medication that you will breathe in to reverse any effects of the methacholine. Your breathing will be measured to be sure it is normal before you leave. Althoug h the test is safe, there is a small risk of having an asthma attack or severe coug hing while inhaling the methacholine. You may also feel dizzy or uncomfortable while you breathe fast. Your doctor, nurse, or technolog ist will watch you closely during the test. If you have any concerns or beg in to feel th Methacholine Challenge Test 4/5
5 uncomfortable during the test, please let your technolog ist know. After Your Test You can resume taking your medications, unless your doctor g ives you other instructions. You can g o back to your usual diet and activities. Your test results will be ready in 2 days. Your lung specialist will discuss them with you and answer any questions you have. If you have any questions or concerns, talk with a member of your healthcare team. You can reach them Monday throug h Friday from 9:00 AM to 5:00 PM at. After 5:00 PM, during the weekend, and on holidays, please call. If there s no number listed, or you re not sure, call Methacholine Challeng e Test 2018 Memorial Sloan Kettering Cancer Center - Generated on October 3, 2018 Methacholine Challenge Test 5/5
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Adriamycin PFS; Doxorubicin Hydrochloride For Injection, USP; Doxorubicin Hydrochloride Injection
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Do not g ive this drug if your child has an infection or any inflammation.
PATIENT & CAREGIVER EDUCATION Tisagenlecleucel Brand Names: US Kymriah Warning A very bad health problem called cytokine release syndrome (CRS) has happened with this drug. Sometimes, this has been life-threatening
What do I need to tell the doctor BEFORE my child takes this drug? If your child has an allergy to this drug or any part of this drug.
PATIENT & CAREGIVER EDUCATION Magnesium Carbonate Brand Names: US Mag onate [OTC] What is this drug used for? It is used to treat or prevent low magnesium levels. What do I need to tell the doctor BEFORE
ESTABLISHED PATIENT INFORMATION
Leaders in outcomes oriented, evidence based, compassionate, cost effective care ESTABLISHED PATIENT INFORMATION Hello, We are delighted that you have scheduled an appointment with Pulmonary Medicine,
Relative Cost/Month. Less than $10. Loratadine Liquid* $10-$15 Cetirizine liquid 1mg/mL*
Allergy Chlorpheniramine Tablet* Diphenhydramine Tablet* Diphenhydramine Liquid* Loratadine Tablet* Cetirizine Tablet* Loratadine 10mg ODT* Less than $10 Loratadine Liquid* $10-$15 Cetirizine liquid 1mg/mL*
Bronchiectasis. Examples include: Viral infections (measles, adenovirus, influenza)
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What do I need to tell my doctor BEFORE I take this drug? If you have an allerg y to ofatumumab or any other part of this drug.
PATIENT & CAREGIVER EDUCATION Ofatumumab Brand Names: US Arzerra Brand Names: Canada Arzerra Warning If you have had hepatitis B before or carry the virus, this drug can cause the virus to become active.
Disclosure. OTC Review with a Pediatric Twist. Objectives. When to Call a Doctor for Infant. When to Call a Doctor for Child
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SAMPLE. mg by mouth every day for day(s) Prednisolone. Other Medicine: Medicine Dose How long Directions
Pediatric Asthma Discharge Prescription and Short-Term Plan The doctor will fill out this form before your child is discharged. Please follow this plan until you see your usual doctor in 3 to 7 days. Hospital
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