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Welcome

Celebrating 80 Years Of Service!

The American Academy of Otolaryngic Allergy (AAOA) represents over 2,700 Board-certified otolaryngologists and health care providers. Otolaryngology, frequently referred to as Ear, Nose, and Throat (ENT), uniquely combines medical and surgical expertise to care for patients with a variety of conditions affecting the ears, nose, and throat, as well as commonly related conditions. AAOA members devote part of their practice to the diagnosis and treatment of allergic disease. The AAOA actively supports its membership through education, research, and advocacy in the care of allergic patients.

"Advance the comprehensive management of allergy and inflammatory disease in Otolaryngology-Head and Neck Surgery through training, education, and advocacy."

ADVOCACY UPDATES

Changes To E/M Codes Beginning On January 1st

Effective January 1, 2021, the Centers for Medicare & Medicaid (CMS) finalized significant changes to…

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Additional COVID-19 Relief Up in the Air

House Speaker Nancy Pelosi (D-CA) and Treasury Secretary Steven Mnuchin appeared to be moving closer…

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CY 2021 Physician Fee Schedule Proposed Rule Summary

On August 3, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician…

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Changes in MACRA

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Before the close of 2017, all physicians must take action to avoid the 4 percent cut that will be assessed in 2019 for not participating in the new Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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Upcoming Dates

04/01/21: Fellow Exam Application Deadline
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06/01/21: Research Grant Cycle
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06/26/21: Membership Application Deadline to be eligible for AAOA Member rate for the 2021 Basic Course

08/01/21:Scientific Abstract Submission Deadline
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09/01/21: Membership Application Deadline to be voted in at the 2021 Annual Meeting

12/01/21: Research Grant Cycle
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EDUCATION

Our 2021 AAOA Basic Course in Allergy & Immunology will be launched June 1st: Over 11 hrs of pre-learning, on-demand will set you up to gain the full value of our curriculum and engage in the live-stream session.

Live Stream July 8-11 will offer unique learning formats to offer learners the core concepts of allergy diagnosis and management. Join us and test your pre-work efforts for our Immunology & Pharmacotheapy Trivia Slams; Great Debates on Environmental Controls; Allergen Testing Panel “Bake Off,” Late Night with Dr. Levy, AAOA’s Escape Room Expedition, Hands On Testing and Dose Calculation Practica, Office Tours, and more.

Structured for otolaryngologists integrating more allergy assessment and management into their practice, AAOA members providing specialized allergy care who need to remain current with literature-based evidence and practice trends, residents, PA/NPs who work in otolaryngology, and allied health staff who support their physicians in the management of allergic patients. The Basic Course offers unique opportunities to learn the state of the art in allergy patient care. Learn More

IFAR

Available Now

IFAR Impact Factor: 2.454

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IFAR Featured Content: COVID-19 - Free Access
Endonasal instrumentation and aerosolization risk in the era of COVID‐19: simulation, literature review, and proposed mitigation strategies . Read More

Changes in Managing Practices

Working together with AAOA staff, volunteer leadership and members will enable us to have a positive impact on our members’ practices.

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Live and Online CME

2021 Basic Course in Allergy & Immunology
On-demand June 1; Live Stream July 8-11 | Virtual
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USP 797 Online Module
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2021 AAOA Annual Meeting
Pre-launch Mid-September
Live Stream Starting on Oct 16 | Virtual
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News and Updates

2021 AAOA Annual Meeting – Scientific Abstracts Submissions Now Open

Have novel research tied to allergy, inflammatory disease in ENT, comprehensive management of allergy and…

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Congress Sends Sesame Labeling Bill To President

By Beth Wang / April 15, 2021 at 11:57 AM The House on Wednesday (April 14) passed…

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College Allergy Symptoms Treatment Back to Shcool

PRACTICE RESOURCES

AAOA Practice Resource Tool Kit

The American Academy of Otolaryngic Allergy (AAOA) Practice Resource Tool Kit is intended as a guide to help AAOA members integrate allergy into their otolaryngology practice and to continually improve on this integration as new information, regulations, and resources become available.

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PATIENT CORNER

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Medications To Stop Before Allergy Testing

By Dana Crosby, MD, FAAOA

WHY DO I NEED TO STOP SOME MEDICATIONS BEFORE AN ALLERGY TEST?

  • When you are allergic to a substance, your body releases certain chemicals such as histamine. When these chemicals are released in the skin during a test, we see a small bump in the skin that is often surrounded by redness. Certain medications can decrease this response and cause allergy testing to look negative even if you do have allergies.
  • Other medications can be dangerous to take if you are having an allergy test. Some medications can increase your chance of a life-threatening reaction to an allergy test or make treating a severe reaction more difficult. 
  • You only need to consider stopping medications if you are going to have a skin test for allergies. If your allergy test will be done with a blood draw from the vein no medications need to be stopped. 
  • It is important to review your list of medications with your ENT allergist in order to ensure the most accurate and safe outcome when you have your test. 

WHAT MEDICATIONS DO I NEED TO STOP BEFORE AN ALLERGY TEST?

Type of medicationExamples of this medicationWhen to stop
Topical Corticosteroidsaclometasone (Aclovate)amcinonide (Cyclocort)betamethasone (Diprolene, Betanate,          Beta-Val)clobetasol (Clobex, Olux, Temovate)desonide (Desonate, Desowen, Lokara,      Vereso)desoximetasone (Topicort)diflorasone (Apexicon)fluocinolone (Synalar)fluocinonide (Vanos, Lidex)flurandrenolide (Cordran)fluticasone (Cutivate)halcinonide (Halog)halobetasol (Ultravate)hydrocortisone (Locoid, Pandel,      Westcort)mometasone (Elocon)triamcinolone (Cinalog, Kenalog, Triderm)21 days before the test (in the area that will be tested)
*Tricyclic Antidepressants amitriptyline (Elavil, Endep, Etrafon,      Limbitrol, Vanatrip)amoxampine (Asendin)clomipramine (Anafranil)desipramine (Norpramin)doxepin (Adapin,Sinequan)imipramine (Tofranil)nortriptyline (Aventyl, Pamelor)protriptyline (Vivactil)trimipramine (Surmontil)14 days before test
*Atypical Antidepressants & Sedativesbupropion (Wellbutrin)eszopiclone (Lunesta)mirtazapine (Remeron)quetiapine (Seroquel)trazadone (Oleptro)zolpidem (Ambien)14 days before test
Second and Third Generation Antihistamines cetirizine (Zyrtec)desloratadine (Clarinex)fexofenadine (Allegra)levocetirizine (Xyzal)loratadine (Claritin, Alavert)7 days before test
*Benzodiazepinesalprazolam (Xanax)clonazepam (Klonopin)diazepam (Valium)lorazepam (Ativan)midazolam (Versed)7 days before test
*Beta-blocker (pills and eye drops)Acebutolol (Sectral)Atenolol (Tenoretic, Tenormin)Betaxolol (Betoptic, Kerlone)Bisoprolol (Zebeta, Ziac)Carteolol (Cartrol, Ocupress)Carvedilol (Coreg)Esmolol (Brevibloc)Labetalol (Normdyne, Trandate)Levobunolol (AK-Beta, Betagan)Levobetaxolol (Betaxon)Metipranolol (OptiPranolol)Metoprolol (Lopressor)Nadolol (Corgard, Corzide)Penbutolol (Levatol)Pindolol (Visken)Propranolol (Inderal, Inderide)Sotalol (Betapace, Sorine)Timolol (Betimol, Blocarden, Ocumeter,      Timolide, Cosopt, Occudose, Timoptic)5 days before test
First Generation Antihistaminesazatadine (Optimine)brompheniramine (Bromax, Lodrane)carbinoxamine (Histex, Karbinal, Palgic,      Pediatex)chlorpheniramine (Aller-Chlor, Chlor-     Trimeton)clemastine (Allerhist, Contact, Tavist)cyproheptadine (Periactin)dexchlorpheniramine (Polarmine)diphenhydramine (Benadryl, many other      cold and allergy pills)
dimenhydrinate (Dramamine)hydroxyzine (Atarax, Rezine, Vistaril)ketotifen (Zatiden)meclizine (Antivert, Bonine)methdilazine (Tacaryl)phenindamine (Nolahist)promethazine (Chlorpromazine,      Phenergan, Promethazine)pyrilamine (Nisaval)trimaparazine (Tremaril)tripelennamine (PBZ)triprolidine (Myidyl, Tripohist, Zymine)
5 days before test
H2 Blockerscimetidine (Tagamet)famotidine (Pepcid)ranitidine (Zantac)2 days before test
Antihistamine Nasal Sprayazelastine (Astelin, Astepro, Patanase,      Dymista)1 day before test
Antihistamine Eye Dropsazelastine (Optivar)olopatadine (Patanase, Pataday, Patanol)1 day before test
Immunomodulatorsomalizumab (Xolair)others are unknown discuss with doctor6 months
*These medications should NOT be stopped without discussing with the physician who prescribed them. Stopping these medications without proper instructions could be dangerous.

WHAT MEDICATIONS CAN I CONTINUE DURING ALLERGY TESTING?

Angiotensin-Converting Enzyme (ACE) Inhibitorsbenazepril captopril enalapril lisinopril perindopril quinapril ramipril
Immunosuppressantscyclosporin
Nasal Steroid Spraysbeclomethasone budesonide ciclesonide fluticasone mometasone triamcinolone 
Decongestant, Decongestant Sprays, Expectorantsguaifenesinoxymetazoline phenylephrinepseudoephedrine
Leukotriene modifiersmontelukastpranlukastzafirlukastzileuton
Serotonin & Norepinephrine Reuptake Inhibitors (SNRIs)atomoxetinedesvenlafaxineduloxetinelevomilnacipranmilnacriprantramadolvenlafaxine
Proton Pump Inhibitors (PPIs)dexlansoprazoleesomeprazole lansoprazole omeprazole pantoprazole rabeprazole
Selective Serotonin Reuptake Inhibitor (SSRIs)citalopram escitalopram fluoxetine fluvoxamineparoxetinesertraline volazodone vortioxetine 

!!!!!DO NOT STOP ASTHMA MEDICATIONS OR INHALERS!!!!!

PEARLS

  • It is critical to discuss stopping any medication for your heart, blood pressure, depression, anxiety, sleep or any medication that is required to maintain your current state of health with your ENT allergist and the physician who prescribed it to you. DO NOT stop these medications without discussing the risks first. 
  • It is important to continue all inhalers for asthma as uncontrolled asthma can increase the risk of testing. 
  • These are not firm time frames. Some doctors will tell you to stop these medications for a different length of time depending on their practice and experience.
  • Many allergy doctors will tell you to stop all problematic medications at the same time (5-14 days) in advance of your testing depending on their preference to make it easier for you. 
  • This list does NOT include every important medication. Please discuss your medication list with your allergist. If you have questions about specific medications please do not hesitate to call to ensure accuracy and safety of the test. 
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