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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

CY 2022 Physician Fee Schedule Proposed Rule Summary

On July 13, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician…

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Congress Considers Extension of Telehealth Flexibilities Post-Pandemic

The COVID-19 pandemic forced Congress and the Centers for Medicare & Medicaid Services (CMS) to…

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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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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

12/01/21: Research Grant Cycle
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04/01/22: Fellow Exam Application Deadline
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06/01/22: Research Grant Cycle
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06/26/22: Membership Application Deadline to be eligible for AAOA Member rate for the 2022 Basic Course

08/01/22: Scientific Abstract Submission Deadline

09/01/22: Membership Application Deadline to be voted in at the 2022 Annual Meeting

EDUCATION

The education committee of the AAOA has put together an all-star lineup for this year’s virtual Annual Meeting taking place October 16th to 21st. Like last year, our Annual Meeting will offer live-stream and on-demand content. Some content will be available for self-paced on-demand viewing on September 15th, 2021. 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 AAOA Annual Meeting
Pre-launch Mid-September
Live Stream Starting on Oct 16 | Virtual
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2022 AAOA Advanced Course
In-Person!!! Santa Fe, NM
January 13-15, 2022
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2022 AAOA Basic Course
The Diptomat Beach Resort, Hollywood, FL
June 30-July 2, 2022

USP 797 Online Module
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News and Updates

United Agrees To Give Physicians ERISA Rights in Connection with Repayment Demands

Bottom line Recent class action settlement gives all out-of-network (“ONET”) physicians important – and often overlooked –…

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Starting an Allergy Practice

The essential tools and pearls for a successful allergy practice by those who have done…

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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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PARTNER RESOURCE CENTER

AAOA has launched a Partner Resource Center to bring you partner resources that can assist your practice and patient care.

Visit the New Center>

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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