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Celebrating Over 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."


United Healthcare Home Immunotherapy Policy Change

United Healthcare has recently announced a policy change. Effective January 1, 2023, UHC will no longer…

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Medicare 2022 Conversion Factor Update

Thanks to lobbying efforts from the House of Medicine, Congress took action this month. The…

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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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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

04/01/23: Fellow Exam Application Deadline
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06/01/23: Research Grant Cycle
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06/26/23: Membership Application Deadline to be eligible for AAOA Member rate for the 2023 Basic Course

07/01/23: Scientific Abstract Submission Deadline
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12/01/23: Research Grant Cycle
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2023 AAOA Basic Course

The hybrid 2023 AAOA Basic Course in Allergy & Immunology will take place from Thursday, June 29 – Saturday, July 1, 2023 at the Hyatt Regency, Seattle, WA & Virtually. The Pre-Work On-Demand content will be released on Thursday, June 1, 2023. The Post Course On-Demand Access will be available until September 1, 2023. Learn More and Register Today


For information about Resident opportunities, DosedDaily, research grants, and other resources. Learn More


Available Now


IFAR Impact Factor: 2.454

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

AAOA Educational Stacks
Next Availability - November 1, 2023

2023 AAOA Advanced Course in Allergy & Immunology - Hybrid
March 30 - April 1, 2023
The Hythe Vail
Formerly the Vail Marriott Mountain Resort
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2023 AAOA Basic Course in Allergy & Immunology - Hybrid
June 1 - Pre-Work On-Demand
June 29 – July 1 - Live
September 1 - Access
Hyatt Regency Seattle
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2023 AAOA Annual Meeting - Hybrid
September 29 – October 1, 2023
Embassy Suites by Hilton Nashville Downtown
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USP 797 Online Module
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News and Updates

American Elm Shortage

American Elm is dying from Dutch Elm Disease. This may explain the concentrate shortage many practices…

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USP General Chapter Released

After a multi-year effort, the long-awaited revision of Chapter 797 Standards for Sterile Compounding (797) of…

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College Allergy Symptoms Treatment Back to Shcool


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

Visit the New Center>


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Medications To Stop Before Allergy Testing

By Dana Crosby, MD, FAAOA


  • 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. 


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.


Angiotensin-Converting Enzyme (ACE) Inhibitorsbenazepril captopril enalapril lisinopril perindopril quinapril ramipril
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 



  • 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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