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Table 4 Medication discontinuation considerations before OFC

From: Addendum guidelines for the prevention of peanut allergy in the United States: report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel

Medications to be discontinued

Last dose before OFC

Cetirizine

5 days

Cyproheptadine

10 days

Diphenhydramine

3 days

Fexofenadine

3 days

Loratadine

7 days

Short-acting bronchodilator (eg, albuterol)

8 h

Medications that can be continued

 

 Antihistamine eye drops

 

 Inhaled/intranasal corticosteroids

 

 Topical (cutaneous) steroids

 

 Topical (cutaneous) pimecrolimus, tacrolimus