Please read carefully, non compliance or failure to do as requested may result in your test being postponed. Appointments are necessary. Allow 60 mins for this test.

MEDICATION WITHHOLDING TIMES

Drug category Generic name (TRADE NAME) Withholding Times

Bronchodilators: 1. ß-adrenergic agents: short acting inhaled salbutamol (USA = albuterol) (VENTOLIN,

RESPOLIN, ASMOL, AIROMIR, RESPAX) terbutaline (BRICANYL) orciprenaline (USA=metaproterenol) (ALUPENT), isoprenaline (MEDIHALER-ISO) adrenaline (USA=epinephrine) (MEDIHALER-EPI)

6 to 12 hours

Symptom controllers (long acting inhaled)

Salmeterol (SEREVENT) eformoterol (FORADILE, OXIS) fenoterol (BEROTEC)

24 to 36 hours

Combination (SERETIDE, SYMBICORT) 24 to 36 hours Oral (syrup) – typically

only used in 2-3yr olds salbutamol terbutaline

6 to 12 hours

2. Methylxanthines (phosphodiesterase inhibitors)

theophyllines (THEO-DUR, AUSTYN, NUELIN SR, ELIXOPHYLLIN, SLO-BID)

24 to 48 hours

3. Anticholinergics ipratropium bromide (ATROVENT, SPIRIVA) 6 to 12 hoursAntihistamines and H1-Receptor Antagonists: short acting (SINUTAB, DEMAZIN, PHENERGAN) 48 hrs long acting noberastine, ebastine, terfenadine, loratadine

(TELFAST, TELDANE, CLARATYNE)2 to 4 days

Cromones sodium cromoglycate (INTAL FORTE, RYNACROM)

nedocromil sodium (TILADE)

8 to 48 hour

Leukotriene anatgonists montelukast (SINGULAIR) zafirlukast (ACCOLATE)

36 to 48 hours

Anti-inflammatories: oral corticosteroids Prednisone (SONE)

Prednisolone (SOLONE)4 hours (or no change if patient on stable dose)

inhaled corticosteroids Beclamethasone (ALDECIN, BECOTIDE, BECLOFORTE, RESPOCORT)

Budesonide (PULMICORT) Fluticasone (FLIXOTIDE) Triamcinolone (AZMACORT)

4 hours (or no change if patient on stable dose)

TURN OVER FOR MORE IMPORTANT INFORMATION

PATIENT PREPARTION SHEET FOR Bronchial Challenge Testing

Clinical Measurements Department, Rockhampton HospitalTEL: 4920 6326 FAX: 4920 6200

Note Caffeine containing drinks (colas, coffee) and chocolate should be withheld for 4

to 6 hours. Smoking should be withheld for at least 2 hours. ß-blockers may exaggerate any response. Aspirin and non-steroidal anti-inflammatory drugs should also be withheld for 36-

48 hrs.

Please be advised: Due to workplace health and safety and sensitivity of testing equipment only the patient will be permitted into the test room unless the patient is a minor, and can be accompanied by a parent/guardian or carer.

Please see below for a map. Allow at least 30 minutes to find a parking space.

Enter the main building, walk to the end of the corridor, through out-patients and keep going to the end. When you reach the end turn left and see the reception area.

If entering the building via Accident and Emergency take the lift to the first floor (up one level) and go through out-patients as above.

NORTH STREET

CANNING STREET

CARPARK

MAIN ENTRANCE

CAFE

AdminBuilding

PostOffice

Lifts

Pre-OP

Follow path to main entrance

Clinical Measurements

Outpatients