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Histamine skin prick testing intradermal

Updated 2 Feb 2023 | Allergen Immunotherapy

Presentation

This skin prick test contains a dual pack, one is Positive and the other is Negative

The Positive pack contains histamine dihydrochloride solution

The Negative pack contains no active ingredient

Drugs List

  • histamine skin prick testing solution
  • SOLUPRICK CONTROLS skin prick testing solution
  • Therapeutic Indications

    Uses

    Allergy - diagnosis of allergen sensitivity

    Dosage

    The Positive control is applied as reference to evaluate the general reactivity of the skin-prick test.

    The Negative control test is applied to evaluate unspecific reactions.

    The skin-prick test may be performed on the volar side of the forearm or on the back.

    Adults

    A skin-prick test is performed by administering a drop of the product on the surface of the skin. Each active test solution and the Positive and the Negative control are applied in droplets on the skin placed at least 1.5 cm apart. The skin is penetrated using a lancet. A new lancet must be used for each allergen.

    Elderly

    A skin-prick test is performed by administering a drop of the product on the surface of the skin. Each active test solution and the Positive and the Negative control are applied in droplets on the skin placed at least 1.5 cm apart. The skin is penetrated using a lancet. A new lancet must be used for each allergen.

    Children

    Prick testing in children is already possible after the first year of life, depending on the child's constitution, but in general should not be performed before the age of 4.

    Children over 1 year
    A skin-prick test is performed by administering a drop of the product on the surface of the skin. Each active test solution and the Positive and the Negative control are applied in droplets on the skin placed at least 1.5 cm apart. The skin is penetrated using a lancet. A new lancet must be used for each allergen.

    Children under 1 year
    Not recommended.

    Additional Dosage Information

    The reactions are read after 15 minutes.

    A positive reaction is a wheal with a diameter of at least 3 mm, with or without erythema.

    Contraindications

    Children under 1 year
    Dermatitis

    Precautions and Warnings

    Children aged 1 to 4 years
    Pregnancy

    Treatment to be initiated and supervised by a specialist
    Withhold antihistamines therapy following manufacturer's instructions
    Withhold potent topical steroids 2 to 3 weeks prior to the test
    Avoid administration to eczematous or inflamed skin
    Avoid areas with skin lesions
    Have adrenaline injection ready for use in case of anaphylaxis
    Beta blockers may reduce the response to adrenaline in anaphylaxis

    Pregnancy and Lactation

    Pregnancy

    Caution should be used in pregnancy.

    The manufacturer notes that the risk of performing skin-prick test during pregnancy must be carefully evaluated together with the patient in order to identify the specific clinical need for identifying the trigger allergen during the period of pregnancy.

    The use of all medication in pregnancy should be avoided whenever possible; particularly in the first trimester. Non-drug treatments should also be considered. When essential, a medication with the best safety record over time should be chosen, employing the lowest effective dose for the shortest possible time. Polypharmacy should be avoided. Teratogens taken in the pre-embryonic period, often quoted as lasting until 14 to 17 days post-conception, are believed to have an all-or-nothing effect. Where drugs have a short half-life, and when the date of conception is certain, this may allow women to be reassured where drug exposure has occurred within this time frame. Further advice may be available from the UK National Teratology Information Service (NTIS) and through ToxBase, available via password on the internet ( www.toxbase.org ) or if this is unavailable at the backup site ( www.toxbasebackup.org ).

    Lactation

    The manufacturer notes that this skin-prick test may be performed during lactation.

    Neonates, infants born prematurely, those with low birth weight, those with an unstable gastrointestinal function or who have serious illnesses may require special consideration. For any infant, if a drug is prescribed to the nursing mother, it should be at the lowest practical dose and for the shortest time. When drug administration is unavoidable and breastfeeding is to continue, minimisation of exposure of the infant to the drug may sometimes be achieved by timing the maternal doses to just after a feeding episode. Infants exposed to drugs via breast milk should be monitored for unusual signs or symptoms. Interactions between the drug received by the infant from the mother's milk and medication prescribed for the infant should also be considered, for example, when the drug given to the infant may prevent metabolism of the drug received via breast milk.
    Specialist advice is available from the UK Drugs in Lactation Advisory Service at https://www.midlandsmedicines.nhs.uk/content.asp?section=6&subsection=17&pageIdx=1

    Side Effects

    Anaphylactic reaction
    Erythema at application site
    Itching sensation (local)
    Local pain
    Swelling(localised)

    Overdosage

    It is strongly recommended that the UK National Poisons Information Service be consulted on cases of suspected or actual overdose where there is doubt over the degree of risk or about appropriate management.

    The following number will direct the caller to the relevant local centre (0844) 892 0111

    Information may be obtained if you have access to ToxBase the primary clinical toxicology database of the National Poisons Information Service. This is available via password on the internet ( www.toxbase.org ) or if this is unavailable at the backup site ( www.toxbasebackup.org ).

    Further Information

    Last Full Review Date: December 2013

    Reference Sources

    Summary of Product Characteristics: Soluprick Controls. ALK-Abello Ltd. Revised June 2011.

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