Frequently asked questions
Not seeing an answer to what you're looking for?
We're here to help
Reach out anytime with questions by calling us 9am - 5pm EST Monday - Friday at (800) 852-1575.
Allergenis Peanut Diagnostic
Founded in 2017, Allergenis started as a collaboration with Hugh Sampson, MD, of the Elliot and Roslyn Jaffe Food Allergy Institute of the Icahn School of Medicine at Mount Sinai. The Allergenis’ laboratory is CLIA-certified with state-of-the-art diagnostic testing equipment and specializes in immunological research into epitope mapping technology and food allergies. Currently, Allergenis is licensed to provide diagnostic testing in 49 states, excluding NY.
Allergenis is a privately owned company, headquartered in Hatfield, PA.
The Allergenis Peanut Diagnostic will help your provider determine if you or your child are truly allergic with 93% accuracy and if so, provide additional information on the amount of allergen it would take to trigger a reaction. This is known as an epitope reactivity level or more commonly known as a threshold. The epitope reactivity level of the Allergenis Peanut Diagnostic has been validated to the same American and European standards (PRACTALL) that serve as dose guidelines for an oral food challenge in use today.
The test is a blood-based test, requiring a blood sample. After purchase, you will receive a link to set up an appointment for a mobile phlebotomist to come to your home (or wherever is convenient for you) to draw your blood. No office or lab visit is required.
There is no need to fast prior to providing a sample for the Allergenis test; however, we do recommend drinking plenty of water before the test.
If you placed your order through Cleared, one of their nurses will contact you when your results are ready (by email).
We do not submit your test to insurance for reimbursement. However, you can do so on your own. Contact Allergenis Billing (billing@allergenis.com) to obtain the information needed in order to submit to your insurance.
If you placed your order through Cleared, please contact support@getcleared.com. For all other Allergenis orders, please direct all billing-related questions to 888-436-6339.
The Allergenis test has been validated for anyone over the age of 4. However, the test isn’t for everyone. If you fall into one of these categories, this test may not be for you:
- currently eating peanuts
- on any immunotherapy (interferes with the epitope signal)
- taking omalizumab (interferes with the epitope signal)
- if you are a New York resident (at the moment, we haven’t obtained licensing yet but we are working on it.)
We recommend you review your Allergenis Peanut Diagnostic results with a LifeMD affiliated medical group doctor, to determine the next step of action, such as an oral food challenge or oral immunotherapy.
Epinephrine auto-injector is required for all patients allergic to peanut.
No.
There are no tests at this point that can accurately predict the severity of allergic reaction. The Allergenis Peanut Diagnostic threshold level provides the probability a patient can tolerate specific peanut protein amounts. The results can help parents manage label reading, day-to-day food choices, assess the risk for oral food challenge and oral immunotherapy.
No. The Allergenis peanut diagnostic test is not validated for patients who are currently taking omalizumab or any immunotherapy and test results may not be reliable.
Oral immunotherapy (OIT) is a potential treatment for food allergy, which involves gradually increasing amounts of food allergen given under medical supervision. Gradually, this builds the body’s ability to tolerate a food to which the person is allergic.
An oral food challenge is a medical procedure in which a food is eaten slowly, in gradually increasing amounts, under medical supervision, to accurately diagnose or rule out a true food allergy.
Please have your Allergenis Peanut Diagnostic Draw/Ship Kit with you for your mobile phlebotomy visit. This kit is automatically shipped to you once your order has been placed. Orders can be placed through an online telehealth provider or through your own allergist.
The LifeMD affiliated medical group doctors will arrange with you the best way to communicate your lab test result. Typically, Allergenis Peanut Diagnostic result is available to your allergist within 7 days of having your blood drawn.
Allergies
Allergies are a variety of conditions where a person’s immune system reacts abnormally to a foreign substance. Allergic reactions are a result of a person’s immune system becoming overly sensitive to a substance or antigen.The body recognizes these foreign substances as harmful and produces antibodies which ultimately can cause inflammation, swelling, and itching. Allergic rhinitis and allergic conjunctivitis are examples of common allergic conditions.
Allergic rhinitis refers to inflammation in the nose that happens when you get exposed to an allergen you are sensitive to. Symptoms generally include sneezing, runny nose, and red, watery and itchy eyes.
Allergic conjunctivitis is inflammation of the lining of the eye caused by an allergic reaction. Symptoms include eye redness, itching and increased tear production.
Allergies are the result of a person’s immune system becoming hypersensitive to certain substances such as pollen, food, or medications. The body recognizes these foreign substances as harmful and produces antibodies which ultimately can cause inflammation, swelling, and itching.
Allergic rhinitis is caused by airborne allergens coming into contact with the nasal mucosa. On a microscopic scale, antigen cross-links with IgE to induce mast cell release of histamine which results in a local inflammatory response of the nasal and/or ocular regions.
Allergic conjunctivitis is caused by airborne allergens coming into contact with lining of the eye. On a microscopic scale, antigen cross-links with IgE to induce mast cell release of histamine which results in a local inflammatory response of the nasal and/or ocular regions.
For those people that suffer from seasonal allergies, they are usually sensitive to allergens such as tree pollen, weed pollen, and grass pollen. While the perennial or year-round sufferers are affected more by indoor allergens such as dust mites, molds, and animal allergens.
Immunoglobulin E is an antibody that is an important part of our immune system. While normally important in fighting off parasites, IgE is also an important part of the allergic response. When the body first encounters an allergen, IgE antibodies targeted against the allergen are produced. When subsequently exposed to that allergen, the IgE interact with another part of the immune system called mast cells. These mast cells release a substance called histamine which ultimately results in many of the allergic symptoms that people experience.
There are multiple medications your doctor might prescribe for your allergies. Here is a link that has information about these medications.
Each medication works in different ways to help with your allergies. Here is a link that has information about these medications.
It is generally safe to continue taking OTC meds while taking CLEARED products. However, some combinations of medications can cause excessive drowsiness. Therefore, it is important to discuss with your doctor about which medications you are currently taking.
While the medication can be taken as needed, they are generally most effective when taken on a daily basis.
Blood Testing
- We can use a blood test to find out what you are allergic to.
- Determining what you are allergic to will help us in prescribing the right medications and will also help us guide you on different environmental measures you can use to help lessen your symptoms.
Allergy blood tests are used to find out if you have an allergy. Your body produces something called an IgE antibody to specific allergens if you are allergic and the blood test can determine if you have any of these IgE antibodies in your blood. We will check for the most common types of allergens: tree pollen, weed pollen, grass pollen, cat dander, dog dander, dust mites and cockroach.
- A blood test involves taking blood from a vein in your arm. Staff working at the lab will be highly trained in this, using sterile equipment and measures to ensure your safety.
- The test should not require more than one tube of blood.
- After the needle has been removed, pressure will be applied in order to minimise bleeding. It is important to avoid heavy lifting or strenuous exercise 24 hours after the blood test in order to avoid bruising or bleeding. If you have any concerns, please contact the lab before your test.
- We can use a blood test to find out what you are allergic to.
- Determining what you are allergic to will help us in prescribing the right medications and will also help us guide you on different environmental measures you can use to help lessen your symptoms.
- If you are concerned about the necessity of these tests and do not want to proceed, that’s ok! We can still prescribe medications that will help you however, you will not be eligible for immunotherapy.
- If you would like to proceed with the blood test but are feeling nervous, things that are helpful include: lying down during the blood test or relaxation techniques such as deep breathing.
Make sure you drink plenty of water. This will make it easier for the team to conduct your blood test.
One of the advantages to serum IgE testing as opposed to skin testing is that you can continue to take all of your medications prior to your lab appointment.
Yes you can cancel the blood test at any time. If you do not want to proceed, you will not be charged for the blood test.
Yes, if you had allergy testing done via blood or skin test - you can upload your results or email them to nurse@getcleared.com to send to the LifeMD affiliated medical group doctors for review.
No, you do not always need an appointment. Most lab facilities have walk-in options available; however, to make things easier we suggest that you book your appointment online.
Your appointment should take around 15 minutes - 20 minutes if you make an appointment ahead of time.
After your doctor has reached out with recommendations, you can follow up with our nurses to help you find a certified lab near you.
In rare instances, it is difficult to collect enough blood to analyse. This can happen for example if a needle phobic patient is unable to hold still, or more rarely due to veins being too small to collect enough blood. If this is the case, the phlebotomist will let you know what your options are.
It should take about 7-10 days to get your results.
Your blood test results will be sent directly to the LifeMD affiliated medical group doctors, and you will be emailed with the results and any further recommendations once they have been reviewed.
Your results will be shared with your LifeMD affiliated medical group doctor.
Relief Medications & More
Loratadine is an oral antihistamine which works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
Loratadine is used to temporarily relieve the symptoms of allergic rhinitis. These symptoms include sneezing, runny nose, and itchy eyes, nose, or throat.
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Loratadine.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you have or have ever had asthma or kidney or liver disease.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
Loratadine, a generic form of Claritin, is a non-drowsy oral antihistamine pill that helps with both nasal and eye-related symptoms caused by allergies. Take one pill once a day. Allergy treatment is often most effective when taken every day, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Common side effects of Loratadine include:
- headache
- dry mouth
- nosebleed
- sore throat
- mouth sores
- difficulty falling asleep or staying asleep
- nervousness
- weakness
- stomach pain
- diarrhea
- red or itchy eyes
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If your allergy symptoms become worse.
- If you experience rash, hives, swelling of the eyes, face, lips, tongue, throat, hands, arms, feet, ankles or lower legs.
- If your throat becomes hoarse, you find it difficult to breathe or to swallow, or you start wheezing.
It is recommended taking Loratadine at night; it will still last through the whole next day and is just as effective in hour 1 as in hour 24.
You should take the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not take a double dose to make up for a missed dose.
Keep your Loratadine tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Montelukast is an oral anti-inflammatory pill that helps with both nasal and lung-related symptoms caused by seasonal allergies. Montelukast is a leukotriene receptor antagonist (LTRA), which works by blocking the action of substances in the body that cause the symptoms of asthma and allergic rhinitis.
Montelukast may cause serious or life-threatening mental health changes while during treatment or after treatment has stopped
Common side effects of Montelukast include:
- headache
- heartburn
- stomach pain
- tiredness
- diarrhea
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If you experience difficulty breathing or swallowing; swelling of the face, throat, tongue, lips, or eyes; hoarseness; itching; rash; hives
- If you experience blistering, peeling, or shedding skin
- If you experience flu-like symptoms, rash, pins and needles or numbness in the arms or legs, pain and swelling of the sinuses
- If you experience ear pain, fever (in children)
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Montelukast.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
- If you have ever had liver disease
- If you have ever had any type of mental illness.
It is recommended taking Montelukast at night (with or without food); continue daily for smooth allergy relief.
Montelukast, a generic form of Singulair, is an oral anti-inflammatory that works similar though distinct to antihistamines that helps with nose-related symptoms caused by allergies and allergic asthma. Take 1 tablet by mouth every night, with or without food. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
You should take the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not take a double dose to make up for a missed dose.
Keep your Montelukast tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Olopatadine 0.2% eye drops are for use in the eyes only. Olopatadine is a mast cell stabilizer and works by preventing the release of substances that cause eye itching.
If you wear contact lenses, you should remove them before using Olopatadine 0.2%, and then put them back in 10 minutes later.
Common side effects of Olopatadine 0.2% include:
- blurred vision
- eye burning, redness, or stinging
- dry eyes
- taste changes
- abnormal sensation in eye
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If you experience eye pain.
- If your vision changes.
- If you experience eye itching that worsens or continues for more than 3 days after you begin treatment.
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Olopatadine 0.2%.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
- Make sure you wash your hands before use.
- Apply 1 drop to the affected eye(s) twice a day (every 8 to 12 hours).
- Make sure the tip of the dropper does not touch any surface to avoid contamination.
You should instill the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not instill a double dose to make up for a missed dose.
Olopatadine 0.2 %, a generic form of Pataday, is an antihistamine eye drop that helps with eye-related symptoms caused by allergies. Put one drop in each eye once a day. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Keep your Olopatadine 0.2% tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Azelastine nasal spray is for use in the nose only. Azelastine is an antihistamine which works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
Azelastine is used to relieve runny nose; sneezing; and redness, itching, and tearing of the eyes caused by allergic rhinitis and seasonal allergies.
Azelastine may cause sleepiness.
- Do not drive, operate machinery, or do other dangerous activities until you know how Azelastine affects you.
- Do not drive drink alcohol or take other medicines that may cause you to feel sleepy while using Azelastine. It may make your sleepiness worse.
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Azelastine.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
Azelastine, a generic form of Astelin or Astepro, is a non-drowsy nasal spray that helps with both nasal and eye-related symptoms caused by allergies. This spray cleans out your nose of the allergens that can cause irritation and allergies of the nose. Spray in each nostril as prescribed. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Common side effects of Azelastine include:
- bitter taste
- tiredness
- weight increase
- muscle pain
- nasal burning
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
Before using for the first time, or after a period of non-use (3 days or more), make sure you shake well and release 4 sprays or more into the air until a fine mist appears.
Spray in each nostril, two times daily.
You should take the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not take a double dose to make up for a missed dose.
Keep your Azelastine tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Fexofenadine.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you have or have ever had asthma or kidney or liver disease.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
Fexofenadine, a generic form of Allegra, is a non-drowsy oral antihistamine pill that helps with both nasal and eye-related symptoms caused by allergies. Take one pill once a day. Allergy treatment is often most effective when taken every day, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Fexofenadine is an oral antihistamine which works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
Fexofenadine is used to temporarily relieve the symptoms of allergic rhinitis. These symptoms include sneezing, runny nose, and itchy eyes, nose, or throat.
Common side effects of Fexofenadine include:
- headache
- dizziness
- diarrhea
- vomiting
- pain in the arms, legs, or back
- pain
- pain during menstrual period
- cough
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If your allergy symptoms become worse.
- If you experience rash, hives, swelling of the eyes, face, lips, tongue, throat, hands, arms, feet, ankles or lower legs.
- If your throat becomes hoarse, you find it difficult to breathe or to swallow, or you start wheezing.
Fexofenadine is usually taken with water once a day, around the same time everyday. It works better if it is not taken with fruit juices such as orange, apple or grapefruit juice. It is recommended taking Fexofenadine at night; it will still last through the whole next day.
You should take the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not take a double dose to make up for a missed dose.
Keep your Fexofenadine tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Cetirizine.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you have or have ever had asthma or kidney or liver disease.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
Cetirizine, a generic form of Zyrtec, is an oral antihistamine pill that helps with both nasal and eye-related symptoms caused by allergies. It may cause some drowsiness, but can be taken at night. Take one pill once a day. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Cetrizine is an oral antihistamine which works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
Cetirizine is used to relieve runny nose; sneezing; and redness, itching, and tearing of the eyes caused by allergic rhinitis, seasonal allergies, and allergies to other substances such as dust mites, animal dander, and mold
Cetrizine may cause sleepiness.
- Do not drive, operate machinery, or do other dangerous activities until you know how Cetrizine affects you.
- Do not drink alcohol or take other medicines that may cause you to feel sleepy while using Cetirizine. It may make your sleepiness worse.
Common side effects of Cetirizine include:
- drowsiness
- excessive tiredness
- dry mouth
- stomach pain
- diarrhea
- vomiting
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If your allergy symptoms become worse.
- If you experience difficulties breathing or swallowing.
It is recommended taking Cetirizine at night (with or without food); it will still last through the whole next day.
You should take the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not take a double dose to make up for a missed dose.
Keep your Cetirizine tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Fluticasone is most effective when used at regular intervals. Spray once in each nostril, daily. If you can, consider starting a week before you anticipate symptoms will start. Continue daily for smooth and ongoing allergy relief.
Fluticasone, a generic form of Flonase, is a non-drowsy nasal corticosteroid spray that helps with both nasal and eye-related symptoms caused by allergies. Spray in each nostril as prescribed. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Fluticasone nasal spray is for use in the nose only. Fluticasone is a corticosteroid, which works by blocking the release of certain natural substances that cause allergy symptoms.
Fluticasone is used to relieve runny nose; sneezing; and redness, itching, and tearing of the eyes caused by allergic rhinitis, seasonal allergies, and allergies to other substances such as dust mites, animal dander, and mold.
Common side effects of Fluticasone include:
- headache
- dryness, stinging, burning or irritation in the nose
- nausea
- vomiting
- diarrhea
- bloody mucus in nose
- dizziness
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If you experience severe face pain, thick nasal discharge, fever, sore throat, chills, cough, and other signs of infection, whistling sound from the nose, hives, rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs.
- If you experience hoarseness, difficulty breathing or swallowing, wheezing, feeling faint or severe or frequent nosebleeds
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Fluticasone.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you have recently had surgery on your nose, or injured your nose in any way, or if you have sores in your nose, if you have or have ever had cataracts (clouding of the lens of the eye), glaucoma (an eye disease), asthma (sudden episodes of wheezing, shortness of breath, and trouble breathing), any type of infection, or a herpes infection of the eye (an infection that causes a sore on the eyelid or eye surface).
- If you have chicken pox, measles, or tuberculosis (TB; a type of lung infection), or if you have been around someone who has one of these conditions.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
You should take the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not take a double dose to make up for a missed dose.
Keep your Fluticasone tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Levocetirizine, a generic form of Xyzal, is an oral antihistamine pill that helps with both nasal and eye-related symptoms caused by allergies. It may cause some drowsiness and is best taken at night. Take one pill once a day. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Levocetirizine is an oral antihistamine which works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
Levocetirizine is used to relieve runny nose; sneezing; and redness, itching, and tearing of the eyes caused by allergic rhinitis, seasonal allergies, and allergies to other substances such as dust mites, animal dander, and mold.
Levocetirizine may cause sleepiness.
- Do not drive, operate machinery, or do other dangerous activities until you know how Levocetirizine affects you.
- Do not drink alcohol or take other medicines that may cause you to feel sleepy while using Levocetirizine. It may make your sleepiness worse.
Common side effects of Levocetirizine include:
- drowsiness
- tiredness
- weakness
- sore throat
- dry mouth
- fever
- cough
- nosebleed
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If your allergy symptoms become worse.
- If you experience hives, rash, itching, swelling of the arms, hands, feet, ankles, or lower legs
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Levocetirizine.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you have or have ever had asthma or kidney or liver disease.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
It is recommended taking Levocetirizine at night (with or without food); it will still last through the whole next day.
You should take the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not take a double dose to make up for a missed dose.
Keep your Levocetirizine tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Diphenhydramine, a generic form of Benadryl, is an oral antihistamine pill that helps with both nasal and eye-related symptoms caused by allergies. It may cause some drowsiness and is best taken at night. Take one pill once a day as needed. Be sure to follow the direction of your prescribing doctor.
For more information click here.
Diphenhydramine is an oral antihistamine which works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
Diphenhydramine is used to relieve runny nose; sneezing; and redness, itching, and tearing of the eyes caused by allergic rhinitis, seasonal allergies, and allergies to other substances such as dust mites, animal dander, and mold
Diphenhydramine may cause sleepiness.
- Do not drive, operate machinery, or do other dangerous activities until you know how Cetrizine affects you.
- Do not drink alcohol or take other medicines that may cause you to feel sleepy while using Cetirizine. It may make your sleepiness worse.
- Diphenhydramine should not be used in older adults, except to manage serious allergic reactions, because it is not as safe or effective as other medication(s) to treat your condition. If you are 65 years of age or older, talk to your doctor about the risks and benefits of taking this medication.
Common side effects of Diphenhydramine include:
- dry mouth, nose, and throat
- drowsiness
- dizziness
- nausea
- vomiting
- loss of appetite
- constipation
- increased chest congestion
- headache
- muscle weakness
- excitement
- nervousness
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If you experience vision problems,
- If you experience difficulty urinating or painful urination
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Diphenhydramine.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you have or have ever had asthma or kidney or liver disease.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
- If you have or have ever had asthma, emphysema, chronic bronchitis, or other types of lung disease; glaucoma (a condition in which increased pressure in the eye can lead to gradual loss of vision); ulcers; difficulty urinating (due to an enlarged prostate gland); heart disease; high blood pressure; seizures; or an overactive thyroid gland.If you will be using the liquid, tell your doctor if you have been told to follow a low-sodium diet.
- If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Diphenhydramine.
Diphenhydramine is usually taken every 4 to 6 hours.
Keep your Diphenhydramine tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Ketotifen, a generic form of Zaditor, is an antihistamine eye drop that helps with eye-related symptoms caused allergies. Put one drop in each eye up to twice a day. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Ketotifen eye drops are for use in the eyes only. Ketotifen is an antihistamine which works by blocking the action of histamine, a substance in the body that causes allergic symptoms.
If you wear contact lenses, you should remove them before using Ketotifen, and then put them back in 10 minutes later.
Common side effects of Ketotifen include:
- headache
- runny nose
- burning or stinging of the eye
- eye discharge
- dry eyes
- eye pain
- eyelid problems
- itching
- problem with tear production
- blurred vision
- sensitivity to light
- rash
- flu-like symptoms
- sore throat
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Ketotifen.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
- Make sure you wash your hands before use.
- Apply 1 drop to the affected eye(s) twice a day (every 8 to 12 hours).
- Make sure the tip of the dropper does not touch any surface to avoid contamination.
You should instill the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not instill a double dose to make up for a missed dose.
Keep your Ketotifen tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Budesonide, a generic form of Rhinocort, is a corticosteroid nasal spray that helps with both nose and eye-related symptoms. Take 2 sprays in each nostril once daily. Once your allergy symptoms improve, reduce to 1 spray in each nostril daily. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Budesonide nasal spray is for use in the nose only. Budesonide is a corticosteroid and works by blocking the release of certain natural substances that cause allergy symptoms.
Budesonide is used to relieve runny nose; sneezing; and redness, itching, and tearing of the eyes caused by allergic rhinitis and seasonal allergies. Your symptoms may begin to improve 1 to 2 days after you first use Budesonide, but it may take up to 2 weeks before you feel the full benefit of Budesonide.
Common side effects of Budesonide include:
- dryness, stinging, burning or irritation in the nose
- tiredness
- weakness
- vomiting
- nausea
- joint or muscle pain
- nosebleeds
Make sure you tell your healthcare provider if these symptoms are severe and do not go away.
- If you experience vision problems, fever, sore throat, chills, cough, and other signs of infection
- If you experience whistling sound from the nose
- If you experience hives, rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- If you experience hoarseness, wheezing, chest tightening, difficulty breathing or swallowing, white patches in the throat, mouth, or nose
Make sure you tell your Cleared allergy specialist:
- If you are allergic to any of the ingredients in Budesonide.
- If you are taking any prescription or nonprescription medications, including any vitamins, nutritional supplements and herbal products you are taking or plan to take.
- If you are pregnant, plan to become pregnant, or are breast-feeding.
Before using for the first time, or after a period of non-use (3 days or more), make sure you shake well and release 4 sprays or more into the air until a fine mist appears.
Spray in each nostril, two times daily.
You should take the missed doses as soon as possible, however, if it is almost time for the next dose, skip the missed dose and then continue with your regular dosing schedule. You should not take a double dose to make up for a missed dose.
Keep your Budesonide tightly closed in the container it comes in, and out of reach of children. Store the container at room temperature and away from excess heat and moisture (so not in the bathroom).
Saline Nasal Spray is a non-drowsy nasal spray that helps with both nasal and eye-related symptoms caused by allergies. This spray cleans out your nose of the allergens that can cause irritation and allergies of the nose. Spray in each nostril as prescribed. Allergy treatment is most effective when taken everyday, but be sure to follow the direction of your prescribing doctor.
For more information click here.
Orders, shipping, & tracking
It typically takes us 24 hours to process your order. As soon as your order has shipped, we will send you a shipping confirmation email.
We’ll send you an email with a tracking number as soon as your order ships. If you don’t receive tracking information within 48 hours of placing your order, please email us at info@getcleared.com with your name and order number.
If you do not receive your order within the delivery time frame, please email us at info@getcleared.com with your name and order number. One of our representatives will look into where your package is and get back to you.
If you accidentally inputted the wrong shipping address, please email us at info@getcleared.com within 24 hours. Send us your name, order number, and correct address and we will update your shipping address and make sure your order gets to you.
Yes, we do ship our supplements internationally, but we do not ship our medications internationally. International shipping rates vary and you can find out how much shipping will cost to you by inputting the international address at checkout.
We offer free expedited shipping on all orders over $35.
Payments & Refunds
Refunds & Returns: All purchases of Cleared products are final unless the item is damaged or defective. We don’t refund prescription treatments or opened medications for regulatory reasons, as once they are packaged for you, they legally cannot be used for another patient. Similarly, our pharmacy's regulations prohibit the return of prescription medications for reimbursement.
Exchanges: With that said, we want you to receive high-quality products that are ready to use. That means we will replace items if they are defective or damaged. If you need to exchange it for the same item, send us an email at info@getcleared.com, and we'll coordinate with you how to exchange your order if applicable.
You can view our full Refund and Return Policy here.
Once we approve your refund request, you’ll receive an email notification. Refunds typically take 2-3 business days to process and show up on your original method of payment.
If you placed an order by mistake, please email info@getcleared.com with your name and order confirmation number within 24 hours of placing your order.
If you accidentally forgot to input a discount code, email us at info@getcleared.com with your name, order number, and the discount code you’d like for us to apply to your order. Requests to apply a discount code retroactively must be made within 24 hours of placing the order.
We get that life is busy and mistakes happen. Email us at info@getcleared.com with your name, order number, and information on the promotion you missed within 24 hours of placing your order. We will do our best to accommodate your request.
Skin prick testing & first dose observations (FDOs)
A skin prick test, also called a puncture or scratch test, checks for immediate allergic reactions to different environmental triggers like dust mites, animal dander and pollen (grass, ragweed and tree pollen). In adults, the test is usually done on the forearm. Children may be tested on the upper back. A disposable device is used to prick the surface of your skin with a small amount of the allergen. The test is read in approximately 15 minutes. If you are allergic to a particular allergen, an itchy “wheal,” or swollen bump like a bug bite, will be at the prick site. The reaction typically fades over an hour but can last for 2-5 days much like a mosquito bite.
It is a quick test but may cause some discomfort. If you are positive to multiple allergens your arm can be itchy for 1-5 days. But taking an antihistamine after testing will help resolve these reactions quickly; You can also apply a small amount of an over the counter steroid cream like hydrocortisone and apply that directly to the area that is itchy to help with the any symptoms you are having.
The test placement is very quick. Once the test is placed you will have to wait for 15 minutes for the test to be read because we need to allow for the allergens to cause a reaction on your skin to indicate that you are allergic.
Certain medications and supplements can interfere with the skin test. These include antihistamine pills, nasal sprays and eye drops that are used to treat allergy symptoms. Antihistamines can also be found in cold and cough medications, antidepressants and heartburn medications. These medications must be avoided for 5 to 7 days prior to the allergy test to ensure reliable results. Please refer to this list and stop any of these medication for at least 5 days prior to your allergy test appointment.
STOP these medications 7 days prior to testing:
- loradatine (Claritin)
- fexofenadine (Allegra)
- cetirizine (Zyrtec)
- desloratadine (Clarinex)
- levocetirizine (Xyzal)
- hydroxyzine (Vistaril, Atarax)
- cyproheptadine (Periactin)
- diphenhydramine (Benadryl)
- brompheniramine (Actifed, Dimetapp)
- chlorpheniramine (Chlortrimeton)
- dexchlorpheniramine (Polarmine)
- clemastine (Tavist, Antihist)
- Any “PM” medications such as Tylenol PM, Advil PM, Nyquil
- quercetin
STOP these medications 3 days prior to testing
- azelastine (Astelin, Astepro, Dymista)
- olopatadine (Patanase, Pataday, Patanol, Pazeo)
- ranitidine (Zantac)
- famotidine (Pepcid)
- metoclopramide (Reglan)
- cimetidine (Tagamet)
- nizatidine (Axid)
- Nettle
If you are allergic to dust mite, ragweed or grass then you may be a candidate for sublingual immunotherapy, or SLIT. The first dose of SLIT is taken in the allergist’s office where you will be monitored for 30 minutes. The monitoring ensures you do not have a severe reaction and to help teach you what to do for any mild reactions, such as itching of the mouth or throat. Subsequent doses can be taken at home according to the instructions as long as your epinephrine autoinjector is with you.
Testing will take approximately 20 minutes from start to finish and then you will need an additional 30-minutes for monitoring. We anticipate that the whole visit will take 60-75 minutes.
Epinephrine autoinjector will be prescribed to you when you are on sublingual immunotherapy. Epinephrine is a medication used to treat an infrequent reaction to the medication called anaphylaxis. Anaphylaxis occurs when your body has an allergic reaction to the medication which can cause trouble breathing, face or throat swelling, severe stomach pain or severe generalized hives. If you are having this reaction then you will need to use your epinephrine autoinjector. Instructions on how to use your epinephrine autoinjector will be available once the medication is prescribed. There are different devices that may be covered by your insurance and we will review the instructions for your particular device once it is prescribed.
Supplement storage & shelf life
Cleared products will last the longest if you store them at or near room temperature in a dry location. Remember to zip your lozenge bag back up to keep humidity out.
Our lozenges have a shelf life of 18 months from the date they were made. Each bag has an expiration date stamped on the back.
Our shot/drinks have a shelf life of 12 months from the date they were made. Each shot/drink has an expiration date stamped on the bottom of the bottle.
We recommend you drink the entire bottle within 24 hours of opening it. Please recycle your opened bottles within 48 hours of breaking the initial seal.
Subscriptions
You can cancel any of your treatment subscriptions on your portal at any time under the 'Orders' tab. You can pause or modify your treatment subscriptions at any time by emailing us at support@getcleared.com.
You can pause or modify your treatment subscriptions at any time by emailing us at support@getcleared.com.
You can change the quantity of prescribed treatment subscriptions any time by emailing us at support@getcleared.com.
You can change the delivery frequency of your prescribed treatment subscriptions any time by emailing us at support@getcleared.com.
You can cancel any of your treatment subscriptions on your portal at any time under the 'Orders' tab. You can pause or modify your treatment subscriptions at any time by emailing us at support@getcleared.com.
Telehealth
Cleared currently works with independent doctors with licenses in all 50 states.
No, at this time we are not available to take consults for patients outside of the US.
Yes. The recommendations you receive are always made directly by a US-licensed physician who acts independently in their assessment of your health needs, ensuring no bias and quality of care, with your health and safety as the number one priority.
We respect your need for online privacy and protect any Personal Information that you may share with us, in an appropriate manner. Any sensitive health information you provide during your online visit is stored with our HIPAA-Compliant EHR, CharmHealth, run by MedicalMine. MedicalMine is a Business Associate as defined under the administrative simplification provisions of the Health Insurance Portability and Accountability Act of 1996 and its privacy and security regulations (HIPAA), and under the privacy and security provisions of the Health Information Technology for Economic and Clinical Health Act of 2009 (the HITECH Act). MedicalMine's servers and infrastructure are hosted at Tier 3 Plus data centers equipped with latest technology to securely house sensitive data. We have put in place elaborate security processes to ensure utmost security and privacy of health care information. MedicalMine follows very strict and standardized practices in areas of Access Controls, Network Security, Physical Security, Information Security, Application Security, Operations Security and Business Continuity. In addition, all communications between users' browser and MedicalMine applications are encrypted using Secure Socket Layer (SSL). For more information on the privacy of your information, visit: https://www.charmhealth.com/privacy-policy.html or https://getcleared.com/disclaimer/privacy-policy
Yes, a licensed physician can prescribe medication online so long as they are licensed to practice in the same state as the patient they are treating. We only pair you with doctors licensed in your state.
Social / environmental stewardship questions