{"adverse_reactions":["ADVERSE REACTIONS 1. Local Reactions If a severe local reaction occurs during scratch, prick or puncture testing, WIPE OFF test antigen. Large, persistent local reactions or minor exacerbations of the patient's allergic symptoms may be treated by local cold applications and/or the use of oral antihistamines, but they should be considered a warning of possible severe systemic reactions. 2. Systemic Reactions With careful attention to dosage and administration, such reactions occur infrequently, but it must be remembered that allergenic extracts are highly potent in sensitive individuals and OVERDOSE could result in anaphylactic symptoms. Therefore, it is imperative that physicians administering allergenic extracts understand and be prepared for the treatment of severe reactions. Adverse reaction frequency data for allergenic extract administration for testing and treatment show that risk is low. 7, 8 It cannot be overemphasized that, under certain unpredictable combinations of circumstances, anaphylactic shock is a possibility. Other possible systemic reaction symptoms include fainting, pallor, bradycardia, hypotension, angioedema, cough, wheezing, conjunctivitis, rhinitis and urticaria. If a systemic or anaphylactic reaction does occur, WIPE OFF test antigen, apply a tourniquet above the site of injection, if tests are performed on the arms, and inject the 1:1,000 epinephrine-hydrochloride intramuscularly or subcutaneously into the opposite arm. Loosen the tourniquet at least every 10 minutes. Do not obstruct arterial blood flow with the tourniquet. EPINEPHRINE: ADULT DOSAGE: 0.3 to 0.5 mL should be injected. Repeat in 5 to 10 minutes if necessary. PEDIATRIC DOSAGE : The usual initial dose is 0.01 mg (mL) per kg body weight or 0.3 mg (mL) per square meter of body surface area. Suggested dosage for infants to 2 years of age is 0.05 mL to 0.1 mL; for children 2 to 6 years, 0.15 mL; and children 6 to 12 years, 0.2 mL. Single pediatric doses should not exceed 0.3 mg (mL). Doses may be repeated as frequently as every 20 minutes, depending on the severity of the condition and the response of the patient. After administration of epinephrine, profound shock or vasomotor collapse should be treated with intravenous fluids, and other appropriate drugs. Oxygen should be given by mask. Intravenous antihistamine, theophylline or corticosteroids may be used if necessary after adequate epinephrine and circulatory support have been given. Emergency resuscitation measures and personnel trained in their use should be available immediately in the event of a serious systemic or anaphylactic reaction not responsive to the above measures (Ref. J. Allergy Clin. Immunol. 77 (2): 271-273, 1986). Rarely are all of the above measures necessary; the tourniquet and epinephrine usually produce prompt responses. However, the physician should be prepared in advance for all contingencies. Promptness in beginning emergency treatment measures is of utmost importance."],"boxed_warning":["WARNINGS This product is intended for use only by physicians who are experienced in the use of allergenic extracts, or for use under the guidance of an allergist. Allergenic extracts may potentially elicit a severe life threatening systemic reaction, rarely resulting in death. 7 Therefore, emergency measures and personnel trained in their use must be available immediately in the event of such a reaction. Patients should be instructed to recognize adverse reaction symptoms and cautioned to contact the physician's office if symptoms occur. Patients on non-selective beta blockers may be more reactive to allergens given for testing or treatment and may be unresponsive to the usual doses of epinephrine used to treat allergic reactions. This product should never be injected intravenously. Refer also to the WARNINGS , PRECAUTIONS , and ADVERSE REACTIONS Sections for further discussion."],"carcinogenesis_and_mutagenesis_and_impairment_of_fertility":["4. Carcinogenesis, mutagenesis, Impairment of Fertility Long-term studies in animals have not been conducted with allergenic extracts to determine their potential for carcinogenicity, mutagenicity or impairment of fertility."],"clinical_pharmacology":["CLINICAL PHARMACOLOGY Allergenic extracts for scratch, prick or puncture testing, used according to the DOSAGE AND ADMINISTRATION section, produce erythema or erythema and wheal reactions in patients with significant IgE-mediated sensitivity to the relevant allergen. This allergic inflammatory response, although not completely understood, is thought to begin with reaction of antigen with IgE on the surface of basophils or mast cells, which initiates a series of biochemical events resulting in the production of histamine and other mediators. These, in turn, produce the immediate-type \"wheal and flare\" skin reaction."],"contraindications":["CONTRAINDICATIONS There are no known absolute contraindications to allergy skin testing. Patients with cardiovascular diseases or pulmonary diseases such as symptomatic asthma, and/or who are receiving cardiovascular drugs such as beta blockers, may be at higher risk for severe adverse reactions. These patients may also be more refractory to the normal anaphylaxis treatment regimen."],"description":["DESCRIPTION Sterile extracts for scratch, prick or puncture testing are supplied in dropper vials containing, in addition to the extract allergens and antigens, 50% (v/v) glycerin as preservative, 0.5% sodium chloride and 0.275% sodium bicarbonate. The strength of these extracts may be expressed in terms of Weight to Volume (w/v) Protein Nitrogen Units/mL (PNU/mL) Allergy Units/mL (AU/mL) Bioequivalent Allergy Units/mL (BAU/mL) Concentrate 1. Weight to volume (w/v). For regular extracts this describes the extraction ratio, i.e., the amount of crude allergen added to the extracting fluid. A 1:10 extract, therefore, indicates that the solution contains the extracted material from one gram of raw material added to each 10 mL of extracting fluid. The amount and composition of extracted materials will vary with the kind of antigen, the extracting fluid, duration of extraction, pH, temperature, and other variables. AP™ (acetone precipitated) extracts, if present, are prepared by reconstituting dry, allergenically active concentrates produced by precipitation process from extracts of raw materials. For those AP™ extracts labeled on a weight per volume (w/v) basis, the strength designation indicates the dry weight of finished (acetone) precipitate per volume of reconstituting fluid. For example, 1:50 (w/v) means that each gram of dry precipitate obtained from the original extract is reconstituted in 50 mL of solution. 2. Protein Nitrogen Units per mL (PNU/mL). One protein nitrogen unit represents 0.00001 mg phosphotungstic acid-precipitable protein nitrogen dissolved in one mL of antigen extract. The PNU content of extracts of the same antigen may vary according to the method of measuring the PNU. Thus, the PNU content of extracts from different manufacturers is not comparable unless the PNU method is known to be the same and reproducible from lot to lot. Also, the amount of protein nitrogen extracted from an antigen is influenced by the same variables as the weight to volume extract. Allergenic materials make up a variable proportion of the total protein of an extract. 3. Allergy Units per mL (AU/mL) . The potency of extracts labeled in Allergy Units per mL (AU/mL) is determined by in vitro comparison to a reference standard established by the Center for Biologics Evaluation and Research (CBER) of the Food and Drug Administration (FDA). 4. Bioequivalent Allergy Units per mL (BAU/mL). When originally licensed, the Reference Preparations for standardized extracts were arbitrarily assigned 100,000 Allergy Units (AU)/mL. Subsequently, quantitative skin testing by the ID 50 EAL method 13 was used to determine that some Reference Preparations should be assigned 10,000 AU/mL, and others 100,000 AU/mL. To avoid possible confusion about this change in the method of allergy unit assignment, the nomenclature is being changed for standardized extracts whose allergy units are assigned based on quantitative skin testing, and such products will be labeled in Bioequivalent Allergy Units (BAU)/mL. References labeled 10,000 BAU/mL can be diluted one to a half million fold, and references labeled 100,000 BAU/mL can be diluted one to 5 million fold and produce a sum of erythema diameter of 50 mm when Intradermal testing highly reactive subjects. 5. Concentrate. Concentrate label terminology applies to allergenic extract mixtures, where the individual allergens being combined vary in strength or the designation of strength."],"dosage_and_administration":["DOSAGE & ADMINISTRATION 1. General Parenteral Drug Products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit. 2. Scratch, Prick or Puncture Testing Methods There are two general methods of skin testing. (1) The skin is scarified first, and the extract is then applied. (2) A drop of extract is put onto the skin, and a prick or puncture is made through the drop. Avoid touching tip of dropper to skin. Either method is satisfactory, but the second requires that the instrument be cleansed between tests or that separate needles be used. The extracts for scratch, prick or puncture testing are supplied in dropper vials and should be kept in a rack or box in rows of 10 vials corresponding to the rows of tests to be applied to the skin. All skin tests should be validated by appropriate positive control tests (e.g., histamine) and negative control tests (e.g., Glycerin, Albumin Saline with Phenol (0.4%), or Buffered Saline with Phenol). The negative control test should be the same material as is used as a diluting fluid in the tested extracts. Diluting fluid is used in the same way as an active test extract. Test sites should be examined at 15 and 30 minutes. To prevent excessive absorption, wipe off antigens producing large reactions as soon as the wheal appears. Record the size of the reaction. Delayed reactions may rarely occur from tests, so it may be helpful to examine the test sites in 24 hours. Use of Scarifiers and Spacing . Make scarifications at least 2.5 cm apart. Use more space between pollen tests to prevent smearing into adjacent sites. Hold the scarifier between the thumb and index finger, press the sharp edge of the instrument against the skin and twirl instrument rapidly. The scratch should disrupt only the outer layers of epidermis but should not produce immediate oozing of blood. The amount of pressure needed to produce a satisfactory scratch will vary between patients according to the thickness or fragility of their skin. Experience will indicate the proper amount of pressure to exert in making the scratch. If the scarifier is kept sharp and the scratch made quickly, discomfort to the patient is minimized. Use of Prick Test Needles . The skin is cleaned and single drops of each extract applied to the properly identified test sites. A small, sterile disposable needle, such as a 1/2-inch 26 gauge needle (with the bevel up), a bifurcated vaccinating needle, or a Prick Lancetter™ is inserted through the drop superficially into the skin, the skin lifted slightly and the needle withdrawn. No bleeding should be produced. After about 1 minute the extract may be wiped away. 3. Most Satisfactory Sites for Testing Prior to testing, clean the skin area to be tested with ether or alcohol and allow to dry. Use a sterile instrument for each patient. The back or the volar surface of the arms are the most satisfactory sites for testing. Skin of the posterior thighs or abdomen may be used if necessary. Avoid very hairy areas where possible, since the reactions will be smaller and more difficult to interpret. The most satisfactory areas of the back are from the posterior axillary fold to 2.5 cm from the spinal column, and from the top of the scapula to the lower rib margins. The best areas of the arms are the volar surfaces from the axilla to 2.5 or 5 cm above the wrist, skipping the anti-cubital space. 4. Use of Antigen Mixes The use of complicated mixes of unrelated pollens for testing is not recommended since in the case of a positive reaction, it does not indicate which pollen(s) are responsible, and in the case of a negative reaction, it fails to indicate whether the individual pollens at full concentration would give a positive reaction. 5. Reading Skin Test Reactions A positive reaction consists of an urticarial wheal with surrounding erythema (resembling somewhat a mosquito bite reaction) larger than the control site. The smallest reaction considered positive is erythema with a central papule at least 5 mm in diameter. In some instances with no reaction at the control site, erythema may be considered an indication of sensitivity. In general, the size of wheal and erythema response correlates directly with the patient’s sensitivity to that allergen. Standardized Products (a) Mites : The skin test concentration of 30,000 AU/mL in dropper vials is used for scratch, prick or puncture testing. Puncture tests performed on 12 highly sensitive subjects showed the following: Species Mean Sum of Wheal ± Std. Dev. (mm) Mean Sum of Erythema ± Std. Dev. (mm) D. farinae 22.4 ± 10.7 82.2 ± 21.7 D. pteronyssinus 24.0 ± 9.9 89.3 ± 24.5 The sum of a skin response is the sum of the longest diameter and the mid-point orthogonal diameter. (b) Cat Hair and Cat Pelt : The skin test concentration of 10,000 BAU/mL (10-19.9 Fel d 1 Units/mL) in dropper vials is used for prick or puncture testing. Puncture tests performed on 15 highly sensitive subjects showed the following: Product Mean Sum of Wheal ± Std. Dev (mm) Mean Sum of Erythema ± Std. Dev (mm) Standardized Cat Hair 15.1 ± 3.8 73.3 ± 14.3 Standardized Cat Pelt 13.9 ± 4.3 67.3 ± 13.3 The sum of a skin response is the sum of the longest diameter and the mid-point orthogonal diameter. (c) Ragweed pollen (Short Ragweed or Giant and Short Ragweed Mixture) Antigen E Assayed: Short Ragweed extract at 1:20 w/v in 50% glycerin containing approximately 100 to 300 units of Antigen E/mL or Giant and Short Ragweed Mix at 1:20 w/v in 50% glycerin containing approximately 50 to 150 units of Antigen E/mL are usually used for scratch, prick or puncture testing. Refer to the following table to determine the skin test sensitivity grade. The corresponding ∑E (sum of the longest diameter and the mid-point orthogonal diameters of erythema) is also presented. Grade Erythema mm Papule or Wheal mm Corresponding mm ∑E 0 <5 <5 <10 ± 5-10 5-10 10-20 1+ 11-20 5-10 20-40 2+ 21-30 5-10 40-60 3+ 31-40 10-15 (a) 60-80 4+ >40 >15 (b) >80 (a) or with pseudopods (b) or with many pseudopods A positive skin reaction to any allergen must be interpreted in light of the patient’s history of symptoms, time of the year, known exposures, and eating habits. THE SKIN TESTS ARE IN NO WAY A SUBSTITUTE FOR A CAREFUL ALLERGIC HISTORY. THEY SERVE AS ADDITIONAL INFORMATION TO AID IN IDENTIFYING CAUSATIVE ALLERGENS IN PATIENTS WITH ALLERGIC DISORDERS. 6. Geriatric Use The dose is the same in patients of all age groups. Because the wheal size in response to allergen skin testing decreases with age, appropriate histamine positive control skin tests must be performed. 1 7. Pediatric Use The dose is the same in patients of all age groups. Wheal size in response to allergen skin testing can be smaller in infants than in adults. Appropriate histamine positive control skin tests must be performed. 1"],"dosage_and_administration_table":["<table ID=\"ib2a9346b-0e1f-4b69-82f4-2cf5942833c5\" border=\"1\" cellspacing=\"1\" width=\"432\"> <thead> <tr> <th> Species  </th> <th>Mean Sum of Wheal &#xB1; Std. Dev. (mm)  </th> <th>Mean Sum of Erythema &#xB1; Std. Dev. (mm)  </th> </tr> </thead> <tbody> <tr> <td>D. farinae  </td> <td>22.4 &#xB1; 10.7  </td> <td>82.2 &#xB1; 21.7  </td> </tr> <tr> <td>D. pteronyssinus  </td> <td>24.0 &#xB1; 9.9  </td> <td>89.3 &#xB1; 24.5</td> </tr> </tbody> </table>","<table ID=\"i65e7e95f-07b3-4e32-8adc-a52958288175\" border=\"1\" cellspacing=\"1\" width=\"428\"> <thead> <tr> <th> Product  </th> <th>Mean Sum of Wheal &#xB1; Std. Dev (mm)  </th> <th>Mean Sum of Erythema &#xB1; Std. Dev (mm)  </th> </tr> </thead> <tbody> <tr> <td>Standardized  Cat Hair  </td> <td>15.1 &#xB1; 3.8  </td> <td>73.3 &#xB1; 14.3  </td> </tr> <tr> <td>Standardized Cat Pelt  </td> <td>13.9 &#xB1; 4.3  </td> <td>67.3 &#xB1; 13.3</td> </tr> </tbody> </table>","<table border=\"1\" width=\"65%\" ID=\"i0a3943f8-2b60-4a3a-8602-7cd1cf044d08\"> <tbody> <tr> <td>Grade  </td> <td>Erythema mm  </td> <td>Papule or Wheal mm  </td> <td>Corresponding mm &#x2211;E  </td> </tr> <tr> <td>0  </td> <td>&lt;5  </td> <td>&lt;5  </td> <td>&lt;10  </td> </tr> <tr> <td>&#xB1;</td> <td>5-10  </td> <td>5-10  </td> <td>10-20  </td> </tr> <tr> <td>1+  </td> <td>11-20  </td> <td>5-10  </td> <td>20-40  </td> </tr> <tr> <td>2+  </td> <td>21-30  </td> <td>5-10  </td> <td>40-60  </td> </tr> <tr> <td>3+  </td> <td>31-40  </td> <td>10-15 (a)  </td> <td>60-80  </td> </tr> <tr> <td>4+  </td> <td>&gt;40  </td> <td>&gt;15 (b)  </td> <td>&gt;80  </td> </tr> </tbody> </table>"],"drug_interactions":["3. Drug Interactions Patients on non-selective beta blockers may be more reactive to allergens given for testing or treatment and may be unresponsive to the usual doses of epinephrine used to treat allergic reactions. 6 Certain medications may lessen the skin test wheal and erythema responses elicited by allergens and histamine for varying time periods. Conventional antihistamines should be discontinued at least 5 days before skin testing. Long acting antihistamines should be discontinued for at least 3 weeks prior to skin testing. 9 Topical steroids should be discontinued at the skin test site for at least 2-3 weeks before skin testing. 9, 10 Tricyclic antidepressants such as Doxepin should be withheld for at least 7 days before skin testing. 11 Topical local anesthetics may suppress the flare responses and should be avoided in skin test sites. 12"],"effective_time":"20090601","general_precautions":["1. General Always have injectable epinephrine and a tourniquet available when tests are being made. (See ADVERSE REACTION section.) Generally 50 to 60 scratch, prick or puncture tests can be applied safely at one sitting. Patients whose history suggests severe sensitivity should have only 5 to 10 tests applied at a time and these tests applied to the volar surface of one arm. These tests should not all be of the same type of antigen; that is, all grass pollens, all weed pollens, all danders, etc. One or two tests from several classes of antigens should be applied at a time. As soon as a large wheal begins to develop, wipe the antigen from it with a damp cotton sponge. After 10 minutes wipe off all the antigens with a damp cotton sponge, followed by a dry cotton sponge. Be careful not to wipe antigen from a positive reaction onto an adjacent test site."],"geriatric_use":["8. Geriatric Use Skin test wheal size decreases with age. The decrease in allergen-induced skin test reaction parallels that to histamine; therefore, appropriate positive skin test controls should always be performed. 1","6. Geriatric Use The dose is the same in patients of all age groups. Because the wheal size in response to allergen skin testing decreases with age, appropriate histamine positive control skin tests must be performed. 1"],"how_supplied":["HOW SUPPLIED In 5 mL dropper bottles of extract at 1:10 w/v excepting pollens at 1:20, AP™ extracts at 1:50 w/v, except AP™ Dog Hair-Dander at 1:100 w/v, AP™ House Dust at 20,000 PNU/mL, some mixes as Concentrate, and Standardized products at AU/mL (Mite extracts at 30,000 AU/mL) or BAU/mL (Cat Hair and Pelt extracts at 10,000 BAU/mL) value. Strengths are listed on product labels."],"id":"e4eebdf1-1ed9-4b1e-9461-cbcc0fab3c42","indications_and_usage":["INDICATIONS & USAGE Certain diagnostics carry labeling which states Allergenic Extract for Diagnostic Use Only . Data to support the therapeutic use of products labeled with this statement have not been established. 14 In addition to a carefully taken history, the use of glycerin-containing extracts in scratch, prick or puncture testing is an accepted method in the diagnosis of allergic conditions. 1, 2, 3 Extracts of all allergens do not produce equivalent results in scratch, prick or puncture tests. The intensity of the skin reactions produced will be determined by two factors: the degree of sensitivity of the patient, and the nature of the allergenic extract applied. Scratch, prick or puncture tests are not as sensitive as the intradermal test, but are safer and cause less discomfort. They may, therefore, be the method of choice when a large number of tests are needed, or when testing the pediatric patient. In some cases, where the relatively insensitive scratch, prick or puncture tests are negative or do not confirm the allergic history, follow-up intradermal tests may be positive. However, ANTIGENS PRODUCING LARGE 3 to 4+ SCRATCH, PRICK OR PUNCTURE TESTS SHOULD NOT BE TESTED INTRADERMALLY."],"information_for_patients":["2 Information for Patients Patients should be instructed in the recognition of adverse reactions to diagnostic testing. Patients should be made to understand the importance of a 30 minute observation period, and be warned to return to the office promptly if symptoms occur after leaving."],"nursing_mothers":["6. Nursing Mothers There are no current studies on secretion of the allergenic extract components in human milk or effect on the nursing infant. Because many drugs are excreted in human milk, caution should be exercised when allergenic extracts are administered to a nursing woman."],"openfda":{},"overdosage":["OVERDOSAGE See ADVERSE REACTIONS Section."],"pediatric_use":["7. Pediatric Use Wheal sizes in response to allergen skin testing can be smaller in infants than in adults. The skin response to histamine parallels that for allergens; therefore, appropriate positive control skin tests should always be performed. 1","7. Pediatric Use The dose is the same in patients of all age groups. Wheal size in response to allergen skin testing can be smaller in infants than in adults. Appropriate histamine positive control skin tests must be performed. 1"],"precautions":["PRECAUTIONS 1. General Always have injectable epinephrine and a tourniquet available when tests are being made. (See ADVERSE REACTION section.) Generally 50 to 60 scratch, prick or puncture tests can be applied safely at one sitting. Patients whose history suggests severe sensitivity should have only 5 to 10 tests applied at a time and these tests applied to the volar surface of one arm. These tests should not all be of the same type of antigen; that is, all grass pollens, all weed pollens, all danders, etc. One or two tests from several classes of antigens should be applied at a time. As soon as a large wheal begins to develop, wipe the antigen from it with a damp cotton sponge. After 10 minutes wipe off all the antigens with a damp cotton sponge, followed by a dry cotton sponge. Be careful not to wipe antigen from a positive reaction onto an adjacent test site. 2 Information for Patients Patients should be instructed in the recognition of adverse reactions to diagnostic testing. Patients should be made to understand the importance of a 30 minute observation period, and be warned to return to the office promptly if symptoms occur after leaving. 3. Drug Interactions Patients on non-selective beta blockers may be more reactive to allergens given for testing or treatment and may be unresponsive to the usual doses of epinephrine used to treat allergic reactions. 6 Certain medications may lessen the skin test wheal and erythema responses elicited by allergens and histamine for varying time periods. Conventional antihistamines should be discontinued at least 5 days before skin testing. Long acting antihistamines should be discontinued for at least 3 weeks prior to skin testing. 9 Topical steroids should be discontinued at the skin test site for at least 2-3 weeks before skin testing. 9, 10 Tricyclic antidepressants such as Doxepin should be withheld for at least 7 days before skin testing. 11 Topical local anesthetics may suppress the flare responses and should be avoided in skin test sites. 12 4. Carcinogenesis, mutagenesis, Impairment of Fertility Long-term studies in animals have not been conducted with allergenic extracts to determine their potential for carcinogenicity, mutagenicity or impairment of fertility. 5. Pregnancy 4,5 Pregnancy Category C . Animal reproduction studies have not been conducted with allergenic extracts. It is also not known whether allergenic extracts can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Allergenic extracts should be given to a pregnant woman only if clearly needed. 6. Nursing Mothers There are no current studies on secretion of the allergenic extract components in human milk or effect on the nursing infant. Because many drugs are excreted in human milk, caution should be exercised when allergenic extracts are administered to a nursing woman. 7. Pediatric Use Wheal sizes in response to allergen skin testing can be smaller in infants than in adults. The skin response to histamine parallels that for allergens; therefore, appropriate positive control skin tests should always be performed. 1 8. Geriatric Use Skin test wheal size decreases with age. The decrease in allergen-induced skin test reaction parallels that to histamine; therefore, appropriate positive skin test controls should always be performed. 1"],"pregnancy":["5. Pregnancy 4,5 Pregnancy Category C . Animal reproduction studies have not been conducted with allergenic extracts. It is also not known whether allergenic extracts can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Allergenic extracts should be given to a pregnant woman only if clearly needed."],"references":["REFERENCES 1. Middleton, Elliott, Jr., C.E. Reed and E.F. Ellis (Eds.) Allergy Principles and Practice. Fourth Edition, Vol. 1. C.V. Mosby. 1993. 2. Sheldon, J.M., R.G. Lovell and K.P. Mathews. A Manual of Clinical Allergy. W.B. Saunders. 1967. 3. Tuft, L. and H.L. Mueller. Allergy in Children. W.B. Saunders. 1970. 4. DuBuske, L.M., C.J. Ling and A.L. Sheffer. Special problems regarding allergen immunotherapy. Immunol. Allergy Clin. North Am. (USA). 12(1): 145-175, 1992. 5. Weinstein, A.M., B.D. Dubin, W.K. Podleski, S.L. Spector and R.S. Farr. Asthma and pregnancy. JAMA. 124(11): 1161-1165, 1979. 6. Jacobs, Robert L., Geoffrey W. Rake, Jr., et.al. Potentiated anaphylaxis in patients with drug-induced beta-adrenergic blockade. J. Allergy Clin. Immunol. 68(2): 125-127. August 1981. 7. Lockey, Richard F., Linda M. Benedict, Paul C. Turkeltaub, Samuel C. Bukantz. Fatalities from immunotherapy (IT) and skin testing (ST). J. Allergy Clin. Immunol. 79(4): 660-677, 1987. 8. Turkeltaub, Paul C., MD, and Peter J. Gergen, MD. The risk of adverse reactions from percutaneous prick-puncture allergen skin testing, venipuncture, and body measurements: Data from the second National Health and Nutrition Examination Survey 1976-80 (NHANES II). J. Allergy Clin. Immunol. 84(6): 886-890, Dec. 1989. 9. Pipkorn, Ulf. Pharmacological influence of anti-allergic medication on In Vivo allergen testing. Allergy. 43: 81-86, 1988. 10. Andersson, M. and U. Pipkorn. Inhibition of the dermal immediate allergic reaction through prolonged treatment with topical glucocorticosteroids. J. Allergy Clin. Immunol. 79 (2): 345-349. February 1987. 11. Rao, Kamineni S., et al. Duration of suppressive effect of tricyclic anti-depressants on histamine induced wheal and flare reactions on human skin. J. Allergy Clin. Immunol. 82: 752-757, November 1988. 12. Pipkorn, Ulf, and M. Andersson. Topical dermal anesthesia inhibits the flare but not the wheal response to allergen and histamine in the skin prick test. Clin. Allergy. 17: 307-311, 1987. 13. Turkeltaub, Paul C., Suresh, C. Rastogi, Harold Baer. Office of Biologics Research and Review skin test method for evaluation of subject sensitivity to standardized allergenic extracts and for assignment of allergy units to reference preparations using the ID 50 EAL method (Intradermal Dilution for 50 mm Sum of Erythema Determines the Allergy Unit). Methods of the Allergenic Products Branch Office of Biologics Research and Review, FDA, Bethesda, MD 20892. Revised May 9, 1986. 14. Food and Drug Administration. Biological products; Allergenic extracts classified in Category IIIB; Final order; Revocation of licenses. Federal Register. 59(220): 59228ff. November 16, 1994."],"set_id":"b528ac31-0e71-4373-87ff-04de1cdc109d","spl_product_data_elements":["Animal Allergens, AP Horse Hair and Dander AP Horse Hair and Dander Equus caballus hair Equus caballus hair Equus caballus dander Equus caballus dander glycerin sodium chloride sodium bicarbonate Animal Allergens, AP Cattle Hair and Dander Cattle Hair and Dander Bos taurus hair Bos taurus hair Bos taurus dander Bos taurus dander glycerin sodium chloride sodium bicarbonate Animal Allergens, AP Dog Hair and Dander Canis spp Animal Allergens, Dog Dander Canis spp Canis lupus familiaris hair Canis lupus familiaris hair Canis lupus familiaris dander Canis lupus familiaris dander glycerin sodium chloride sodium bicarbonate Animal Allergens, Dog Hair and Dander Canis spp. Dog Hair Canis spp. Canis lupus familiaris hair Canis lupus familiaris hair Canis lupus familiaris dander Canis lupus familiaris dander glycerin sodium chloride sodium bicarbonate Animal Allergens, Feather Mix Feather Mix Gallus gallus Feather Gallus gallus feather Anas platyrhynchos feather Anas platyrhynchos feather Anser anser feather Anser anser feather glycerin sodium chloride sodium bicarbonate Animal Allergens, Guinea Pig Hair and Dander Guinea Pig Hair and Dander Cavia porcellus hair Cavia porcellus hair Cavia porcellus dander Cavia porcellus dander glycerin sodium chloride sodium bicarbonate AP House Dust Mix AP House Dust Mix House Dust House Dust glycerin sodium chloride sodium bicarbonate Dust, House Mixture Dust, House Mixture House Dust House Dust glycerin sodium chloride sodium bicarbonate Food - Animal Products and Poultry Products, Beef Bovine spp. Beef Bovine spp. Beef Beef glycerin sodium chloride sodium bicarbonate Food - Animal Products and Poultry Products, Chicken Meat Gallus sp. Chicken Meat Gallus sp. Poultry Poultry glycerin sodium chloride sodium bicarbonate Food - Animal Products and Poultry Products, Egg, White Gallus sp. Egg, White Gallus sp. Egg White Egg White glycerin sodium chloride sodium bicarbonate Food - Animal Products and Poultry Products, Egg, Yolk Gallus sp. Egg, Yolk Gallus sp. Egg Yolk Egg Yolk glycerin sodium chloride sodium bicarbonate Food - Animal Products and Poultry Products, Pork Sus sp. Pork Sus sp. Pork Pork glycerin sodium chloride sodium bicarbonate Food - Dairy Products, Casein, Cow Milk Casein, Cow Milk Casein Casein glycerin sodium chloride sodium bicarbonate Food - Dairy Products, Milk, Whole Cow Milk, Whole Cow Cow Milk Cow Milk glycerin sodium chloride sodium bicarbonate Food - Fish and Shellfish, Clam Clam Clam Clam glycerin sodium chloride sodium bicarbonate Food - Fish and Shellfish, Codfish Gadus callarias Codfish Gadus callarias Codfish Codfish glycerin sodium chloride sodium bicarbonate Food - Fish and Shellfish, Crab Xiphosurus sowerbyi Crab Xiphosurus sowerbyi Crab Crab glycerin sodium chloride sodium bicarbonate Food - Fish and Shellfish, Lobster Homarus americanus Lobster Homarus americanus Lobster Lobster glycerin sodium chloride sodium bicarbonate Food - Fish and Shellfish, Salmon Salmo salar Salmon Salmo salar Salmon Salmon glycerin sodium chloride sodium bicarbonate Food - Fish and Shellfish, Shrimp Crago sp. Shrimp Crago sp. Shrimp Shrimp glycerin sodium chloride sodium bicarbonate Food - Fish and Shellfish, Tuna Thunnus sp. Tuna Thunnus sp. Tuna Tuna glycerin sodium chloride sodium bicarbonate Food - Plant Source, Almond Prunus amygdalus Almond Prunus amygdalus Almond Almond glycerin sodium chloride sodium bicarbonate Food - Plant Source, Apple Malus sp. Apple Malus sp. Apple Apple glycerin sodium chloride sodium bicarbonate Food - Plant Source, Banana Musa sapientum Banana Musa sapientum Banana Banana glycerin sodium chloride sodium bicarbonate Food - Plant Source, Brazil Nut Bertholletia excelsa Brazil Nut Bertholletia excelsa Brazil Nut Brazil Nut glycerin sodium chloride sodium bicarbonate Food - Plant Source, Carrot Daucus carota Carrot Daucus carota Carrot Carrot glycerin sodium chloride sodium bicarbonate Food - Plant Source, Cashew Nut Anacardium occidentalie Cashew Nut Anacardium occidentalie Cashew Cashew glycerin sodium chloride sodium bicarbonate Food - Plant Source, Celery Apium graveolens Celery Apium graveolens Celery Celery glycerin sodium chloride sodium bicarbonate Food - Plant Source, Corn Zea mays Corn Zea mays Corn Corn glycerin sodium chloride sodium bicarbonate Food - Plant Source, Hazelnut (Filbert) Corylus spp. Hazelnut (Filbert) Corylus spp. Hazelnut Hazelnut glycerin sodium chloride sodium bicarbonate Food - Plant Source, Melon, Cantaloupe Cucumis melo Cantaloupe Cucumis melo Cantaloupe Cantaloupe glycerin sodium chloride sodium bicarbonate Food - Plant Source, Orange Citrus sinensis Orange Citrus sinensis Orange Orange glycerin sodium chloride sodium bicarbonate Food - Plant Source, Pea, Green or English Pisum sativum Pea, Green or English Pisum sativum Pea Pea glycerin sodium chloride sodium bicarbonate Food - Plant Source, Peach Prunus persica Peach Prunus persica Peach Peach glycerin sodium chloride sodium bicarbonate Food - Plant Source, Peanut Arachis hypogaea Peanut Arachis hypogaea Peanut Peanut glycerin sodium chloride sodium bicarbonate Food - Plant Source, Pecan Carya illinoensis Pecan Carya illinoensis Pecan Pecan glycerin sodium chloride sodium bicarbonate Food - Plant Source, Potato, White Solanum tuberosum Potato, White Solanum tuberosum Potato Potato glycerin sodium chloride sodium bicarbonate Food - Plant Source, Rice, Whole Grain Rice, Whole Grain Rice Rice glycerin sodium chloride sodium bicarbonate Food - Plant Source, Rye Grain Rye Grain Rye Rye glycerin sodium chloride sodium bicarbonate Food - Plant Source, Soybean Glycine soja Soybean Glycine soja Soybean Soybean glycerin sodium chloride sodium bicarbonate Food - Plant Source, Strawberry Fragaria chiloensis Strawberry Fragaria chiloensis Strawberry Strawberry glycerin sodium chloride sodium bicarbonate Food - Plant Source, String Bean Mix String Bean Mix String Bean String Bean glycerin sodium chloride sodium bicarbonate Food - Plant Source, Tomato Nicotiana spp. Tomato Nicotiana spp. Tomato Tomato glycerin sodium chloride sodium bicarbonate Food - Plant Source, Walnut, Black Juglans nigra Walnut, Black Juglans nigra Black Walnut Black Walnut glycerin sodium chloride sodium bicarbonate Food - Plant Source, Yeast, Baker Saccharomyces cerevisiae Yeast, Baker Saccharomyces cerevisiae Yeast Yeast glycerin sodium chloride sodium bicarbonate Food - Plant Source, Yeast, Brewer Saccharomyces cerevisiae Yeast, Brewer Saccharomyces cerevisiae Yeast Yeast glycerin sodium chloride sodium bicarbonate Insects (whole body) cockroach mix Insects (whole body) cockroach mix Periplaneta americana Periplaneta americana Blatella germanica Blatella germanica glycerin sodium chloride sodium bicarbonate Insects (Whole Body), Ant, Fire Solenopsis Invicta Ant, Fire Solenopsis Invicta Solenopsis invicta Solenopsis invicta glycerin sodium chloride sodium bicarbonate Insects (Whole Body), Ant, Fire Solenopsis richteri Ant, Fire Solenopsis richteri Solenopsis richteri Solenopsis richteri glycerin sodium chloride sodium bicarbonate Insects (whole body), Fire Ant Mix Insects (whole body), Fire Ant Mix Solenopsis richteri Solenopsis richteri Solenopsis invicta Solenopsis invicta glycerin sodium chloride sodium bicarbonate Molds - Alternaria/Hormodendrum Mix Molds - Alternaria/Hormodendrum Mix Alternaria alternata Alternaria alternata Cladosporium cladosporioides Cladosporium cladosporioides glycerin sodium chloride sodium bicarbonate Molds - Mold Mix 10 Molds - Mold Mix 10 Alternaria alternata Alternaria alternata Aspergillus fumigatus Aspergillus fumigatus Emericella nidulans Emericella nidulans Aspergillus niger var. niger Aspergillus niger var. niger Aspergillus terreus Aspergillus terreus Fusarium oxysporum vasinfectum Fusarium oxysporum vasinfectum Dendryphiella vinosa Dendryphiella vinosa Cladosporium cladosporioides Cladosporium cladosporioides Mucor racemosus Mucor racemosus Penicillium digitatum Penicillium digitatum Penicillium expansum Penicillium expansum Penicillium expansum Penicillium expansum Penicillium chrysogenum var. chrysogenum Penicillium chrysogenum var. chrysogenum Clonostachys rosea f. rosea Clonostachys rosea f. rosea Phoma exigua var. exigua Phoma exigua var. exigua Aureobasidium pullulans var. pullutans Aureobasidium pullulans var. pullutans Rhizopus stolonifer Rhizopus stolonifer glycerin sodium chloride sodium bicarbonate Molds - Mold Mix 4 Molds - Mold Mix 4 Alternaria alternata Alternaria alternata Aspergillus fumigatus Aspergillus fumigatus Emericella nidulans Emericella nidulans Aspergillus niger var. niger Aspergillus niger var. niger Aspergillus terreus Aspergillus terreus Cladosporium cladosporioides Cladosporium cladosporioides Penicillium digitatum Penicillium digitatum Penicillium expansum Penicillium expansum Penicillium expansum Penicillium expansum Penicillium chrysogenum var. chrysogenum Penicillium chrysogenum var. chrysogenum Clonostachys rosea f. rosea Clonostachys rosea f. rosea glycerin sodium chloride sodium bicarbonate Molds - Trichophyton Mix Molds - Trichophyton Mix Trichophyton tonsurans Trichophyton tonsurans Trichophyton rubrum Trichophyton rubrum Trichophyton mentagrophytes Trichophyton mentagrophytes glycerin sodium chloride sodium bicarbonate Molds, Penicillium Mix Molds, Penicillium Mix Penicillium digitatum Penicillium digitatum Penicillium expansum Penicillium expansum Penicillium expansum Penicillium expansum Penicillium chrysogenum var. chrysogenum Penicillium chrysogenum var. chrysogenum Clonostachys rosea f. rosea Clonostachys rosea f. rosea glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Alternaria tenuis Alternaria tenuis Alternaria alternata Alternaria alternata glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Aspergillus fumigatus Aspergillus fumigatus Aspergillus fumigatus Aspergillus fumigatus glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Aspergillus niger Aspergillus niger Aspergillus niger var. niger Aspergillus niger var. niger glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Botrytis cinerea Botrytis cinerea Botrytis cinerea Botrytis cinerea glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Candida albicans Candida albicans Candida albicans Candida albicans glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Cephalosporium acremonium Cephalosporium acremonium Acremonium strictum Acremonium strictum glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Curvularia spicifera Curvularia spicifera Cochliobolus spicifer Cochliobolus spicifer glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Epicoccum nigrum Epicoccum nigrum Epicoccum nigrum Epicoccum nigrum glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Epidermophyton floccosum Epidermophyton floccosum Epidermophyton floccosum Epidermophyton floccosum glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Fusarium vasinfectum Fusarium vasinfectum Fusarium oxysporum vasinfectum Fusarium oxysporum vasinfectum glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Helminthosporium interseminatum Helminthosporium interseminatum Dendryphiella vinosa Dendryphiella vinosa glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Hormodendrum cladosporioides Hormodendrum cladosporioides Cladosporium cladosporioides Cladosporium cladosporioides glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Mucor racemosus Mucor racemosus Mucor racemosus Mucor racemosus glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Penicillium notatum Penicillium notatum Penicillium chrysogenum var. chrysogenum Penicillium chrysogenum var. chrysogenum glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Phoma herbarum Phoma herbarum Phoma exigua var. exigua Phoma exigua var. exigua glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Pullularia pullulans Pullularia pullulans Aureobasidium pullulans var. pullutans Aureobasidium pullulans var. pullutans glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Rhizopus nigricans Rhizopus nigricans Rhizopus stolonifer Rhizopus stolonifer glycerin sodium chloride sodium bicarbonate Molds, Rusts and Smuts, Stemphylium botryosum Stemphylium botryosum Pleospora tarda Pleospora tarda glycerin sodium chloride sodium bicarbonate Pollens - Grasses, Bahia Grass Paspalum notatum Bahia Grass Paspalum notatum Paspalum notatum pollen Paspalum notatum pollen glycerin sodium chloride sodium bicarbonate Pollens - Grasses, Brome, Smooth Bromus inermis Brome, Smooth Bromus inermis Bromus inermis pollen Bromus inermis pollen glycerin sodium chloride sodium bicarbonate Pollens - Grasses, Corn, Cultivated Zea mays Corn, Cultivated Zea mays Zea mays pollen Zea mays pollen glycerin sodium chloride sodium bicarbonate Pollens - Grasses, Johnson Grass Sorghum halepense Johnson Grass Sorghum halepense Sorghum halepense pollen Sorghum halepense pollen glycerin sodium chloride sodium bicarbonate Pollens - Grasses, Oats, Common, Cultivated Avena sativa Oats, Common, Cultivated Avena sativa Avena sativa pollen Avena sativa pollen glycerin sodium chloride sodium bicarbonate Pollens - Grasses, Southern Grass Mix Pollens - Grasses, Southern Grass Mix Poa pratensis pollen Poa pratensis pollen Dactylis glomerata pollen Dactylis glomerata pollen Agrostis gigantea pollen Agrostis gigantea pollen Phleum pratense pollen Phleum pratense pollen Anthoxanthum odoratum pollen Anthoxanthum odoratum pollen Sorghum halepense pollen Sorghum halepense pollen Cynodon dactylon pollen Cynodon dactylon pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Acacia Acacia longifolia Acacia longifolia Acacia longifolia pollen Acacia longifolia pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Alder, Red Alnus rubra Alder, Red Alnus rubra Alnus rubra pollen Alnus rubra pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Ash, White Fraxinus americana Ash, White Fraxinus americana Fraxinus americana pollen Fraxinus americana pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Beech, American Fagus grandifolia Beech, American Fagus grandifolia Fagus grandifolia pollen Fagus grandifolia pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Birch Mix Birch Mix Betula papyrifera pollen Betula papyrifera pollen Betula pendula pollen Betula pendula pollen Betula nigra pollen Betula nigra pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Boxelder/Maple Mix Boxelder/Maple Mix Acer negundo pollen Acer negundo pollen Acer saccharum pollen Acer saccharum pollen Acer rubrum pollen Acer rubrum pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Cedar, Mountain Juniperus ashei Cedar, Mountain Juniperus ashei Juniperus ashei pollen Juniperus ashei pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Cedar, Red Juniperus virginiana Cedar, Red Juniperus virginiana Juniperus virginiana pollen Juniperus virginiana pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Cottonwood, Common Populus deltoides Cottonwood, Common Populus deltoides Populus deltoides pollen Populus deltoides pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Cypress, Arizona Cupressus arizonica Cypress, Arizona Cupressus arizonica Cupressus arizonica pollen Cupressus arizonica pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Cypress, Bald Taxodium distichum Cypress, Bald Taxodium distichum Taxodium distichum pollen Taxodium distichum pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Elm, American Ulmus americana Elm, American Ulmus americana Ulmus americana pollen Ulmus americana pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Elm, Chinese Ulmus parvifolia Elm, Chinese Ulmus parvifolia Ulmus parvifolia pollen Ulmus parvifolia pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Eucalyptus (Blue Gum) Eucalyptus globulus Eucalyptus (Blue Gum) Eucalyptus globulus Eucalyptus globulus pollen Eucalyptus globulus pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Gum, Sweet Liquidambar styraciflua Gum, Sweet Liquidambar styraciflua Liquidambar styraciflua pollen Liquidambar styraciflua pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Hackberry Celtis occidentalis Hackberry Celtis occidentalis Celtis occidentalis pollen Celtis occidentalis pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Hickory, Shagbark Carya ovata Hickory, Shagbark Carya ovata Carya ovata pollen Carya ovata pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Linden (Basswood) Tilia americana Linden (Basswood) Tilia americana Tilia americana pollen Tilia americana pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Maple, Hard Acer saccharum Maple, Hard Acer saccharum Acer saccharum pollen Acer saccharum pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Mesquite, Prosopis juliflora Mesquite, Prosopis juliflora Prosopis juliflora pollen Prosopis juliflora pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Mulberry Mix Mulberry Mix Morus alba pollen Morus alba pollen Morus rubra pollen Morus rubra pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Oak Mix Oak Mix Quercus rubra pollen Quercus rubra pollen Quercus virginiana pollen Quercus virginiana pollen Quercus alba pollen Quercus alba pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Oak, Red Quercus rubra Oak, Red Quercus rubra Quercus rubra pollen Quercus rubra pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Olive Olea europaea Olive Olea europaea Olea europaea pollen Olea europaea pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Pecan Carya Carya illinoensis Pecan Carya Carya illinoensis Carya illinoinensis pollen Carya illinoinensis pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Pepper Tree, California Schinus molle Pepper Tree, California Schinus molle Schinus molle pollen Schinus molle pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Pine Mix Pine Mix Pinus contorta pollen Pinus contorta pollen Pinus ponderosa pollen Pinus ponderosa pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Privet Ligustrum vulgare Privet Ligustrum vulgare Ligustrum vulgare pollen Ligustrum vulgare pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Russian Olive Elaeagnus angustifolia Russian Olive Elaeagnus angustifolia Elaeagnus angustifolia pollen Elaeagnus angustifolia pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Sycamore, American (Eastern) Platanus occidentallis Sycamore, American (Eastern) Platanus occidentallis Platanus occidentalis pollen Platanus occidentalis pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Tree Mix 11 Tree Mix 11 Fraxinus americana pollen Fraxinus americana pollen Fagus grandifolia pollen Fagus grandifolia pollen Betula nigra pollen Betula nigra pollen Juglans nigra pollen Juglans nigra pollen Populus deltoides pollen Populus deltoides pollen Ulmus Americana pollen Ulmus Americana pollen Carya ovata pollen Carya ovata pollen Acer saccharum pollen Acer saccharum pollen Quercus rubra pollen Quercus rubra pollen Platanus occidentalis pollen Platanus occidentalis pollen Salix nigra pollen Salix nigra pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Tree Mix 5 Tree Mix 5 Carya illinoinensis pollen Carya illinoinensis pollen Acer saccharum pollen Acer saccharum pollen Acer negundo pollen Acer negundo pollen Acer rubrum pollen Acer rubrum pollen Quercus rubra pollen Quercus rubra pollen Quercus virginiana pollen Quercus virginiana pollen Quercus alba pollen Quercus alba pollen Platanus occidentalis pollen Platanus occidentalis pollen Salix nigra pollen Salix nigra pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Tree Mix 6 Tree Mix 6 Fraxinus americana pollen Fraxinus americana pollen Fagus grandifolia pollen Fagus grandifolia pollen Betula papyrifera pollen Betula papyrifera pollen Betula nigra pollen Betula nigra pollen Betula pendula pollen Betula pendula pollen Juglans nigra pollen Juglans nigra pollen Populus deltoides pollen Populus deltoides pollen Ulmus americana pollen Ulmus americana pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Tree of Heaven Ailanthus altissima Tree of Heaven Ailanthus altissima Ailanthus altissima pollen Ailanthus altissima pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Walnut, Black Juglans nigra Walnut, Black Juglans nigra Juglans nigra pollen Juglans nigra pollen glycerin sodium chloride sodium bicarbonate Pollens - Trees, Willow, Black Salix nigra Willow, Black Salix nigra Salix nigra pollen Salix nigra pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Cocklebur Xanthium strumarium Cocklebur Xanthium strumarium Xanthium strumarium pollen Xanthium strumarium pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Goldenrod Solidago canadensis Goldenrod Solidago canadensis Solidago canadensis pollen Solidago canadensis pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Lamb Quarters Chenopodium album Lamb Quarters Chenopodium album Chenopodium album pollen Chenopodium album pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Nettle Urtica dioica Nettle Urtica dioica Urtica dioica pollen Urtica dioica pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Pigweed, Rough Redroot Amaranthus retroflexus Pigweed, Rough Redroot Amaranthus retroflexus Amaranthus retroflexus pollen Amaranthus retroflexus pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Plantain, English Plantago lanceolata Plantain, English Plantago lanceolata Plantago lanceolata pollen Plantago lanceolata pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Ragweed, Giant Ambrosia trifida Ragweed, Giant Ambrosia trifida Ambrosia trifida pollen Ambrosia trifida pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Ragweed. Western Ambrosia psilostachya Ragweed. Western Ambrosia psilostachya Ambrosia psilostachya pollen Ambrosia psilostachya pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Russian Thistle Salsola kali Russian Thistle Salsola kali Salsola kali pollen Salsola kali pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Sagebrush, Mugwort Artemisia vulgaris Sagebrush, Mugwort Artemisia vulgaris Artemisia vulgaris pollen Artemisia vulgaris pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Scale, Wing (Shad) Atriplex canescens Scale, Wing (Shad) Atriplex canescens Atriplex canescens pollen Atriplex canescens pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Scotch Broom Cytisus scoparius Scotch Broom Cytisus scoparius Cytisus scoparius Cytisus scoparius glycerin sodium chloride sodium bicarbonate Pollens - Weeds and Garden Plants, Sorrel, Sheep Rumex acetosella Sorrel, Sheep Rumex acetosella Rumex acetosella pollen Rumex acetosella pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds, Careless Weed Amaranthus palmeri Careless Weed Amaranthus palmeri Amaranthus palmeri pollen Amaranthus palmeri pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds, Careless/Pigweed Mix Careless/Pigweed Mix Amaranthus palmeri pollen Amaranthus palmeri pollen Amaranthus retroflexus pollen Amaranthus retroflexus pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds, Dock/Sorrel Mix Pollens - Weeds, Dock/Sorrel Mix Rumex crispus pollen Rumex crispus pollen Rumex acetosella pollen Rumex acetosella pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds, Giant, Short, Western Ragweed Mix Giant, Short, Western Ragweed Mix Ambrosia trifida pollen Ambrosia trifida pollen Ambrosia artemisiifolia pollen Ambrosia artemisiifolia pollen Ambrosia psilostachya pollen Ambrosia psilostachya pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds, Kochia scoparia Kochia scoparia Kochia scoparia pollen Kochia scoparia pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds, Marshelder/Poverty Mix Pollens - Weeds, Marshelder/Poverty Mix Iva axillaris pollen Iva axillaris pollen Iva annua var. annua pollen Iva annua var. annua pollen Iva xanthifolia pollen Iva xanthifolia pollen glycerin sodium chloride sodium bicarbonate Pollens - Weeds, Weed mix 2630 Weed mix 2630 Xanthium strumarium pollen Xanthium strumarium pollen Chenopodium album pollen Chenopodium album pollen Amaranthus retroflexus pollen Amaranthus retroflexus pollen Rumex crispus pollen Rumex crispus pollen Rumex acetosella pollen Rumex acetosella pollen glycerin sodium chloride sodium bicarbonate"],"spl_unclassified_section":["LIMITED WARRANTY A number of factors beyond our control could reduce the efficacy of this product or even result in an ill effect following its use. These include storage and handling of the product after it leaves our hands, diagnosis, dosage, method of administration, and biological differences in individual patients. Because of these factors, it is important that this product be stored properly, and that the directions be followed carefully during use. No warranty, express or implied, including any warranty of merchantability or fitness, is made. Representatives of the Company are not authorized to vary the terms or the contents of any printed labeling, including the package insert, for this product except by printed notice from the Company’s headquarters. The prescriber and user of this product must accept the terms hereof."],"storage_and_handling":["STORAGE The expiration date of the diagnostic extracts is listed on the container label. The extract should be stored at 2° to 8°C and kept at this temperature range during office use."],"version":"1","warnings":["WARNINGS Excessively large local reactions or systemic reactions are more likely to occur if the patient is skin tested shortly after exposure to large amounts of antigen to which s/he is sensitive. Use caution when skin testing patients during a season when pollen is present. Refer to boxed WARNINGS Section."]}