Breathe Ease
Respiratory & Sleep Specialist Centre
Instructions for Mannitol Challenge (Bronchial Provocation Test)
You will be given some Mannitol (a sugary powder), to inhale. Between doses, you will perform breathing tests to assess your response to Mannitol. Before this test, please avoid the medications below for the specified period. However, if you feel that you need them, please do, but the testing will have to be rescheduled.
Day of test
Caffeine (coffee, energy drinks, Coca Cola, Pepsi, or chocolate)
Do not smoke or perform vigorous exercise
8 Hours before test
Ventolin, Bricanyl, Asmol, Airomir, Atrovent, Intal, Tilade
12 Hours before test
Pulmicort, Flixotide, Alvesco, Qvar, Arnuity
24 Hours before test
Nuelin (Theophylline)
48 Hours before test
Seretide, Symbicort, Serevent, Breo Ellipta, Oxis
72 Hours before test
Spiriva, Seebri, Bretaris, Ultibro, Anoro ellipta, Brimica, Incruse Ellipta
Antihistamines, such as: Zyrtec, Telfast, Claratyne, Polaramine, Phenergan
4 Days before test
Singulair