1. Encase mattress and box spring in zippered plastic (or cloth-backed) cover.
  2. Encase pillow in zippered plastic cover or wash weekly at 130 degrees F (54.4 degrees C).
  3. Wash bedding in 130 degrees F (54.4 degrees C) water once weekly.
  4. Avoid lying on upholstered furniture.


  1. Remove carpets laid on concrete.
  2. Reduce indoor humidity to less than 50%.
  3. Remove carpets from the bedroom.
  4. Limit number of stuffed animals in the bedroom.
  5. Use miticide on remaining carpets and upholstered furniture.
  6. Avoid using vacuum cleaner, stay out of a room that is being vacuumed.
  7. If vacuuming cannot be avoided, use a dust mask. If possible, use a powerful vacuum cleaner, a central vacuum cleaning system, or a vacuum cleaner equipped with a HEPA filter.


  1. If the asthmatic or allergic person smokes, he or she should make every effort to quit. The physician will be happy to provide you with information about smoking cessation aids.
  2. Smoking family members should be advised to quit smoking completely.
  3. If the household smoker is unable to stop smoking, all smoking should be done outside of the home.
  4. If weather or other factors prevent smoking outdoors, smoke in a separately ventilated room with the asthmatic or allergic family member out of that room for the next several days.
  5. Forbid smoking in the family car at all times.
  6. Visitors to the home should not be allowed to smoke in the home.
  7. Places that the asthmatic or allergic patient spends time at should be smoke free (day care, school, employment, for examples).


Do not use fragrant sprays or other irritants such as potpourri, air fresheners and strong smelling candles. Strong cologne and perfume use needs to be avoided in the presence of a person with allergies.