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Dr. James Fox

Allergy and Immunology
Branchburg, NJ
45 years experience male

Locations

Office

Branchburg, NJ

Address

Fox Skin & Allergy Associates, 3461 U.S. Highway 22 East, Branchburg, NJ
Directions

My office hours

Tuesday: 7:30am - 1:00pm
Show more

Insurances accepted

Aetna

Amerigroup

AmeriHealth

CIGNA Health Care

Great-West Life & Annuity Insurance Company

Horizon Blue Cross Blue Shield of New Jersey

Medicaid

Medicare

MultiPlan, Inc

About

Bio

Dr. James Fox is a board-certified allergist, who has been in practice for over 30 year. He is also board-certified in pediatrics. He is a graduate of Yale Medical School, and he completed his fellowship in allergy-immunology at Columbia-Presbyterian Medical Center in New York. His practice is in Branchburg, NJ, and he treats both adults and children with all types of allergic disease including asthma, nasal and ocular allergies, hives, eczema, and food, drug and insect allergies.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Allergy and Immunology

Languages spoken

English

Doctor Q&A

91 Answers
1 Agree
The number of answers this doctor has agreed with.
A 35-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Medication therapy: Treatment of asthma depends on the severity and cause. For intermittent asthma (symptoms less than twice a week) an inhaler, such as albuterol, should... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Possibly: If one has pollen allergies, moving to an area where there is different vegetation could help, at least until new sensitivities develop. Dust mite all... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
No surgery: A spur of the nasal septum is common. Unless there is obstruction on that side, surgery is likely to be of little benefit. Surgery will not help with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: There is no interaction. Since Claritin does not cause drowsiness side effects should not be a problem. However, if Claritin is not solving the probl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old male asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Allergist or pulm.: Pft's can help make the diagnosis, but symptoms and response to medication are often needed to confirm. If there was a significant change after bronch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: Loratidine and fluticasone nasal spray are effective when used together. If this is not effective, adding an intranasal antihistamine (rx), such as a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: Itching in the mouth after ingesting certain fruits and vegetables often is due to oral allergy syndrome. People with allergy to tree pollens frequent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. James Fox
Allergy and Immunology 45 years experience
6 to 12 months`: Allergy shots or immunotherapy may take up to a year to be effective. Sometimes additional medications to control symptoms are required, since allergy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes, if it is mild: In the days before Epinephrine (adrenalin) was discovered, milder attacks would resolve spontaneously. However, some could become life-threatening or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Hives and others: Reactions to gelatin resemble those of other food allergens and may include hives, itching or swelling in the mouth, vomiting or breathing difficultie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
No: Inhalant allergies usually cause nasal symptoms and breathing trouble. Any allergen that reaches the stomach most likely will be digested and broken d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Variably: It is important for both mother and baby that the asthma remains under good control, and this can be achieved with medications. Pulmicort and singulai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
No: Pectus excavatum cannot cause asthma. However, if it is severe, pectus excavatum could restrict lung volumes and make an asthma attack worse.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Zithromax: Azithromycin (zithromax) is a good option for streptococcal tonsillitis. There is some cross-reactivity between penicillins and cephalosporins (such ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Medication: Most people can obtain relief of their allergy symptoms with medications. The otc antihistamines, such as claritin, (loratadine) Allegra and zyrtec (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Child more allergic: Children with asthma are more likely to have a significant allergic component to their illness. However, allergy can be a factor at any age. Both chi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Soy, rice, spinach: Soy should provide a good source of protein, and spinach contains a fair amount as well. Rice and potato should be a good source of starch. Most fruit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Wine, tequila, vodka: Most wines should be fine if you are not sensitive to sulfites. Tequila is derived from the agave plant and vodka typically comes from potatoes.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Benadryl, (diphenhydramine)ice, epi: For local reactions Benadryl and ice will help. Tylenol (acetaminophen) would be reasonable for pain. However, if there is a systemic reaction (hive... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Avoid known allergen: Hives are common. It is estimated that 20% of the population will have hives at some point. Genetics probably plays some role in hives. If you know ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Skin & blood tests: Prick testing with allergenic extracts or fresh foods can help confirm allergy, as can blood tests for specific ige antibodies (rast-type tests). Howe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Exposure/foreignness: The frequency of an allergy is related to the amount of exposure that a population has and how likely a protein is to promote production of the allerg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: This finding is common in people with nasal allergies, and it is usually not a cause for alarm. More important is the absolute number of eosinophils, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Asthma needs control: Abnormal lung function could indicate that your asthma is not under good control. Lung function testing is very effort-dependent, and abnormal results... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Highly unlikely: The ultimate test for diagnosing food allergy is a food challenge, which you have successfully performed. Even if you have a positive skin test or ras... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Generally yes: Claritin and Allegra are non-sedating and should not interact with pain medications. Zyrtec sometimes causes drowsiness, and it would be better to use... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: Wine is an incredibly complex substance, and the allergy could be due to a number of chemicals. Alcohol can dilate blood vessels and also cause aller... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Possible allergies: Sneezing in the morning is typical of nasal allergy. Usually a viral upper respiratory infection will clear within a few days. In many people an antih... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: Spirulina is a type of blue-green algae and can cause a rash or hives. If this occurs the product should be discontinued. Mild symptoms usually subsid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: Benadryl (diphenhydramine) and the older antihistamines can dry the mucus in the lungs and lead to blockage of the airways. The newer antihistamines, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. James Fox
Allergy and Immunology 45 years experience
No: Positive tissue transglutamase IgA antibodies are often seen in celiac disease, but would not be explained by seborrheic dermatitis. At labcorp values... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Good multivitamin: A complete multivitamin (flinstones or similar) should suffice. Megadoses are not necessary.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Could aggravate it: Beta blockers, such as inderal (propranolol), (propranolol) can aggravate asthma. If you decide to take it, the asthma should be monitored closely. If... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Allergy most likely: Although testing via a blood test (rast-type) is needed to confirm the allergy, your symptoms are most likely due to an ige antibody to wheat. Skin te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Avoidance: Avoiding the foods to which you are allergic is still the best treatment. Studies are underway with oral desensitization, but this technique is not re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Need testing: Although the patient's history is very helpful skin or blood testing is required to obtain an answer.
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Eczema, asthma, etc.: In clinical practice allergic rhinitis, eczema and asthma are the most common reasons for elevated ige. Parasitic infections can cause an increase in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Family MD or Allergy: The cough may be a sign of his asthma or there could be an infection. It is always difficult to diagnose rashes without seeing them, but this could be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: According to the package insert, there are no drug interactions.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
It could be: People can develop a contact allergy to toothpaste. Usually this is due to the flavoring, especially cinnamon. Switching to a different product is pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: I would be careful about food intake for now, but once you finish the prednisone, things should return to normal. If you are on medication for the pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Avoidance: Thimerosal is a common contact allergy, and typically causes rashes. If you have this allergy, it is important to avoid all products containing this s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Taper off: I would not recommend use of Benadryl (diphenhydramine) in a child under age 1..It will generally not help with colds, but it is certainly sedating (t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes: Since Loratadine does not cause drowsiness, adding a dose of Benadryl (diphenhydramine) at night for an allergic reaction or hives should not be a pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Asthma control: The persistence of cough with phlegm may indicated that your daughter's asthma is not under control. Adding an inhaled corticorsteroid or singulair (m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Medication ; avoid: Antihistamines usually provide relief of nasal symptoms within 2 hours. Intranasal steroids may take up to a week. Oral steroids are an option if symp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Yes to both: Pollens and outdoor molds can cause both nasal symptoms and asthma. Immunotherapy or allergy shots have been demonstrated to help both conditions. Co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Possible anaphylaxis: The fact that the sting triggered wheezing suggest that this could be a systemic reaction (anaphylaxis). Swelling and redness at the site of a sting a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
2 capsules: For adults 50 mg. Or 2 capsules is the proper dose. For children the dose is based on weight.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. James Fox
Allergy and Immunology 45 years experience
Probably not: Claritin (loratadine) and Allegra are non-sedating and have minimal side effects or drug interactions. Zyrtec is low-sedating. My main concern is that... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
326
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Fox is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Fox is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Thanks for the info!! Especially the part where ya told me it wouldn't react with current meds. nice to know!!
HealthTap member
Thank you, your answer was very helpful! I rarely have full attacks and I take Salbutamol when needed.
HealthTap member
This was very helpful. Thanks! I appreciate your taking the time to answer my question! Thank you!

Education & Training

Medical/Graduate school

Yale University School of Medicine, CT
Graduated 1977MD

Awards

Top Allergist and Immunologist , Second Place, New Jersey - Summer
2013
Top Allergist and Immunologist, Second Place, New Jersey - Spring
2014
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less