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Doctor insights on: Alternative Treatments For Cholinergic Urticaria

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What are common treatments for cholinergic urticaria? list medicine, dosage, etc 5 mg Levocetrizine no effect history: allergic rhinitis

What are common treatments for cholinergic urticaria?
list medicine, dosage, etc 
5 mg Levocetrizine no effect
history: allergic rhinitis

Anthistamines: Antihistamines are main treatment for cholinergic urticaria, but sometimes must take more than normal dose. You can try twice daily dosing of cetrizine (10 mg twice a day) or twice daily dosing of fexofenadine (180 mg twice a day). If this regimen not working, I suggest seeing an allergist to further manage/evaluate. ...Read more

Cholinergic (Definition)

Cholinergic typically refers to acetylcholine in the neurological sense. The parasympathetic nervous system, which uses acetylcholine almost exclusively to send its messages, is said to be almost entirely cholinergic. Neuromuscular junctions, preganglionic neurons of the sympathetic nervous system, the basal forebrain, and brain stem ...Read more


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What is the treatment for chronic cholinergic hives?

What is the treatment for chronic cholinergic hives?

Stay cool.: If you have cholinergic urticariia you get tiny hives that grow & merge when skin temperature increases. This occurs with hot showers, hot weather, exercise & fever. Cooler showers, air conditioning, & tylenol (acetaminophen) for fevers will help. All antihistamines are useful but the best is thought to be periactin (cyproheptidine). In difficult cases i add Neurontin (gabapentin). Be prepared to be drowsy. ...Read more

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How can we get cholinergic urticaria disease?

How can we get cholinergic urticaria disease?

Cholinergic Hives: Cholinergic urticaria (hives) account for around 30% of all cases of physical urticaria and around 5% of all cases of chronic hives. Onset is usually around the 2nd or 3rd decade of life and has been shown to be more common in males. Triggers include increase in core body temperature and include common triggers like exercise with sweating, strong emotions, and bathing in hot water. See Allergist. ...Read more

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Is it possible to have cholinergic urticaria without producing hives?

Is it possible to have cholinergic urticaria without producing hives?

Yes: Actually, by definition, no, but I have had patients with every aspect of the disease without the hives, so i just treat it is a variant. ...Read more

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Will urticaria kill me if I don't get treatment?

Will urticaria kill me if I don't get treatment?

Will drive you crazy: Urticaria is more uncomfortable than life threatening. It can reach extremes, predisposing to skin infection and severe fluid loss with dehydration. ...Read more

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Is there an over-the-counter treatment for urticaria?

Is there an over-the-counter treatment for urticaria?

Antihistamines: Avoiding what you believe to be causing the urticaria (hives) is the best treatment, but sometimes not easily done. Antihistamines can also help greatly, and are available over the counter. ...Read more

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Solar urticaria-- what is treatment?

Solar urticaia Rx.: Sun avoidance, good sun screens, and antistamines are primary treatments. Solar urticaria is a form of physical urticaria (hives) and can be very annoying. There are some medications that can cause a person have a rash on exposure to sun, but they are usually not urticarial in nature. ...Read more

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How do I get rid of cholinergic urticaria caused by heat?

Avoid heat: The above answer may seem flippant but this is exactly what you can do to avoid it. Many people however have found that taking an antihistamine 1-2 hrs prior to exposure to heat may keep it under control. ...Read more

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Dr. Tiffanie Noonan
3 doctors shared insights

Hives (Definition)

Also known as urticaria, hives are an outbreak of red bumps or wheals that appear quickly after exposure to certain allergens (foods, medications, other substances). Hives vary in size, are itchy, can burn, and can last for up to ...Read more