Doctor insights on:
How Can I Treat Urticaria
Antihistamines: For most patients antihistamines such as benadryl, zyrtec, Allegra and Claritin are effective. If these are not effective second line treatment (off-label) could include Doxepin and singulair and h2 antihistamines, such as zantac. It is important to find the cause of the hives, and an allergist may be able to help. ...Read moreSee 1 more doctor answer
Find the cause: Hives lasting less than six weeks are often triggered by an external factor entering your body like a food or a medication. History & sometimes allergy testing can help you find the culprit. Your doctor or an allergist can help. If hives make you uncomfortable they should be treated.Hives should also be treated when accompanied by swelling of the lips or to tongue. Anaphylaxis is another story. ...Read more
Yes, it is: Chronic urticaria is sometimes very hard to treat. First line, high dose antihistamines. After higher than usual doses of these there is a plethora of medications added to those, starting with h2 blockers and montelukast. If that combination is ineffective, hydroxy-chloroquine, dapsone, cyclosporine, tacrolimus, ivig and possibly xolair. Can be tried. See an allergist/immunologist. ...Read more
Dermatographic urticaria. Diagnosed at 30 yrs old. Never had before. Why? How to treat? Trying many antihist to see if any help.
Derm Urticaria: Antihistamines can be tried as you are doing,... They prevent histamine from causing the reaction. These may need to be given as a combination of H1 antagonists, or possibly with an H2-receptor antagonist such as cimetidine. Acupuncture and Chinese herbs have long been used to treat urticaria in the Asian world and may be beneficial. Good luck. ...Read more
No: Urticaria is best treated with oral antihistamines, you may need to take one at least 30 minutes before contact with water. Creams are of little value in this case. ...Read more
Antihistamines: Most physicians will treat urticaria with antihistamines. Often this requires higher than standard doses. In severe cases of angioedema, physicians often prescribe injectable epinephrine. Sometimes steroids are used to get the hives under control but often switched as soon as possible.It is helpful to see an allergist to try and identify any allergic triggers. ...Read more
Antihistamines: Cholinergic urticaria (hives) is caused by increase in core body temperature with triggers like exercise with sweating, strong emotions, and bathing in hot water. Identify and avoid known triggers, avoid bathing in hot water and performing strenuous exercise during hot weather. Can take non-sedating antihistamines 1-2 times daily. Allergist can perform methacholine challenge in office to confirm. ...Read more
Papular Urticaria : is a hypersensitivity reaction to bites, feces or eggs of fleas, ticks & mites on cats & dogs or mosquitoes, bedbugs, gnats, caterpillars & moths. Use safe insecticide sprays while he is out of the house & treat all pets. Trim his nails; scratching can lead to skin infection. His doctor can prescribe oral antihistamines based on his wt. & mild topical steroids & insecticides based on his age. ...Read more
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