Doctor insights on:
How Can I Treat Urticaria
What exactly is urticaria and how does is effect your daily life and can it be treated? How does it effect someone with cialiacs(sp) disease?
Many reasons: urticaria (hives) are pruritic, pink vs pale swellings of the skin.They may be small lesions or large. Can come on acutely and last 2x/week for months) or episodic. Causes include allergic reactions, immune response, systemic disease are only a few. Treatment depends on cause. Life effect=cause.Rare, but celiac disease can present with urticaria & gastrointestinal problems ...Read more
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
Antihistamines: For most patients antihistamines such as benadryl, (diphenhydramine) 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
None: Urticaria is generally a symptom of a system wide problem - it is not just a localized irritation or inflammation of the skin. Thus, there aren't any creams that will be effective. Some people find that Benadryl (diphenhydramine) cream (otc) or zonalon cream (rx) can temporarily help with the itching, but they don't make any meaningful improvement in the hives. See your physician or allergist for help. ...Read moreSee 1 more doctor answer
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
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
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
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