Doctor insights on:
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 moreSee 1 more doctor answer
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
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
Starting Xolair tomorrow for chronic hives, given once a month, how long does this treatment usually last?
Possibly a year or 2: Chronic hives can stop on their own any time. The fact that you live in NC and have IBS symptoms, makes it important that a Alpha gal and total IgE level be done before starting the Xoliar since Alpha gal meat allergy can present with IBS symptoms and with additional itchy tick bites progress to hives. Symptoms happen 4-6 hours after eating any beef or pork products, make it difficult to associate ...Read moreSee 1 more doctor answer
What r the symptoms, tests, and treatment for autoimmune urticaria? Is au the same thing as chronic idiopathic hives or is there a distinction?
Treat the cause!: Good morning, good morning, urticaria refers to hives, due to changes in blood flow to skin due to certain neuro-chemicals. Autoimmune urticaria suggests an association of these chemicals being released as a result of immune system fighting your own cells producing antibodies against nuclear components of cells such as those of thyroid glands (thyroiditis), intestines, pancreas, skin, kidneys etc. ...Read more
Causes rarely known: We rarely find the cause for hives that last longer than 4 weeks. Individual hives last less than 24 hours and don't leave any scars are usually benign (not due to some bad disease), even if they are very itchy and make you miserable. Initial treatment is with high doses of antihistamines. If unsuccessful, there are protocols as to how to proceed. See a board-certified allergist/immunologist. ...Read more
I have chronic hives 3 years now. I take 5mg of prednisone daily and started xolair 4 months ago. Is there any test I should have or other treatment. Both the prescription scare me for long term treatment?
CHRONIC HIVES: AFTER 3 YEARS YOU SHOULD SEE A DERMATOLOGIST OR AN ALLERGIST. ...Read more
Doctors don't seem to know a lot about chronic cholinergic hives. Does reducing chronic stress make them disappear spontaneously in some cases?
Cholinergic Hives: There is no cure for cholinergic urticaria, and treatment options are often limited. Some common treatments include taking antihistamines (such a allegra, (fexofenadine) zyrtec, or stronger ones), avoiding known triggers (such as hot weather, physical activity, and spicy foods), corticosteriods (only for extreme cases), anabolic steroids, uvb therapy, sweat/exercise therapy, diet changes. ...Read more
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