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Doctor insights on: What Is The Treatment For Chronic Cholinergic Hives

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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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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 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

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What is the treatment strategy for chronic hives?

What is the treatment strategy for chronic hives?

Antihistamines: Antihistamines are the preferred treatment for chronic hives, although there are other treatment possibilities if your hives are resistant to these medications. Other treatments include steroids (prednisone) and cyclosporine. ...Read more

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Starting Xolair tomorrow for chronic hives, given once a month, how long does this treatment usually last?

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 more

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What r the symptoms, tests, and treatment for autoimmune urticaria? Is au the same thing as chronic idiopathic hives or is there a distinction?

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

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What are the causes and treatment of chronic hives?

What are the causes and treatment of chronic hives?

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

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Doctors don't seem to know a lot about chronic cholinergic hives. Does reducing chronic stress make them disappear spontaneously in some cases?

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

Dr. Lonnie Smith
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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