5 doctors weighed in:
What is the treatment for chronic cholinergic hives?
5 doctors weighed in

Dr. Steven Machtinger
Internal Medicine - Allergy & Immunology
3 doctors agree
In brief: 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.

In brief: 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.
Dr. Steven Machtinger
Dr. Steven Machtinger
Thank
Dr. Martin Ostro
Internal Medicine - Allergy & Immunology
In brief: Zyrtec, (cetirizine) avoid heat
Avoid situations which will cause you to sweat and take Cetirizine (generic of zyrtec) 10 mg, 1 tab a day and increase to 2 tabs a day if needed.
Also you may be able to desensitize yourself with a hot bath, producing a refractory period, during which hives won't occur, for 3 to 24 hours. If this is ineffective consult an allergist.

In brief: Zyrtec, (cetirizine) avoid heat
Avoid situations which will cause you to sweat and take Cetirizine (generic of zyrtec) 10 mg, 1 tab a day and increase to 2 tabs a day if needed.
Also you may be able to desensitize yourself with a hot bath, producing a refractory period, during which hives won't occur, for 3 to 24 hours. If this is ineffective consult an allergist.
Dr. Martin Ostro
Dr. Martin Ostro
Thank
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