2 doctors weighed in:

What can be done for chronic urticaria?

2 doctors weighed in
Dr. Justin Greiwe
Internal Medicine - Allergy & Immunology

In brief: Chronic Urticaria

The cause of chronic idiopathic urticaria is currently unknown.
It is not due to any medication or food trigger. Screening labs can be drawn by Allergist to see if hives caused by autoimmune condition including thyroid disorder. Treat with high dose antihistamines (Zyrtec, Zantac), also can add montelukast or doxepin. If still not effective oral albuterol, cyclosporin, Plaquenil, (hydroxychloroquine) or sulfasalazine.

In brief: Chronic Urticaria

The cause of chronic idiopathic urticaria is currently unknown.
It is not due to any medication or food trigger. Screening labs can be drawn by Allergist to see if hives caused by autoimmune condition including thyroid disorder. Treat with high dose antihistamines (Zyrtec, Zantac), also can add montelukast or doxepin. If still not effective oral albuterol, cyclosporin, Plaquenil, (hydroxychloroquine) or sulfasalazine.
Dr. Justin Greiwe
Dr. Justin Greiwe
Thank
Dr. John Overholt
Internal Medicine - Allergy & Immunology

In brief: Control

Chronic urticaria is seldom allergic and attempts to find a cause are usually fruitless.
Fortunately it usually resolves on its own over time. For most folks, simple antihistamines like Cetirizine and fexofenadine are effective at controlling outbreaks, though 2-3 the usual dose may be required. They work much better if taken regularly to prevent outbreaks.

In brief: Control

Chronic urticaria is seldom allergic and attempts to find a cause are usually fruitless.
Fortunately it usually resolves on its own over time. For most folks, simple antihistamines like Cetirizine and fexofenadine are effective at controlling outbreaks, though 2-3 the usual dose may be required. They work much better if taken regularly to prevent outbreaks.
Dr. John Overholt
Dr. John Overholt
Thank
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