How can I get my chronic urticaria treated?

Question

Hi doctor,

I have chronic urticaria. I have done some allergy tests. I am allergic to dust mites, mussels, and tuna. I followed different diets to get some relief. But still, I feel itchy in certain parts of my body. When I start scratching, it seems to spread all over my body.

Currently, I take Alnix tablets whenever required. Is it safe? What can I do to improve my condition?

I was diagnosed with urticaria five years ago. I self-medicated and became dependent on the tablet Co-aleva for a year. But I stopped taking it after consulting my dermatologist.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

You are suffering from chronic urticaria. It is defined by episodic urticaria (hives) occurring with a duration of more than six weeks. It causes marked distress to patients as it creates uncomfortable situations by interfering with work and sleep. Though it is difficult to treat, it is relatively a benign condition.

It remains limited to the skin and mucosal tissues. It does not involve any other organ or system. In all cases, management begins with detecting and minimizing aggravating factors followed by taking initial treatment with H1 antihistamines. Currently, you are taking Cetirizine. Alternatively, you can also take Levocetirizine 5 mg, Fexofenadine 180 mg, Loratadine 10 mg, or Desloratadine 5 mg once daily.

If your symptoms persist, I suggest you increase the dose of H1 antihistamines. You can add Ranitidine 150 mg twice daily, Famotidine 20 mg twice daily, or Montelukast 10 mg once daily. When your symptoms remain refractory to these measures, then I suggest you take Glucocorticoids with a dose of 40 mg daily in the morning with food for two to three days. Once your symptoms are controlled, taper down your dose to 10 mg daily.

Kindly consult your dermatologist before making the necessary changes.

I hope this helps.

Thank you.