How to get cured from chronic urticaria?

Hi,

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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. Rarely, it occurs permanently. 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 get controlled, then taper down your dose to 10 mg daily. Kindly consult your dermatologist before doing the necessary changes.