Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suffering From Chronic Urticaria. Having Zampred. Taking Allegera And Teczine. What Can Be Done?
Question: I am suffering from chornic Urticaria. Is this cureable for good After having zampred 16 it goes away but comes the next day towards the evening
Hi,
Thanks for writing in.
Chronic urticaria is labelled if the patient has urticaria for more than 6 months duration.
Urticaria can be due to multiple causes.
It can be due to food allergy like peanuts , eggs, pulses, tomato, brinjal other seed containing vegetables, also to fermented products like pizza, cakes, idli , dosa etc
You need to keep watch on your diet and avoid above mentioned food articles.
Also any other food article which can aggravate your symptoms should be noted and avoided.
Also you should avoid scented articles, dust, mosquito repellents etc.
Allergy test is now available which can detect the common allergens that you are allergic to.
Regarding treatment Zempred 16 is methylprednisolone 16 mg .It is very high dose steroid and you should avoid it.You can stop it by tapering it.
Meanwhile you can remain symptom free by taking antihistaminic like Allegra 180 upto 3-4 times a day .It is safe ,effective and non sedating.
Chronic urticaria has an uncertain course and sometimes it cannot be cured completely.Long term treatment with anti histaminics may be required.
Consulting a allergy and immunology expert can be helpful.
Immunotherapy is a new treatment which can help you get rid of urticaria permanently.
Hope this helps.
I will be available for further clarification.
Regards,
DrSudarshan
MD
Dermatologist.
Thanks for writing in.
Chronic urticaria is labelled if the patient has urticaria for more than 6 months duration.
Urticaria can be due to multiple causes.
It can be due to food allergy like peanuts , eggs, pulses, tomato, brinjal other seed containing vegetables, also to fermented products like pizza, cakes, idli , dosa etc
You need to keep watch on your diet and avoid above mentioned food articles.
Also any other food article which can aggravate your symptoms should be noted and avoided.
Also you should avoid scented articles, dust, mosquito repellents etc.
Allergy test is now available which can detect the common allergens that you are allergic to.
Regarding treatment Zempred 16 is methylprednisolone 16 mg .It is very high dose steroid and you should avoid it.You can stop it by tapering it.
Meanwhile you can remain symptom free by taking antihistaminic like Allegra 180 upto 3-4 times a day .It is safe ,effective and non sedating.
Chronic urticaria has an uncertain course and sometimes it cannot be cured completely.Long term treatment with anti histaminics may be required.
Consulting a allergy and immunology expert can be helpful.
Immunotherapy is a new treatment which can help you get rid of urticaria permanently.
Hope this helps.
I will be available for further clarification.
Regards,
DrSudarshan
MD
Dermatologist.
Above answer was peer-reviewed by :
Dr. Raju A.T
Doc I need to know is it competely cureable and can I have a drink or two socially and as of now it has gone down a lot with the medicines I am taking pls advice how to taper the steriod.
Hi ,
The course of urticaria is uncertain and nobody can predict the outcome .
Urticaria can be cured completely in some patients and in some patients intermittent medications have to be continued for longer duration.
You can have occaisional drink or two.
Now as the urticaria has gone down you should taper the steroid slowly.
Tab. Zempred should be tapered from 16 mg to 8 mg for a week and 4mg after that.Zempred 4 mg can be taken for a week and then it can be tapered to alternate day and then stopped.
Similarly Tab.Allegra can be taken for 3-4 times a day.It can be tapered to twice daily followed by once daily and then one on alternate day and so on.
Steroids should be stopped gradually and allegra can be taken for maintenance treatment.Allegra is safe and can be taken for months together.
Hope this helps.
Regards
DrSudarshan
The course of urticaria is uncertain and nobody can predict the outcome .
Urticaria can be cured completely in some patients and in some patients intermittent medications have to be continued for longer duration.
You can have occaisional drink or two.
Now as the urticaria has gone down you should taper the steroid slowly.
Tab. Zempred should be tapered from 16 mg to 8 mg for a week and 4mg after that.Zempred 4 mg can be taken for a week and then it can be tapered to alternate day and then stopped.
Similarly Tab.Allegra can be taken for 3-4 times a day.It can be tapered to twice daily followed by once daily and then one on alternate day and so on.
Steroids should be stopped gradually and allegra can be taken for maintenance treatment.Allegra is safe and can be taken for months together.
Hope this helps.
Regards
DrSudarshan
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
