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Dr. Andrew Rynne

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Suggest Medication To Control Chronic Idiopathic Hives Besides Prednisone

Is there an option for controlling chronic idiopathic hives besides prednisone? I ve been using benadryl but right now the hives are just unbearable. Although it works, I can t take prednisone due to the depression side effects. I am bipolar and the side effects are just devastating for my mental health. Any suggestions?
posted on Fri, 8 May 2015
Twitter Tue, 2 Aug 2022 Answered on
Twitter Wed, 10 Aug 2022 Last reviewed on
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General & Family Physician,  's  Response
Hi,

Chronic idiopathic hives are red, itchy skin welts which persists more than 6 weeks. It's probably resulted from a combination of factors like environmental irritants, body's immune system, genetics, a response to a bacterial, viral or fungal infection. Avoidance of triggering factors is the primary prevention of chronic idiopathic urticaria. Antihistamines like Fexofenadine, Loratadine, Desloratadine etc., that don't make someone drowsy, are the standard treatment for chronic idiopathic urticaria.

But, for patients whose urticaria is unresponsive to antihistamines, then leukotriene receptor antagonists like Montelukast, steroids like prednisolone, sulfasalazine and a host of immuno-suppressives like Methotrexate, Cyclosporine, Omalizumab etc., can be used to treat chronic idiopathic urticaria. If you experience any complications during using prednisolone then you can use Omalizumab called Xolair shot, which will be a safe and effective option for your chronic idiopathic urticaria.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Zubayer Alam, General And Family Physician
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Suggest Medication To Control Chronic Idiopathic Hives Besides Prednisone

Hi, Chronic idiopathic hives are red, itchy skin welts which persists more than 6 weeks. It s probably resulted from a combination of factors like environmental irritants, body s immune system, genetics, a response to a bacterial, viral or fungal infection. Avoidance of triggering factors is the primary prevention of chronic idiopathic urticaria. Antihistamines like Fexofenadine, Loratadine, Desloratadine etc., that don t make someone drowsy, are the standard treatment for chronic idiopathic urticaria. But, for patients whose urticaria is unresponsive to antihistamines, then leukotriene receptor antagonists like Montelukast, steroids like prednisolone, sulfasalazine and a host of immuno-suppressives like Methotrexate, Cyclosporine, Omalizumab etc., can be used to treat chronic idiopathic urticaria. If you experience any complications during using prednisolone then you can use Omalizumab called Xolair shot, which will be a safe and effective option for your chronic idiopathic urticaria. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Zubayer Alam, General And Family Physician