When treating persistent idiopathic urticaria, your well being staff will doubtless take a “step-up” method, Camp says. This implies beginning with a conservative, over-the-counter choice after which bringing in several choices if these do not stop recurrences or provide symptom aid.
Antihistamines
The primary line of remedy for many circumstances of persistent idiopathic urticaria are non-sedating, over-the-counter antihistamines, additionally known as H1 antihistamines, says Camp.
- loratadine (Claritin)
- desloratadine (Clarinex)
- cetirizine (Zyrtec)
- fexofenadine (Allegra)
- diphenhydramine (Benadryl, Banophen)
- chlorpeniramine (Chlor-Trimeton, Ahist, Aller-Chlor)
- doxylamine (Unisom)
- brompheramine (BroveX CT)
- hydroxyzine (Atarax, Rezine, Vistaril)
- clemastine (Dayhist, Tavist Allergy)
- cyproheptadine (Periactin)
- dimenhydrinate (Dramamine)
Prescription H2 Blockers
- famotidine (Pepcid)
- cimetidine (Tagamet)
- nizatidine (Axid)
“Therapy can be escalated to those medicines if the over-the-counter choices aren’t decreasing signs resembling itch or flares,” says Camp. “This therapy would even be thought-about if hives are having a major, destructive influence on high quality of life, resembling interference with work, relationships, or sleep.”
