Materiały źródłowe

• #1 Hives: Causes, Symptoms, Diagnosis, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/8630-hives

  Your healthcare provider can use the results of allergy tests to help you figure out which substances bring on acute hives. Once you know your triggers, you can avoid them. You may want to: […] It may not be possible to prevent chronic hives. Your provider may not be able to find exactly what causes them. They may also be a part of a bigger medical condition that affects your immune system.

• #2 10 ways to get relief from chronic hives

  https://www.aad.org/public/diseases/a-z/hives-chronic-relief

  Make an appointment to see a board-certified dermatologist. Most people who have hives are otherwise healthy, but its still helpful to see a dermatologist. Other skin conditions can look like hives. Your dermatologist can find or rule out possible causes, such as: […] Know that treatment can be effective when the cause(s) of your hives remains unknown. Its helpful to find out whats causing your hives, but sometimes, a cause cannot be found. About 50% of people who have chronic hives never find out whats causing their flare-ups. Even when you cannot find the cause, treatment can help you clear your skin and prevent new flare-ups. […] Follow your treatment plan. For treatment to be effective, its essential to follow the treatment plan your dermatologist creates for you. Treatment may fail to work when you take medication less often than prescribed. For example, if your dermatologist prescribes a daily oral antihistamine and you only take it when you have a flare-up, you may continue to get hives.

• #3 Hives: Causes, Risks, Prevention, and Pictures

  https://www.healthline.com/health/hives

  Simple changes to your lifestyle may be able to help you prevent hives from reoccurring in the future. If you have allergies and you know which substances are likely to cause an allergic reaction, a doctor will suggest that you avoid any possible exposure to these factors. Allergy shots are another option that may help you reduce the risk of experiencing hives again. […] Avoid being in high humidity areas or wearing tight clothing if you have recently had a hives outbreak.

• #4 Patient education: Hives (urticaria) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/hives-urticaria-beyond-the-basics/print

  Hives usually respond well to treatment, which includes medicines and avoiding whatever triggered the hives. […] The first treatment for hives is to figure out what is triggering your hives and then avoid that trigger. […] Antihistamines are medicines that can relieve itching. Most people with hives respond to antihistamines. […] Oral steroids may be used temporarily to relieve chronic hives, but they should not be used for long-term treatment. […] If your hives do not get better with the treatments discussed above, other treatments are available.

• #5 CHRONIC URTICARIA AND TREATMENT OPTIONS

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2807703/

  Chronic urticaria has a wide spectrum of clinical presentations and causes. Still, despite our best efforts no cause may be found in the majority of cases. The treatment options are: Primary prevention in the form of avoidance of aggravating factors; counseling; antihistamines; leukotriene receptor antagonists; prednisolone; sulfasalazine and a host of immunosuppressives like methotrexate, cyclosporine, omalizumab etc. […] A clear explanation that CU is not allergic is important to address since inevitable conviction many patients hold that diet is a cause. Important information to patients must include useful websites and written information about the disease. Treatment plan should include treatment of identifiable cause, avoidance of aggravating factors, advice and written information about the condition, and antihistamines trial. […] In summary, methotrexate and autologous serum therapy are viable options in CU not responding to first and second line of treatments.

• #6 Hives (Urticaria) | Causes, Symptoms & Treatment

  https://acaai.org/allergies/allergic-conditions/skin-allergy/hives/

  Hives Management and Treatment […] – Avoid known triggers […] – See an allergist, who is specially trained to look for triggers to your hives and may recommend medications to prevent the hives or reduce the severity of symptoms. Whether your allergist suggests a treatment available only by prescription or an over the counter treatment will depend on several factors, including how uncomfortable the hives are making you. […] […] […] Antihistamines – available either over the counter or by prescription – are a frequently recommended treatment for hives. They work by blocking the effect of histamine, a chemical in the skin that can cause allergy symptoms, including welts. Antihistamines that don’t make you drowsy are preferred. They are effective and long-lasting (may be taken once a day) and have few side effects. Your allergist may recommend a combination of two or three antihistamines to treat your hives, along with cold compresses or anti-itch balms to ease the symptoms.

• #7 Urticaria (Hives): Causes, Symptoms, Treatments | MedPark Hospital

  https://www.medparkhospital.com/en-US/disease-and-treatment/urticaria

  Observe, avoid and stay away from contact with sources of known allergens such as food, medications, pollen, heat, stress, or allergenic materials. […] Wear loose clothing, avoid tight clothing and rough fabric clothing that may rub the skin, and avoid wearing fur clothing. […] Avoid being in hot or cold temperatures; avoid being in the sun; and use sunscreen when going out in direct sunlight. […] Do not scratch the itchy rashes to prevent dermatitis and stimulate the spread of the rash. […] Having a skin prick test or blood allergy test. […] Get enough sleep; avoid stress and anxiety.

• #8 Hives and angioedema – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hives-and-angioedema/diagnosis-treatment/drc-20354914

  If your symptoms are mild, you may not need treatment. Hives and angioedema often clear up on their own. But treatment can offer relief from intense itching, serious discomfort or symptoms that persist. […] Treatments for hives and angioedema may include prescription drugs: […] For a severe attack of hives or angioedema, you may need a trip to the emergency room and an emergency injection of epinephrine a type of adrenaline. […] If you’re experiencing mild hives or angioedema, these tips may help relieve your symptoms: […] Avoid triggers. These can include foods, medications, pollen, pet dander, latex and insect stings. […] Use an anti-itch drug available without a prescription. […] Apply cold. Covering the affected area with a cold washcloth or rubbing an ice cube over it for a few minutes can help soothe the skin and prevent scratching. […] Take a comfortably cool bath. Find relief from itching in a cool shower or bath. […] Wear loose, smooth-textured cotton clothing. […] Protect your skin from the sun. Apply sunscreen liberally about a half hour before going outdoors.

• #9 Hives (urticaria): Causes, pictures, and treatments

  https://www.medicalnewstoday.com/articles/157260

  Hives, or urticaria, can occur for many reasons, such as exposure to an allergen or a physical trigger, like pressure from tight clothing. […] Keep reading to find pictures of hives, the potential causes, symptoms, treatments, and prevention methods. […] If acute hives results from an allergic reaction, the cause may be: a medication, such as: some antibiotics, some nonsteroidal anti-inflammatory drugs, such as aspirin, angiotensin converting enzyme inhibitors, which are drugs for high blood pressure. […] A physical trigger other than an allergen can cause hives. […] Some examples of health conditions that can cause hives include: viral infections, such as flu, the common cold, glandular fever, or hepatitis B. […] Sometimes, hives can become chronic as a result of these conditions, or other unknown triggers.

• #10 Hives (urticaria): Causes, pictures, and treatments

  https://www.medicalnewstoday.com/articles/157260

  The best approach to treatment depends on the cause and whether the issue is acute or chronic. […] If there are signs of allergy and the person has swelling in their lips, face, or tongue, the doctor may prescribe an epinephrine auto-injector to carry for use in emergencies. […] A person with chronic urticaria may need to take antihistamines regularly until their symptoms resolve. […] Tips for reducing hives symptoms include: using a soothing lotion or cool compress to ease the itchiness, wearing loose, light, cotton clothing, avoiding scratching, choosing soaps, moisturizers, and other cosmetics for sensitive skin, avoiding exposure to known triggers. […] Some tips for preventing hives include: keeping a diary to see if any particular triggers cause them, avoiding those triggers, taking over-the-counter antihistamines when the pollen count is high, if pollen may be a trigger, talking to a doctor about whether medications may be responsible, using meditation and other relaxation techniques to manage stress, choosing mild or fragrance-free soaps, skin creams, and detergents. […] Managing stress through meditation, exercise, or mental health treatment may help people with chronic hives manage their symptoms.

• #11 Hives (Urticaria) | Causes, Symptoms & Treatment

  https://acaai.org/allergies/allergic-conditions/skin-allergy/hives/

  […] […] If the cause of hives can be identified, the best treatment is to avoid the trigger or eliminate it: […] – Foods: Don’t eat foods that have been identified to cause your symptoms. […] – Rubbing or scratching: Avoid harsh soaps. Frequent baths may reduce itching and scratching – beneficial because itching and scratching can make the hives feel worse. […] – Constant pressure: Avoid tight clothing. Pressure hives can be relieved by wearing loose-fitting clothes. […] – Temperature: If you develop hives when exposed to cold, do not swim alone in cold water and always carry an epinephrine auto-injector. Avoid exposure to cold air and use a scarf around your nose and mouth in cold weather. If you must be out in the cold, wear warm clothing. […] – Sun exposure: Wear protective clothing; apply sunblock. […] – Medications: Notify your physician or pharmacist immediately if you suspect that a specific medication is causing your hives.

• #12 Hives | Causes and Treatment | Brentwood Dermatology

  https://www.brentwoodderm.com/conditions/hives

  Identifying the specific cause is crucial for effective treatment and prevention of recurrent hives. A dermatologist, or skin care expert, can work with you to create a treatment plan custom to your needs. […] Yes, stress can be a trigger for hives. Emotional stress may exacerbate or contribute to the development of hives. Dermatologists can provide guidance on stress management techniques to help prevent outbreaks. […] In cases of food-related hives, identifying and avoiding trigger foods is essential. Common culprits include nuts, shellfish, and certain fruits. Dermatologists may recommend an elimination diet or allergy testing to pinpoint triggers. […] Antihistamines may provide temporary relief and can be preventive when taken regularly, not just when an outbreak occurs. For chronic hives, oral corticosteroids and other medications may be prescribed. Consulting with your dermatologist will provide the best treatment options for your specific condition.

• #13 Acute and Chronic Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0601/p717.html

  The mainstay of treatment is avoidance of identified triggers. […] It is also recommended that patients avoid using aspirin, alcohol, and NSAIDs, as well as avoid wearing tight clothing, because these may worsen symptoms. […] If trigger avoidance is impossible, no trigger is identified, or symptom relief is needed despite trigger avoidance, H1-antihistamines are first-line pharmacotherapy. […] Second-generation H1 antihistamines such as loratadine (Claritin), desloratadine (Clarinex), fexofenadine (Allegra), cetirizine (Zyrtec), and levocetirizine (Xyzal) are relatively nonsedating at standard dosages and are dosed once per day. […] First-generation H1 antihistamines, such as diphenhydramine (Benadryl), hydroxyzine, chlorpheniramine, and cyproheptadine, are faster acting and, in some cases, have parenteral forms.

• #14 Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0501/p1078.html

  Urticaria involves intensely pruritic, raised wheals, with or without edema of the deeper cutis. […] Treatment includes avoidance of triggers, although these can be identified in only 10 to 20 percent of patients with chronic urticaria. […] Nonsedating antihistamines are the first-line treatment of urticaria and may be titrated to two to four times their normal dose, if necessary. […] The addition of a histamine H2 blocker to an H1 blocker may help in refractory cases of urticaria. […] A broad laboratory workup has not been found to increase the likelihood of diagnosing a cause of urticaria. […] The centerpiece of treatment is avoidance of known triggers. […] It is also recommended that patients avoid aspirin, alcohol, and possibly nonsteroidal anti-inflammatory drug use because these may worsen urticarial symptoms.

• #15 Hives – Wikipedia

  https://en.wikipedia.org/wiki/Hives

  Hives frequently occur following an infection or as a result of an allergic reaction such as to medication, insect bites, or food. […] Prevention is by avoiding whatever it is that causes the condition. […] Keeping the environmental temperature cool is also useful. […] For cases that last more than six weeks, long-term antihistamine therapy is indicated. […] Treatment guidelines for the management of chronic hives have been published. […] The mainstay of therapy for both acute and chronic hives is education, avoiding triggers and using antihistamines. […] People who experience hives with angioedema require emergency treatment as this is a life-threatening condition. […] Chronic hives can be difficult to treat and lead to significant disability.

• #16

  https://www.wyndly.com/blogs/learn/allergy-hives?srsltid=AfmBOoqyC2yct6Aexnc71yQYeuH8Rzj7B0hDl07WriSn9ufu4AR28zIa

  Hives can be extremely uncomfortable and stressful, especially when you’re unsure of their origin. While there are various causes for hives, seasonal allergies can be one that many people overlook. […] Allergy-induced hives, and hives in general, are a breakout characterized by red and itchy welts on the skin. Also known as urticaria, the outbreak is a result of the body’s immune system releasing histamines in response to exposure to an allergen such as food or pollen. […] Hives and other rashes are part of the body’s immune response to environmental triggers. Like other allergy symptoms, there are several possible irritants. […] With that being said, there are some common allergies that can easily cause hives as a symptom when triggered. These include: Pollen, Pet Dander, Mold, Dust Mites.

• #17 Hives (Urticaria) | Causes, Symptoms & Treatment

  https://acaai.org/allergies/allergic-conditions/skin-allergy/hives/

  […] […] If the cause of hives can be identified, the best treatment is to avoid the trigger or eliminate it: […] – Foods: Don’t eat foods that have been identified to cause your symptoms. […] – Rubbing or scratching: Avoid harsh soaps. Frequent baths may reduce itching and scratching – beneficial because itching and scratching can make the hives feel worse. […] – Constant pressure: Avoid tight clothing. Pressure hives can be relieved by wearing loose-fitting clothes. […] – Temperature: If you develop hives when exposed to cold, do not swim alone in cold water and always carry an epinephrine auto-injector. Avoid exposure to cold air and use a scarf around your nose and mouth in cold weather. If you must be out in the cold, wear warm clothing. […] – Sun exposure: Wear protective clothing; apply sunblock. […] – Medications: Notify your physician or pharmacist immediately if you suspect that a specific medication is causing your hives.

• #18 Hives (Urticaria): Causes, Symptoms, and Treatment

  https://patient.info/skin-conditions/hives-inducible-urticaria

  Hives can be triggered by a number of different physical causes. The reason why a rash appears in affected people is not clear. The physical stimulus causes a release of histamine and other chemicals, which causes the rash. […] Treatments include avoiding the trigger (where possible), and using antihistamines. […] Once it is clear what causes the hives, it may be possible to avoid situations that trigger them. For example, dermographism can often be prevented by avoiding firm pressure against the skin as much as possible. In mild cases, no additional treatment may be needed. […] Many types of hives are helped by taking antihistamine medicines. Antihistamines block the action of histamine which is involved in causing hives. […] Occasionally for severe flare-ups of hives, a course of prednisolone tablets taken for a week may be helpful, but the benefits have to be weighed up against the risks.

• #19 Hives (urticaria): Causes, pictures, and treatments

  https://www.medicalnewstoday.com/articles/157260

  Hives, or urticaria, can occur for many reasons, such as exposure to an allergen or a physical trigger, like pressure from tight clothing. […] Keep reading to find pictures of hives, the potential causes, symptoms, treatments, and prevention methods. […] If acute hives results from an allergic reaction, the cause may be: a medication, such as: some antibiotics, some nonsteroidal anti-inflammatory drugs, such as aspirin, angiotensin converting enzyme inhibitors, which are drugs for high blood pressure. […] A physical trigger other than an allergen can cause hives. […] Some examples of health conditions that can cause hives include: viral infections, such as flu, the common cold, glandular fever, or hepatitis B. […] Sometimes, hives can become chronic as a result of these conditions, or other unknown triggers.

• #20 Hives | Causes and Treatment | Brentwood Dermatology

  https://www.brentwoodderm.com/conditions/hives

  Identifying the specific cause is crucial for effective treatment and prevention of recurrent hives. A dermatologist, or skin care expert, can work with you to create a treatment plan custom to your needs. […] Yes, stress can be a trigger for hives. Emotional stress may exacerbate or contribute to the development of hives. Dermatologists can provide guidance on stress management techniques to help prevent outbreaks. […] In cases of food-related hives, identifying and avoiding trigger foods is essential. Common culprits include nuts, shellfish, and certain fruits. Dermatologists may recommend an elimination diet or allergy testing to pinpoint triggers. […] Antihistamines may provide temporary relief and can be preventive when taken regularly, not just when an outbreak occurs. For chronic hives, oral corticosteroids and other medications may be prescribed. Consulting with your dermatologist will provide the best treatment options for your specific condition.

• #21

  https://www.allergydoc.us/blog/how-to-manage-prevent-urticaria-practical-tips-for-relief

  Urticaria is a skin condition marked by raised, itchy bumps that can cause varying levels of discomfort. The initial step in hives (urticaria) treatment is identifying the triggers. While it may seem like they just show up out of nowhere, specific factors may contribute to a hives breakout. Recognizing these indicators can help you take steps to prevent future outbreaks. […] Here are some actionable steps you can take to limit your exposure to allergens: Keep Your Home Clean: Vacuum regularly, wash your bedding in hot water, and use dust-proof covers to reduce dust mites, pet dander, and pollen. […] Experiencing emotional stress or anxiety can prompt your body’s immune system, causing hives to flare up. […] Here are a few helpful tips for coping with medication-induced hives: Track Reactions: Write down any new medications you take and note if hives appear soon after.

• #22 How to Prevent Hives (Urticaria): Reduce Your Risk

  https://www.health.com/hives-prevention-7255051

  Tracking what may be setting flares off and working to avoid those things is an integral aspect of prevention. […] Making changes to your lifestyle habits may also prevent hives. They can help manage stress, keep you clear of other potential triggers, and reduce your susceptibility to the condition. […] Alongside lifestyle changes and trigger avoidance, certain practices and supplements may also help you prevent hives. […] If you experience hives, be sure to talk to your healthcare provider about what you can do to manage and prevent this condition. […] It’s not always possible to prevent hives, but doing things like avoiding allergic triggers and managing your stress may help.

• #23 How to Treat and Prevent Hives – Premier Dermatology Group | Dermatology

  https://www.premierdermatologypartners.com/how-to-treat-and-prevent-hives/

  Hives can be broken into two main categories: acute urticaria and chronic urticaria. […] Even if you and your dermatologist come up with an effective treatment plan for your acute or chronic urticaria, it’s also important to take steps to avoid breaking out in hives in the first place. The first step to preventing these outbreaks is understanding your triggers. […] Additionally, you can guard yourself against hive outbreaks by taking good care of your skin (i.e. moisturizing, exfoliating, staying clean), wearing loose, comfortable clothing, taking in enough vitamin D and other essential nutrients, and taking care of your mental health with de-stressing techniques and activities.

• #24 Hives and angioedema – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hives-and-angioedema/diagnosis-treatment/drc-20354914

  If your symptoms are mild, you may not need treatment. Hives and angioedema often clear up on their own. But treatment can offer relief from intense itching, serious discomfort or symptoms that persist. […] Treatments for hives and angioedema may include prescription drugs: […] For a severe attack of hives or angioedema, you may need a trip to the emergency room and an emergency injection of epinephrine a type of adrenaline. […] If you’re experiencing mild hives or angioedema, these tips may help relieve your symptoms: […] Avoid triggers. These can include foods, medications, pollen, pet dander, latex and insect stings. […] Use an anti-itch drug available without a prescription. […] Apply cold. Covering the affected area with a cold washcloth or rubbing an ice cube over it for a few minutes can help soothe the skin and prevent scratching. […] Take a comfortably cool bath. Find relief from itching in a cool shower or bath. […] Wear loose, smooth-textured cotton clothing. […] Protect your skin from the sun. Apply sunscreen liberally about a half hour before going outdoors.

• #25 Urticaria (Hives): Causes, Symptoms, Treatments | MedPark Hospital

  https://www.medparkhospital.com/en-US/disease-and-treatment/urticaria

  Observe, avoid and stay away from contact with sources of known allergens such as food, medications, pollen, heat, stress, or allergenic materials. […] Wear loose clothing, avoid tight clothing and rough fabric clothing that may rub the skin, and avoid wearing fur clothing. […] Avoid being in hot or cold temperatures; avoid being in the sun; and use sunscreen when going out in direct sunlight. […] Do not scratch the itchy rashes to prevent dermatitis and stimulate the spread of the rash. […] Having a skin prick test or blood allergy test. […] Get enough sleep; avoid stress and anxiety.

• #26 Cholinergic Urticaria: What It Is, Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/cholinergic-urticaria

  You cant totally prevent cholinergic urticaria because you cant keep yourself from sweating or getting warm. Its a natural function that cools your body and helps regulate your temperature. And you shouldnt skip physical activity, as physical activity helps keep you healthy. […] But there are steps you can take to reduce your risk of heat hives: Avoid spicy foods. Exercise in the early morning or late evenings when outside temperatures are lower. Find healthy ways to cope with stress and manage anxiety. Take warm (not hot) showers or baths. Wear lightweight, loose-fitting, sweat-wicking clothing.

• #27 Hives – Wikipedia

  https://en.wikipedia.org/wiki/Hives

  Hives frequently occur following an infection or as a result of an allergic reaction such as to medication, insect bites, or food. […] Prevention is by avoiding whatever it is that causes the condition. […] Keeping the environmental temperature cool is also useful. […] For cases that last more than six weeks, long-term antihistamine therapy is indicated. […] Treatment guidelines for the management of chronic hives have been published. […] The mainstay of therapy for both acute and chronic hives is education, avoiding triggers and using antihistamines. […] People who experience hives with angioedema require emergency treatment as this is a life-threatening condition. […] Chronic hives can be difficult to treat and lead to significant disability.

• #28 Exercise-Induced Hives: Causes, Symptoms & Treatment | Cumberland Skin

  https://www.cumberlandskin.com/healthy-skin-blog/exercise-induced-hives

  Exercise-induced hives occur when the nervous system releases acetylcholine in reaction to increased body temperature. This can irritate the skin to the point that hives develop. […] Although some people with very severe exercise-induced urticaria may need to avoid physical activity altogether, most cases are fairly easy to control. Here are some tips to try: […] Wear clothing that is loose-fitting or made of moisture-wicking materials to help reduce friction and sweat build-up during activity. […] Don’t exercise right after eating, as sensitivities to certain foods can trigger urticaria if eaten right before activity. Take special care to avoid spicy meals or known trigger foods. […] Choose cooler times of the day to exercise, such as evenings or early mornings. […] Try taking an over-the-counter antihistamine to help keep symptoms at bay.

• #29 Hives and angioedema – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hives-and-angioedema/diagnosis-treatment/drc-20354914

  If your symptoms are mild, you may not need treatment. Hives and angioedema often clear up on their own. But treatment can offer relief from intense itching, serious discomfort or symptoms that persist. […] Treatments for hives and angioedema may include prescription drugs: […] For a severe attack of hives or angioedema, you may need a trip to the emergency room and an emergency injection of epinephrine a type of adrenaline. […] If you’re experiencing mild hives or angioedema, these tips may help relieve your symptoms: […] Avoid triggers. These can include foods, medications, pollen, pet dander, latex and insect stings. […] Use an anti-itch drug available without a prescription. […] Apply cold. Covering the affected area with a cold washcloth or rubbing an ice cube over it for a few minutes can help soothe the skin and prevent scratching. […] Take a comfortably cool bath. Find relief from itching in a cool shower or bath. […] Wear loose, smooth-textured cotton clothing. […] Protect your skin from the sun. Apply sunscreen liberally about a half hour before going outdoors.

• #30 Hives (Urticaria) | Causes, Symptoms & Treatment

  https://acaai.org/allergies/allergic-conditions/skin-allergy/hives/

  […] […] If the cause of hives can be identified, the best treatment is to avoid the trigger or eliminate it: […] – Foods: Don’t eat foods that have been identified to cause your symptoms. […] – Rubbing or scratching: Avoid harsh soaps. Frequent baths may reduce itching and scratching – beneficial because itching and scratching can make the hives feel worse. […] – Constant pressure: Avoid tight clothing. Pressure hives can be relieved by wearing loose-fitting clothes. […] – Temperature: If you develop hives when exposed to cold, do not swim alone in cold water and always carry an epinephrine auto-injector. Avoid exposure to cold air and use a scarf around your nose and mouth in cold weather. If you must be out in the cold, wear warm clothing. […] – Sun exposure: Wear protective clothing; apply sunblock. […] – Medications: Notify your physician or pharmacist immediately if you suspect that a specific medication is causing your hives.

• #31 Hives (urticaria): Causes, pictures, and treatments

  https://www.medicalnewstoday.com/articles/157260

  The best approach to treatment depends on the cause and whether the issue is acute or chronic. […] If there are signs of allergy and the person has swelling in their lips, face, or tongue, the doctor may prescribe an epinephrine auto-injector to carry for use in emergencies. […] A person with chronic urticaria may need to take antihistamines regularly until their symptoms resolve. […] Tips for reducing hives symptoms include: using a soothing lotion or cool compress to ease the itchiness, wearing loose, light, cotton clothing, avoiding scratching, choosing soaps, moisturizers, and other cosmetics for sensitive skin, avoiding exposure to known triggers. […] Some tips for preventing hives include: keeping a diary to see if any particular triggers cause them, avoiding those triggers, taking over-the-counter antihistamines when the pollen count is high, if pollen may be a trigger, talking to a doctor about whether medications may be responsible, using meditation and other relaxation techniques to manage stress, choosing mild or fragrance-free soaps, skin creams, and detergents. […] Managing stress through meditation, exercise, or mental health treatment may help people with chronic hives manage their symptoms.

• #32

  https://www.allergydoc.us/blog/how-to-manage-prevent-urticaria-practical-tips-for-relief

  Urticaria is a skin condition marked by raised, itchy bumps that can cause varying levels of discomfort. The initial step in hives (urticaria) treatment is identifying the triggers. While it may seem like they just show up out of nowhere, specific factors may contribute to a hives breakout. Recognizing these indicators can help you take steps to prevent future outbreaks. […] Here are some actionable steps you can take to limit your exposure to allergens: Keep Your Home Clean: Vacuum regularly, wash your bedding in hot water, and use dust-proof covers to reduce dust mites, pet dander, and pollen. […] Experiencing emotional stress or anxiety can prompt your body’s immune system, causing hives to flare up. […] Here are a few helpful tips for coping with medication-induced hives: Track Reactions: Write down any new medications you take and note if hives appear soon after.

• #33 Acute and Chronic Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0601/p717.html

  The mainstay of treatment is avoidance of identified triggers. […] It is also recommended that patients avoid using aspirin, alcohol, and NSAIDs, as well as avoid wearing tight clothing, because these may worsen symptoms. […] If trigger avoidance is impossible, no trigger is identified, or symptom relief is needed despite trigger avoidance, H1-antihistamines are first-line pharmacotherapy. […] Second-generation H1 antihistamines such as loratadine (Claritin), desloratadine (Clarinex), fexofenadine (Allegra), cetirizine (Zyrtec), and levocetirizine (Xyzal) are relatively nonsedating at standard dosages and are dosed once per day. […] First-generation H1 antihistamines, such as diphenhydramine (Benadryl), hydroxyzine, chlorpheniramine, and cyproheptadine, are faster acting and, in some cases, have parenteral forms.

• #34 How to Treat Hives? | Thomson Medical

  https://www.thomsonmedical.com/blog/hives-treatment

  Preventing hives involves identifying and avoiding the allergens that trigger them. […] For those with chronic hives, reducing stress and avoiding caffeine, alcohol, and tobacco may help decrease the frequency of outbreaks.

• #35 Hives (urticaria) – Australasian Society of Clinical Immunology and Allergy (ASCIA)

  https://www.allergy.org.au/patients/skin-allergy/urticaria-hives

  Hives usually get better within a couple of weeks without any specific treatment. Treatments include: […] Avoiding aggravating factors such as excessive heat or cold, eating spicy foods, or drinking alcohol. […] Medications like non-drowsy antihistamines. These can be used to reduce the severity of the itch. For people with difficulty breathing and/or swelling of the tongue or throat, immediate administration of adrenaline and urgent medical assessment is needed. […] Severe chronic urticaria sometimes requires a group of medicines called immune modulators or immunosuppressive medications which can reduce inflammation. Repeated use of cortisone/steroid tablets should be avoided due to the risk of side effects. […] Special diets may play a role in the management of hives, but results are unpredictable and vary between people. Elimination diets under medical supervision, followed by medically supervised food allergen challenges may be useful in a small number of cases.

• #36 Exercise-Induced Hives: Causes, Symptoms & Treatment | Cumberland Skin

  https://www.cumberlandskin.com/healthy-skin-blog/exercise-induced-hives

  Keep stress to a minimum, as high-stress levels can contribute to hive breakouts. […] If standard prevention measures don’t help and you continue to experience exercise-induced hives, it’s time to see a qualified skin specialist. Possible treatments may include medications like prescription-strength antihistamines. […] A qualified dermatologist can help you understand why you experience exercise-induced urticaria and work with you to find the right treatment for your needs.

• #37 Hives (urticaria): Causes, pictures, and treatments

  https://www.medicalnewstoday.com/articles/157260

  The best approach to treatment depends on the cause and whether the issue is acute or chronic. […] If there are signs of allergy and the person has swelling in their lips, face, or tongue, the doctor may prescribe an epinephrine auto-injector to carry for use in emergencies. […] A person with chronic urticaria may need to take antihistamines regularly until their symptoms resolve. […] Tips for reducing hives symptoms include: using a soothing lotion or cool compress to ease the itchiness, wearing loose, light, cotton clothing, avoiding scratching, choosing soaps, moisturizers, and other cosmetics for sensitive skin, avoiding exposure to known triggers. […] Some tips for preventing hives include: keeping a diary to see if any particular triggers cause them, avoiding those triggers, taking over-the-counter antihistamines when the pollen count is high, if pollen may be a trigger, talking to a doctor about whether medications may be responsible, using meditation and other relaxation techniques to manage stress, choosing mild or fragrance-free soaps, skin creams, and detergents. […] Managing stress through meditation, exercise, or mental health treatment may help people with chronic hives manage their symptoms.

• #38 Patient education: Hives (urticaria) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/hives-urticaria-beyond-the-basics

  HIVES TREATMENT […] Hives are treated with a combination of avoiding things that cause or worsen the hives, plus the use of medications. […] Avoiding triggers — The first treatment for hives is to figure out what is triggering your hives and then avoid that trigger. Even if you cannot figure out the trigger, hives usually disappear over days or weeks. […] Antihistamines — Antihistamines are medicines that can relieve itching. Most people with hives respond to antihistamines. You may need a relatively high dose to control your symptoms. […] There are different types of antihistamines. They differ in side effects, cost, how long the medicine lasts, and need for a prescription. […] Nonsedating antihistamines — Nonsedating antihistamines are generally preferred for treating hives because they have fewer side effects than older antihistamines. Also, these antihistamines have to be taken less often, usually once or twice per day. Many of them can be purchased over the counter, including:

• #39 Acute and Chronic Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0601/p717.html

  Urticaria is caused by immunoglobulin E- and nonimmunoglobulin E-mediated release of histamine and other inflammatory mediators from mast cells and basophils. […] The mainstay of treatment is avoidance of triggers, if identified. […] Second-generation H1 antihistamines are safe and effective symptomatic therapy for urticaria. […] Second-generation H1 antihistamines are recommended over older antihistamines because of adverse effect profiles. […] If needed to control symptoms of urticaria, second-generation H1 antihistamines can be titrated to two to four times the normal dose. […] A short course of systemic corticosteroids may help control severe cases of urticaria. […] Other medications such as first-generation H1 antihistamines, H2 antihistamines, and leukotriene receptor antagonists may be added to control symptoms of chronic urticaria.

• #40 Acute and Chronic Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0601/p717.html

  The mainstay of treatment is avoidance of identified triggers. […] It is also recommended that patients avoid using aspirin, alcohol, and NSAIDs, as well as avoid wearing tight clothing, because these may worsen symptoms. […] If trigger avoidance is impossible, no trigger is identified, or symptom relief is needed despite trigger avoidance, H1-antihistamines are first-line pharmacotherapy. […] Second-generation H1 antihistamines such as loratadine (Claritin), desloratadine (Clarinex), fexofenadine (Allegra), cetirizine (Zyrtec), and levocetirizine (Xyzal) are relatively nonsedating at standard dosages and are dosed once per day. […] First-generation H1 antihistamines, such as diphenhydramine (Benadryl), hydroxyzine, chlorpheniramine, and cyproheptadine, are faster acting and, in some cases, have parenteral forms.

• #41 Patient education: Hives (urticaria) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/hives-urticaria-beyond-the-basics

  HIVES TREATMENT […] Hives are treated with a combination of avoiding things that cause or worsen the hives, plus the use of medications. […] Avoiding triggers — The first treatment for hives is to figure out what is triggering your hives and then avoid that trigger. Even if you cannot figure out the trigger, hives usually disappear over days or weeks. […] Antihistamines — Antihistamines are medicines that can relieve itching. Most people with hives respond to antihistamines. You may need a relatively high dose to control your symptoms. […] There are different types of antihistamines. They differ in side effects, cost, how long the medicine lasts, and need for a prescription. […] Nonsedating antihistamines — Nonsedating antihistamines are generally preferred for treating hives because they have fewer side effects than older antihistamines. Also, these antihistamines have to be taken less often, usually once or twice per day. Many of them can be purchased over the counter, including:

• #42 Patient education: Hives (urticaria) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/hives-urticaria-beyond-the-basics

  Loratadine (sample brand name: Claritin) […] Cetirizine (sample brand name: Zyrtec) […] Fexofenadine (sample brand name: Allegra) […] Levocetirizine (sample brand name: Xyzal) […] Older antihistamines — Older antihistamines start to work quickly and work well to relieve symptoms. Some of them require a prescription, while others can be purchased over the counter. The problem with older antihistamines is that you have to take a dose four to six times per day, and many people have bothersome side effects. These can include drowsiness, dry mouth, double or blurred vision, or difficulty urinating. […] Some of these side effects interfere with driving and tasks requiring quick reactions, similar to the effects of drinking alcohol. These medicines are therefore not recommended for people who plan to drive, pilot aircrafts or boats, or operate heavy machinery or for people whose job performance may be otherwise affected. Starting the medicine at a low dose and gradually increasing the dose can help to ease side effects. The side effects usually get better if you take the medicine regularly over a period of days to weeks.

• #43 Acute and Chronic Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0601/p717.html

  However, they require more frequent dosing and have more adverse effects, including sedation, confusion, dizziness, impaired concentration, and decreased psychomotor performance. […] Because of anticholinergic adverse effects, first-generation H1 antihistamines should be used with caution in older patients. […] Current guidelines suggest a stepwise approach to treating chronic idiopathic urticaria. […] As with acute urticaria, the first step is second-generation H1 antihistamines. […] For improved symptom control, the medication should be dosed daily, rather than on an as-needed basis. […] If symptomatic control is still not achieved, the third step is addition and titration of high-potency antihistamines as tolerated, such as hydroxyzine or the tricyclic antidepressant doxepin. […] The fourth step is referral to a subspecialist for use of immunomodulatory agents.

• #44 Acute and Chronic Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0601/p717.html

  Urticaria is caused by immunoglobulin E- and nonimmunoglobulin E-mediated release of histamine and other inflammatory mediators from mast cells and basophils. […] The mainstay of treatment is avoidance of triggers, if identified. […] Second-generation H1 antihistamines are safe and effective symptomatic therapy for urticaria. […] Second-generation H1 antihistamines are recommended over older antihistamines because of adverse effect profiles. […] If needed to control symptoms of urticaria, second-generation H1 antihistamines can be titrated to two to four times the normal dose. […] A short course of systemic corticosteroids may help control severe cases of urticaria. […] Other medications such as first-generation H1 antihistamines, H2 antihistamines, and leukotriene receptor antagonists may be added to control symptoms of chronic urticaria.

• #45 Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0501/p1078.html

  Histamine H1 blockers are first-line therapy for acute urticaria. […] Second-generation antihistamines are considered first-line therapy. […] Treatment guidelines suggest that if normal doses are not successful, titration up to two to four times the usual dose is the next step. […] If symptoms remain uncontrolled, there are several options. […] A three- to 10-day tapered burst of oral corticosteroids (prednisone or prednisolone, up to 1 mg per kg per day) is sometimes used to get control of symptoms, although corticosteroids do not directly prevent mast cell degranulation. […] There are data on the effectiveness of leukotriene receptor antagonists such as montelukast (Singulair) and zafirlukast (Accolate) in the treatment of chronic idiopathic urticaria. […] After symptoms are controlled adequately, patients should be maintained on the regimen (excluding corticosteroids) for at least three months before considering titrating down and discontinuing medications.

• #46 Hives: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/hives-treatment

  This medication can help control the itch and swelling. Some antihistamines may also flatten hives, shorten how long you have hives, or reduce the number of hives you get. […] If the first antihistamine you take fails to work, your dermatologist may increase the dose or add another antihistamine to your treatment plan. […] For an antihistamine to be effective, you must take it every day and continue to take it every day until you’re no longer getting hives. […] When an antihistamine alone fails to clear hives, this treatment may be an option. […] When antihistamines fail to work, your dermatologist may prescribe this medication. It works throughout the body to calm your immune system, which can prevent your body from overreacting and producing hives. […] If your hives are caused by something physical like cold, heat, or pressure on your skin, your dermatologist may recommend this treatment. It involves exposing you to what is causing your hives, so that you no longer have flare-ups every time you encounter the cause. […] A treatment plan often works best when you follow these dermatologists at-home tips.

• #47 Hives (Urticaria): Causes, Symptoms, and Treatment

  https://patient.info/skin-conditions/hives-inducible-urticaria

  Someone with severe episodes of hives may be referred to a specialist. Skin specialists (called dermatologists) or allergy specialists (called immunologists) may be able to help. […] In cholinergic urticaria where the rash develops on exercise, a dose of an antihistamine just before exercising may help to prevent or limit a flare-up of the rash.

• #48 Exercise-induced Urticaria: Prevention, Causes and Treatment

  https://familydoctor.org/condition/exercise-induced-urticaria/

  You cannot avoid exercise-induced urticaria. However, you can help prevent flare-ups. Avoid food, products, or types of exercise that trigger hives and other symptoms. Work with your doctor to identify these. […] Medicines, such as antihistamines, can prevent and treat some symptoms. In severe cases, symptoms may be life threatening, but this is rare. If you’ve ever had severe symptoms, your doctor may prescribe a medicine called epinephrine. This is more commonly known as an EpiPen. You inject this medicine as soon as symptoms start. It stops the symptoms before they become life threatening. […] Most symptoms can be controlled with medicine(s) prescribed by your doctor. Take these according to your doctor’s orders. Pay close attention to your body and reactions. Slow down or stop exercising as soon as symptoms start. Exercise with a partner who knows about your condition. If you have a history of severe symptoms, carry your EpiPen with you in case of emergency.

• #49 Diagnosis and treatment of urticaria in primary care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526977/

  In the treatment of urticaria (with or without angioedema), the focus should be on the immediate relief of pruritus and angioedema, if any. […] Antihistamines bind to histamine receptors and prevent the formation of pruritus and urticarial plaques. […] The second-generation H1 antihistamines are preferred. […] Systemic glucocorticoids should be considered in cases with significant angioedema or if the symptoms persist for more than a few days and cannot be controlled by antihistamines. […] Omalizumab is the only approved, effective, and reliable treatment option for CSU patients with persistent symptoms despite high-dose antihistamine therapy. […] In the latest treatment guidelines, it is stated that the classical treatment algorithm proposed in the treatment of urticaria in pregnancy can be applied. […] The standard treatment for patients without respiratory distress is H1 and H2 antihistamines and systemic corticosteroids.

• #50 Patient education: Hives (urticaria) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/hives-urticaria-beyond-the-basics

  The older antihistamines include: […] Diphenhydramine (sample brand name: Benadryl) […] Chlorpheniramine (sample brand name: Chlor-Trimeton) […] Cyproheptadine (sample brand name: Periactin) […] Other antihistamines — There is another type of antihistamine that is commonly used to treat heartburn. Your doctor or nurse might recommend one of these medicines in combination with another antihistamine if one medicine alone does not work for you. Examples of this type of antihistamine include: […] Famotidine (sample brand name: Pepcid) […] Cimetidine (sample brand name: Tagamet) […] Very sedating antihistamines — There are some very sedating antihistamines that are usually reserved for bedtime use. They can cause significant drowsiness and should not be taken when driving or working. They are sometimes helpful for getting a better night’s sleep when itching is severe. Some of these medications require a prescription. Examples include:

• #51 Patient education: Hives (urticaria) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/hives-urticaria-beyond-the-basics

  Other medicines — If your hives do not get better with the treatments discussed above, other treatments are available. One example is montelukast (brand name: Singulair), a medicine that helps with itching and hives in some people when used together with antihistamines. If your hives are not responding to the treatments you have been offered, you should see a specialist (an allergist or a dermatologist). Omalizumab is a treatment for very difficult-to-control hives and is given by specialists. It is given as a monthly injection. […] Medication safety during pregnancy — If you are pregnant or planning to try to get pregnant, talk with your health care provider about the medications you take. Some medications are safe to take during pregnancy, while others are not. Your provider can work with you to find a safe way to treat your hives. […] […] […] Hives usually respond well to treatment, which includes medicines and avoiding whatever triggered the hives.

• #52 Patient education: Hives (urticaria) (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/hives-urticaria-beyond-the-basics

  Hydroxyzine (sample brand names: Atarax, Vistaril) […] Doxepin (sample brand name: Silanor, Sinequan) […] Oral steroids — A high dose of antihistamines is usually recommended before trying other treatments. However, oral steroids (glucocorticoids), such as prednisone, can help to relieve severe acute hives that do not get better with antihistamines. Once the hives have improved, the steroid dose is gradually lowered and then stopped. […] Oral steroids may be used temporarily to relieve chronic hives, but they should not be used for long-term treatment. This is because steroids can have serious side effects when taken for long periods of time (months or years). If you are taking oral steroids for more than one month per year to control your hives, you should see a specialist (an allergist or a dermatologist).

• #53 Diagnosis and treatment of urticaria in primary care

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6526977/

  In the treatment of urticaria (with or without angioedema), the focus should be on the immediate relief of pruritus and angioedema, if any. […] Antihistamines bind to histamine receptors and prevent the formation of pruritus and urticarial plaques. […] The second-generation H1 antihistamines are preferred. […] Systemic glucocorticoids should be considered in cases with significant angioedema or if the symptoms persist for more than a few days and cannot be controlled by antihistamines. […] Omalizumab is the only approved, effective, and reliable treatment option for CSU patients with persistent symptoms despite high-dose antihistamine therapy. […] In the latest treatment guidelines, it is stated that the classical treatment algorithm proposed in the treatment of urticaria in pregnancy can be applied. […] The standard treatment for patients without respiratory distress is H1 and H2 antihistamines and systemic corticosteroids.

• #54 Urticaria: Evaluation and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0501/p1078.html

  Histamine H1 blockers are first-line therapy for acute urticaria. […] Second-generation antihistamines are considered first-line therapy. […] Treatment guidelines suggest that if normal doses are not successful, titration up to two to four times the usual dose is the next step. […] If symptoms remain uncontrolled, there are several options. […] A three- to 10-day tapered burst of oral corticosteroids (prednisone or prednisolone, up to 1 mg per kg per day) is sometimes used to get control of symptoms, although corticosteroids do not directly prevent mast cell degranulation. […] There are data on the effectiveness of leukotriene receptor antagonists such as montelukast (Singulair) and zafirlukast (Accolate) in the treatment of chronic idiopathic urticaria. […] After symptoms are controlled adequately, patients should be maintained on the regimen (excluding corticosteroids) for at least three months before considering titrating down and discontinuing medications.

• #55 Hives: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/hives-treatment

  This medication can help control the itch and swelling. Some antihistamines may also flatten hives, shorten how long you have hives, or reduce the number of hives you get. […] If the first antihistamine you take fails to work, your dermatologist may increase the dose or add another antihistamine to your treatment plan. […] For an antihistamine to be effective, you must take it every day and continue to take it every day until you’re no longer getting hives. […] When an antihistamine alone fails to clear hives, this treatment may be an option. […] When antihistamines fail to work, your dermatologist may prescribe this medication. It works throughout the body to calm your immune system, which can prevent your body from overreacting and producing hives. […] If your hives are caused by something physical like cold, heat, or pressure on your skin, your dermatologist may recommend this treatment. It involves exposing you to what is causing your hives, so that you no longer have flare-ups every time you encounter the cause. […] A treatment plan often works best when you follow these dermatologists at-home tips.

• #56

  https://www.wyndly.com/blogs/learn/allergy-hives?srsltid=AfmBOoqyC2yct6Aexnc71yQYeuH8Rzj7B0hDl07WriSn9ufu4AR28zIa

  If you find yourself struggling with allergies and the symptoms that come along with them, there are a few things you can do to get some relief. […] Limiting exposure to your allergy triggers is one of the most effective ways to prevent allergy symptoms. […] If limiting your exposure to allergens isn’t enough, there are a variety of OTC medications that can help with short-term symptom relief. […] Sublingual immunotherapy is an allergy treatment that gradually exposes your body to your allergy triggers. Over time, sublingual immunotherapy allows your immune system to become desensitized to the allergen, which reduces your symptoms.

• #57 How to Prevent Hives (Urticaria): Reduce Your Risk

  https://www.health.com/hives-prevention-7255051

  Hives is an inflammatory skin disorder primarily characterized by the formation of itchy bumps called wheals on the skin. Hives can also cause swelling under the skin, or angioedema. The clinical term for hives is urticaria. While all people can be affected by hives, it is most commonly seen in children, those assigned female at birth, and people with allergies. […] However, some types can be prevented, something which begins by understanding and avoiding the factors that trigger it. […] Preventive strategies for hives can be effective in reducing how often they occur and how severe your symptoms are. These can include medical evaluations and tests, adapting lifestyle habits, tracking triggers and avoiding them, and tending to your mental health. […] If you’re experiencing hives, a key to prevention is to seek out a medical evaluation to confirm your diagnosis.

• #58

  https://www.allergydoc.us/blog/how-to-manage-prevent-urticaria-practical-tips-for-relief

  Managing chronic urticaria involves lifestyle changes and symptom tracking, which can relieve symptoms and improve your quality of life. […] Keeping a symptom diary is essential for managing chronic urticaria. It helps identify patterns and triggers by tracking symptoms’ frequency, intensity, and potential triggers such as activities, foods, and emotional states. Additionally, noting medication use and effectiveness can guide treatment adjustments for patients and healthcare providers. […] Seek medical attention immediately if your hives last more than six weeks, are extremely painful, or occur with difficulty breathing, dizziness, or swelling of the face, lips, or throat. These symptoms may signal a severe allergic reaction or anaphylaxis requiring urgent care. […] For chronic or difficult-to-manage hives, consider consulting allergists at Advanced Allergy and Asthma Care. Our specialists can conduct tests to identify specific allergies and recommend effective treatments, including stronger medications or biologic therapies, to develop a personalized long-term relief plan tailored to your needs.

• #59 Chronic Urticaria Management & Resources – Allergy & Asthma Network

  https://allergyasthmanetwork.org/chronic-urticaria/management-and-resources/

  Keeping a journal may help you find the cause of acute or chronic hives. If you can avoid what triggers your hives, you can prevent new hives. […] Share your history of chronic hives with your doctor. […] What can trigger hives? […] How can I identify my triggers? […] How do I avoid chronic urticaria triggers?

• #60 Hives: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/hives-treatment

  Hives can require emergency care. Go to urgent care or the nearest emergency room if you have any of the following: Swelling on your face, inside your mouth, or in your throat. Problems swallowing or breathing. Feel light-headed or faint. Racing heart. […] For many people, hives are mild. If you have a mild case, it will likely go away in a few days. To get relief until then, dermatologists recommend that you take an antihistamine (non-drowsy, 24-hour relief) and use these home remedies. […] When treating hives, the goals are to: Control the itch. Prevent new hives (existing hives go away on their own). Avoid what’s causing the hives (when known). […] Your treatment plan will be tailored to your needs and may include one or more of the following: Soothing anti-itch lotion or cream. Antihistamine.

• #61 How to Get Rid of Hives: Natural Remedies and Medications

  https://www.healthline.com/health/skin-disorders/how-to-get-rid-of-hives

  Identifying what triggered the hives is crucial to preventing them from happening again. […] Understanding your triggers may also help prevent future outbreaks. […] Home remedies for hives include cold compresses, oatmeal baths, keeping cool, and avoiding products that might irritate the skin. […] OTC products and natural remedies that might help alleviate hives symptoms include calamine lotion, antihistamines, aloe vera, and witch hazel. […] Doctors may recommend medical treatments for chronic or severe hives. These can include prednisone (Deltasone), omalizumab (Xolair), and dapsone (Aczone). […] Speak with a doctor if hives symptoms do not resolve within a few days or if they keep coming back. Seek immediate medical help if you experience symptoms of an allergic reaction, such as breathing difficulties, swelling, and dizziness.

• #62 Hives (Urticaria) and Angioedema Overview

  https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/hives-(urticaria)-and-angioedema-overview

  Hives or welts, also known as urticaria, are itchy, raised, reddish areas on the skin. […] Understanding the underlying mechanism of swelling or the specific disease is critical in determining the best treatment. […] Antihistamines are frequently an effective form of treatment. […] The goals of treatment are to: Provide relief of itching Make hives more tolerable Provide complete resolution of your hives Medications will help your itching and reduce hives. Medications will not cure hives but can help to completely resolve them. Antihistamines are the best initial medication to treat your hives. […] Your doctor will outline a treatment plan that allows you to increase treatment during an outbreak of hives or swelling and reduce medications when the hives or angioedema are not as bothersome.

• #63 Hives and angioedema – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hives-and-angioedema/diagnosis-treatment/drc-20354914

  If your symptoms are mild, you may not need treatment. Hives and angioedema often clear up on their own. But treatment can offer relief from intense itching, serious discomfort or symptoms that persist. […] Treatments for hives and angioedema may include prescription drugs: […] For a severe attack of hives or angioedema, you may need a trip to the emergency room and an emergency injection of epinephrine a type of adrenaline. […] If you’re experiencing mild hives or angioedema, these tips may help relieve your symptoms: […] Avoid triggers. These can include foods, medications, pollen, pet dander, latex and insect stings. […] Use an anti-itch drug available without a prescription. […] Apply cold. Covering the affected area with a cold washcloth or rubbing an ice cube over it for a few minutes can help soothe the skin and prevent scratching. […] Take a comfortably cool bath. Find relief from itching in a cool shower or bath. […] Wear loose, smooth-textured cotton clothing. […] Protect your skin from the sun. Apply sunscreen liberally about a half hour before going outdoors.

• #64 Exercise-induced Urticaria: Prevention, Causes and Treatment

  https://familydoctor.org/condition/exercise-induced-urticaria/

  You cannot avoid exercise-induced urticaria. However, you can help prevent flare-ups. Avoid food, products, or types of exercise that trigger hives and other symptoms. Work with your doctor to identify these. […] Medicines, such as antihistamines, can prevent and treat some symptoms. In severe cases, symptoms may be life threatening, but this is rare. If you’ve ever had severe symptoms, your doctor may prescribe a medicine called epinephrine. This is more commonly known as an EpiPen. You inject this medicine as soon as symptoms start. It stops the symptoms before they become life threatening. […] Most symptoms can be controlled with medicine(s) prescribed by your doctor. Take these according to your doctor’s orders. Pay close attention to your body and reactions. Slow down or stop exercising as soon as symptoms start. Exercise with a partner who knows about your condition. If you have a history of severe symptoms, carry your EpiPen with you in case of emergency.

• #65 Hives: Causes, Symptoms, Diagnosis, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/8630-hives

  Your healthcare provider can use the results of allergy tests to help you figure out which substances bring on acute hives. Once you know your triggers, you can avoid them. You may want to: […] It may not be possible to prevent chronic hives. Your provider may not be able to find exactly what causes them. They may also be a part of a bigger medical condition that affects your immune system.

• #66 How To Treat & Prevent Recurring Hives On Skin?

  https://santanallergy.com/how-to-treat-prevent-recurring-hives-on-skin/

  Dealing with hives can be incredibly frustrating. […] In this article, were here to help you understand how to treat and prevent recurring hives on your skin, and weve enlisted the expertise of a Gilbert allergy expert to guide you through this journey with care. […] If you frequently experience hives or have difficulty identifying the cause, its best to consult a healthcare professional or an allergy expert for proper diagnosis and treatment. […] Lifestyle Changes: Avoiding triggers, managing stress, maintaining a healthy diet, and staying hydrated can help prevent hives. […] Chronic hives (chronic urticaria) are long-lasting hives that persist for six weeks or more. […] Preventing chronic hives can be challenging, especially when the underlying cause isnt clear. […] Consult a Specialist: If your chronic hives persist despite your efforts, seek the guidance of an allergy expert or dermatologist with experience in managing chronic hives. […] Seeking medical attention is crucial when dealing with hives (urticaria), especially in certain situations where the hives are severe or accompanied by other symptoms.

• #67 How to Treat and Prevent Hives – The Dermatology Group | Dermatology

  https://thedermgrouppartners.com/how-to-treat-and-prevent-hives/

  The number one way to prevent hives is by identifying any triggers present in a previous outbreak and avoiding it at all costs. […] If, however, you’re prone to hives and get them regularly, then you’ll have a better understanding of what your triggers are. […] You can preemptively take antihistamines to ward off the inevitable. […] It is important for you to talk to a physician before taking any medication. […] Our experts at The Dermatology Group are here to help! We will gladly offer you prevention advice, treatment options and additional resources for hives relief.

• #68 Effective Hives Treatment: Relief for Your Skin | DCSIEffective Hives Treatment: Relief for Your Skin | DCSI

  https://www.mydcsi.com/conditions/skin/effective-treatment-for-hives-causes-symptoms-and-relief/

  For those who experience frequent flare-ups, preventative measures can help reduce outbreaks. Identifying personal triggers is key. Keep a symptom journal to help pinpoint specific foods, activities, or environmental factors that contribute to hives. […] Wearing loose-fitting, breathable clothing can minimize irritation. Daily hydration and using moisturizers can also help maintain the skin barrier. Managing stress through meditation, deep breathing, or yoga may also prevent stress-induced hives. […] If you believe your hives are linked to allergies, speak with a dermatologist or allergist. A specialist can help determine the best course of action, including possible allergy testing or immunotherapy.

• #69 10 ways to get relief from chronic hives

  https://www.aad.org/public/diseases/a-z/hives-chronic-relief

  Make an appointment to see a board-certified dermatologist. Most people who have hives are otherwise healthy, but its still helpful to see a dermatologist. Other skin conditions can look like hives. Your dermatologist can find or rule out possible causes, such as: […] Know that treatment can be effective when the cause(s) of your hives remains unknown. Its helpful to find out whats causing your hives, but sometimes, a cause cannot be found. About 50% of people who have chronic hives never find out whats causing their flare-ups. Even when you cannot find the cause, treatment can help you clear your skin and prevent new flare-ups. […] Follow your treatment plan. For treatment to be effective, its essential to follow the treatment plan your dermatologist creates for you. Treatment may fail to work when you take medication less often than prescribed. For example, if your dermatologist prescribes a daily oral antihistamine and you only take it when you have a flare-up, you may continue to get hives.

• #70

  https://www.allergydoc.us/blog/how-to-manage-prevent-urticaria-practical-tips-for-relief

  Managing chronic urticaria involves lifestyle changes and symptom tracking, which can relieve symptoms and improve your quality of life. […] Keeping a symptom diary is essential for managing chronic urticaria. It helps identify patterns and triggers by tracking symptoms’ frequency, intensity, and potential triggers such as activities, foods, and emotional states. Additionally, noting medication use and effectiveness can guide treatment adjustments for patients and healthcare providers. […] Seek medical attention immediately if your hives last more than six weeks, are extremely painful, or occur with difficulty breathing, dizziness, or swelling of the face, lips, or throat. These symptoms may signal a severe allergic reaction or anaphylaxis requiring urgent care. […] For chronic or difficult-to-manage hives, consider consulting allergists at Advanced Allergy and Asthma Care. Our specialists can conduct tests to identify specific allergies and recommend effective treatments, including stronger medications or biologic therapies, to develop a personalized long-term relief plan tailored to your needs.

• #71 Chronic Urticaria Management & Resources – Allergy & Asthma Network

  https://allergyasthmanetwork.org/chronic-urticaria/management-and-resources/

  Patients with chronic urticaria should seek treatment from a healthcare provider. This can be a board-certified allergist, dermatologist, primary care doctor or other health professional with knowledge of the skin disease. […] Work together with the healthcare provider to come up with a treatment plan for managing chronic urticaria. If you have chronic idiopathic urticaria or chronic spontaneous urticaria, work with the healthcare provider to identify and avoid potential triggers. […] Prescription and non-prescription medications are a key part of a plan for treatment of chronic urticaria. Antihistamines are generally the first-line treatment but there are other medication options for more severe symptoms, including systemic corticosteroids and biologics. […] Self-management of chronic urticaria is important. The American Academy of Dermatology (AAD) has recommendations for what you can do at home to self-manage your hives.

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