Materiały źródłowe

• #1 A Patient Charter for Chronic Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10796664/

  Chronic urticaria (CU) is the recurring development of wheals (aka hives or welts), angioedema, or both for more than 6 weeks. […] The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patients physical and mental quality of life. […] Patients should feel empowered to self-advocate to receive the best care. […] The voice of the patient in navigating the journey of CU diagnosis and management may improve patient-provider communication, thereby improving diagnosis and outcomes. […] A collaboration of patients, providers, advocacy organizations, and pharmaceutical representatives have created a patient charter to define the realistic and achievable principles of care that patients with CU should expect to receive. Principle (1): I deserve an accurate and timely diagnosis of my CU; Principle (2): I deserve access to specialty care for my CU; Principle (3): I deserve access to innovative treatments that reduce the burden of CU on my daily life; Principle (4): I deserve to be free of unnecessary treatment-related side-effects during the management of my CU; and Principle (5): I expect a holistic treatment approach to address all the components of my life impacted by CU.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7064

  Chronic hives are long-lasting raised, red, and itchy patches of skin. Hives usually have red borders and pale centres. They range in size from centimetre to 8 centimetres ( inch to 3 inches) or more across. They may seem to move from place to place on the skin. Several hives may join to form a large area of raised, red skin. […] When hives and swelling last more than 6 weeks even with treatment, they are called chronic. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Avoid whatever you think may have caused your hives, such as a certain food or medicine. But you may not know the cause.

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

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

  Chronic hives occur almost daily for more than six weeks and are typically itchy. Each hive lasts less than 24 hours. They do not bruise nor leave any scar. They typically do not have an identifiable trigger. […] If your hives last more than a month or if they recur over time, see an allergist, who will take a history and perform a thorough physical exam to try and determine the cause of your symptoms. A skin test and challenge test may also be needed to identify triggers. […] Therapies range from cool compresses to relieve itching to prescription antihistamines and other drugs, such as anti-inflammatory medications and medications that may modify your immune system. […] Chronic hives should be evaluated by an allergist, who will ask about your and your family’s medical history, substances to which you are exposed at home and at work, exposure to pets or other animals and any medications you’ve taken recently.

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

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

  Hives are classified based upon how long you have the hives. Hives can be: […] Chronic hives occur daily or almost daily and last longer than six weeks, sometimes for years. Chronic hives can be frustrating because they come and go and can interfere with sleep, work, or school. Hives affect how you look, and people may worry about being near you for fear that you have a contagious infection. […] However, it is important to remember the following: […] Chronic hives are rarely permanent; almost 50 percent of people are hive free within one year. […] Chronic hives are rarely caused by allergies and are not life threatening. […] The bothersome symptoms of chronic hives are treatable in most people. […] In most cases of chronic hives, the cause is unknown. Researchers suspect that problems in the immune system play a role.

• #5 A Patient Charter for Chronic Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10796664/

  Chronic urticaria (CU) is the recurring development of wheals (aka hives or welts), angioedema, or both for more than 6 weeks. […] The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patients physical and mental quality of life. […] Patients should feel empowered to self-advocate to receive the best care. […] The voice of the patient in navigating the journey of CU diagnosis and management may improve patient-provider communication, thereby improving diagnosis and outcomes. […] A collaboration of patients, providers, advocacy organizations, and pharmaceutical representatives have created a patient charter to define the realistic and achievable principles of care that patients with CU should expect to receive. Principle (1): I deserve an accurate and timely diagnosis of my CU; Principle (2): I deserve access to specialty care for my CU; Principle (3): I deserve access to innovative treatments that reduce the burden of CU on my daily life; Principle (4): I deserve to be free of unnecessary treatment-related side-effects during the management of my CU; and Principle (5): I expect a holistic treatment approach to address all the components of my life impacted by CU.

• #6 Chronic Hives (Chronic Idiopathic Urticaria): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22900-chronic-hives-chronic-idiopathic-urticaria

  Chronic hives (chronic urticaria) are red, itchy skin welts that last more than six weeks. Many people have these welts every day for a year or longer. Antihistamines, steroids and immunosuppressants can soothe the hives. […] Chronic hives are itchy, raised welts that appear on your skin and last for more than six weeks. […] Chronic hives are visible at least twice per week for more than six weeks. Some chronic hives last for months or years. The cause is often unknown. […] Treatments for chronic hives include: Allergy medications: Daily over-the-counter (OTC) or prescription allergy medications like antihistamines relieve itching and reduce or prevent allergic reactions. Steroids: Corticosteroids like prednisone (Deltasone, Rayos) can ease symptoms that don’t respond to allergy medicines. Hydroxychloroquine: A study found that 8 in 10 people with autoimmune disease-induced chronic hives got symptom relief after taking hydroxychloroquine (Plaquenil), an antimalarial drug, for three or more months. Cyclosporine: This immunosuppressant is highly effective at clearing up severe chronic hives.

• #7 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. […] Chronic hives occur daily or almost daily and last longer than six weeks, sometimes for years. Chronic hives can be frustrating because they come and go and can interfere with sleep, work, or school. […] Hives are not contagious. […] Chronic hives are rarely permanent; almost 50 percent of people are hive free within one year. […] Chronic hives are rarely caused by allergies and are not life threatening. […] The bothersome symptoms of chronic hives are treatable in most people. […] In most cases of chronic hives, the cause is unknown. Researchers suspect that problems in the immune system play a role. […] Hives can be a sign of several other medical or autoimmune conditions, including thyroid or liver diseases, chronic infections, or lupus. Most people with one of these conditions will have other symptoms apart from hives.

• #8 Chronic spontaneous urticaria: Effective treatment possible

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

  If these flare-ups occur daily or on most days of the week for 6 weeks or longer, you have chronic (long-lasting) urticaria. The word urticaria means hives. When what’s causing the hives is unknown, the condition is called chronic spontaneous urticaria. It’s also referred to as chronic idiopathic urticaria. The words spontaneous and idiopathic mean cause unknown. […] Even when you don’t know what’s causing hives, you can get relief. says board-certified dermatologist Viseslav Tonkovic-Capin, MD, FAAD. Today’s treatments can relieve the itch, stop the swelling, and prevent new hives. […] The key is to prevent new hives because this stops the flare-ups. Existing hives clear on their own. […] Dermatologists have conducted many research studies on chronic hives. Through years of research, they’ve found treatments that work even when the cause remains unknown.

• #9 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. […] Chronic hives occur daily or almost daily and last longer than six weeks, sometimes for years. Chronic hives can be frustrating because they come and go and can interfere with sleep, work, or school. […] Hives are not contagious. […] Chronic hives are rarely permanent; almost 50 percent of people are hive free within one year. […] Chronic hives are rarely caused by allergies and are not life threatening. […] The bothersome symptoms of chronic hives are treatable in most people. […] In most cases of chronic hives, the cause is unknown. Researchers suspect that problems in the immune system play a role. […] Hives can be a sign of several other medical or autoimmune conditions, including thyroid or liver diseases, chronic infections, or lupus. Most people with one of these conditions will have other symptoms apart from hives.

• #10 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #11 Managing chronic spontaneous urticaria (hives) in primary care

  https://journals.rcni.com/nursing-standard/evidence-and-practice/managing-chronic-spontaneous-urticaria-hives-in-primary-care-ns.2018.e11198/print

  Chronic spontaneous urticaria is characterised by the spontaneous appearance of hives or wheals, and/or angioedema, lasting for at least six weeks. […] Nurses have an important role in the differential diagnosis of chronic spontaneous urticaria, assessing patients quality of life, providing advice on non-pharmacological measures, monitoring the patients response to treatment, and referring the patient for specialist care, where appropriate. […] This article describes the presentation, diagnosis and management of chronic spontaneous urticaria in primary care. […] To understand the aspects of optimal nursing care for patients with chronic spontaneous urticaria.

• #12 Chronic hives – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/chronic-hives/diagnosis-treatment/drc-20352723

  To diagnose chronic hives, your healthcare professional will likely talk with you about your symptoms and look at your skin. […] Treatment for chronic hives often starts with nonprescription anti-itch medicines, called antihistamines. […] For chronic hives that resist these treatments, your healthcare professional might prescribe a medicine that can calm an overactive immune system. […] Chronic hives can go on for months and years. They can interfere with sleep, work and other activities. The following self-care tips may help you manage your condition: […] Track your symptoms. Keep a diary of when and where hives occur, what you were doing, what you were eating, and so on. This may help you and your healthcare professional identify the thing that brings on symptoms for you. […] For chronic hives, questions you may want to ask include: What treatments are available, and which do you suggest? […] Your healthcare professional is likely to ask you a few questions, such as: Have you tried a new food for the first time, changed laundry products or adopted a new pet?

• #13 Spontaneous urticaria, chronic ordinary urticaria

  https://www.pcds.org.uk/clinical-guidance/urticaria-spontaneous-syn-chronic-ordinary-urticaria

  The most commonly used treatment is omalizumab, an anti-IgE monoclonal antibody. […] Patients responding poorly to treatment, especially if associated with systemic symptoms such as fever and arthralgia, should be investigated for uncommon/rare conditions associated with urticaria such as vasculitic urticaria and the acquired autoinflammatory conditions. […] For a short lived severe episode of urticaria or angioedema – 0.5 mg/kg per day for 3 days. […] For a more generalised episode of recalcitrant urticaria – 25 mg OD for 4 days, 20 mg OD for 3 days, and then 10 mg OD for 3 days.

• #14 Chronic hives

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20305526

  Chronic hives can be very uncomfortable and interfere with sleep and daily activities. For many people, anti-itch medicines, called antihistamines, provide relief. […] Treatment for chronic hives often starts with nonprescription anti-itch medicines, called antihistamines. If these don’t help, your healthcare professional might suggest that you try one or more prescription-strength medicines. […] Chronic hives can go on for months and years. They can interfere with sleep, work and other activities. The following self-care tips may help you manage your condition: […] Track your symptoms. Keep a diary of when and where hives occur, what you were doing, what you were eating, and so on. This may help you and your healthcare professional identify the thing that brings on symptoms for you.

• #15 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #16 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #17 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #18 Hives Care for Children and Adults | UPMC in Central Pa.

  https://www.upmc.com/services/south-central-pa/allergy-asthma-immunology/allergies/hives

  The allergy specialists at UPMC in central Pa. provide diagnostic testing and treatment for acute and chronic hives in children and adults. […] Chronic hives could be caused by allergies, but also could be caused by underlying chronic conditions. […] Whether you are experiencing chronic or acute hives, our specialists will provide comprehensive care to find the cause of your hives and rule out other health conditions. […] Blood tests for chronic hives. Blood tests measure the amount of immunoglobulin E (IgE) antibodies in your blood that are specific to certain allergens. […] If you are experiencing chronic hives that have not responded to antihistamines or steroid medications, our specialists offer Xolair/Omalizumab shots that may help to control chronic hives. […] Our specialists provide the education and information you need to manage your hives, including training on administering emergency medications and making recommendations for how you can prevent hives and avoid triggers.

• #19 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

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

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

  Urticaria commonly presents with intensely pruritic wheals, sometimes with edema of the subcutaneous or interstitial tissue. […] The mainstay of treatment is avoidance of triggers, if identified. The first-line pharmacotherapy is second-generation H1 antihistamines, which can be titrated to greater than standard doses. […] In refractory chronic urticaria, patients can be referred to subspecialists for additional treatments, such as omalizumab or cyclosporine. […] Methods of treatment for urticaria are the same for adults and children. The mainstay of treatment is avoidance of identified triggers. […] If trigger avoidance is impossible, no trigger is identified, or symptom relief is needed despite trigger avoidance, H1-antihistamines are first-line pharmacotherapy. […] Current guidelines suggest a stepwise approach to treating chronic idiopathic urticaria.

• #21

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf7064

  Your doctor may suggest a non-drowsy antihistamine, such as loratadine (Claritin), to help control the hives. Be safe with medicines. Read and follow all instructions on the label. […] If your doctor prescribes another medicine, take it exactly as directed. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected.

• #22 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. […] New generation H1 antihistamines are recommended as the first choice in the treatment of urticaria as long-term safety profiles are better. […] 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.

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

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

  Urticaria commonly presents with intensely pruritic wheals, sometimes with edema of the subcutaneous or interstitial tissue. […] The mainstay of treatment is avoidance of triggers, if identified. The first-line pharmacotherapy is second-generation H1 antihistamines, which can be titrated to greater than standard doses. […] In refractory chronic urticaria, patients can be referred to subspecialists for additional treatments, such as omalizumab or cyclosporine. […] Methods of treatment for urticaria are the same for adults and children. The mainstay of treatment is avoidance of identified triggers. […] If trigger avoidance is impossible, no trigger is identified, or symptom relief is needed despite trigger avoidance, H1-antihistamines are first-line pharmacotherapy. […] Current guidelines suggest a stepwise approach to treating chronic idiopathic urticaria.

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

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

  As with acute urticaria, the first step is second-generation H1 antihistamines. […] 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. […] For controlling flare-ups in chronic urticaria, a three- to 10-day burst of corticosteroids (prednisone or prednisolone up to 1 mg per kg per day) is sometimes used; long-term use is not recommended because of adverse effects. […] Once symptoms are adequately controlled, physicians should consider stepping down treatment sequentially.

• #25 Approach to Chronic Urticaria from Primary Care and Emergency Services: Case Reports in Spain | IntechOpen

  https://www.intechopen.com/chapters/69957

  The current version of the EAACI/GA2LEN/EDF/WAO urticaria guideline recommends: When chronic inducible urticaria is suspected, differential diagnoses should be ruled out. The diagnosis should be confirmed by provocation test disease. The activity should be measured by determining the trigger threshold disease burden and control should be measured. […] Second-generation H1 antihistamines remain the treatment of first choice. If continuous treatment for 24 weeks does not lead to adequate control of symptoms, the guidelines recommend up-dosing (up to four times the standard dose). If there is no improvement with high-dose antihistamines, it is recommended to add omalizumab to the regimen in patients with chronic spontaneous urticaria.

• #26 Chronic Hives (Chronic Idiopathic Urticaria): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22900-chronic-hives-chronic-idiopathic-urticaria

  Chronic hives (chronic urticaria) are red, itchy skin welts that last more than six weeks. Many people have these welts every day for a year or longer. Antihistamines, steroids and immunosuppressants can soothe the hives. […] Chronic hives are itchy, raised welts that appear on your skin and last for more than six weeks. […] Chronic hives are visible at least twice per week for more than six weeks. Some chronic hives last for months or years. The cause is often unknown. […] Treatments for chronic hives include: Allergy medications: Daily over-the-counter (OTC) or prescription allergy medications like antihistamines relieve itching and reduce or prevent allergic reactions. Steroids: Corticosteroids like prednisone (Deltasone, Rayos) can ease symptoms that don’t respond to allergy medicines. Hydroxychloroquine: A study found that 8 in 10 people with autoimmune disease-induced chronic hives got symptom relief after taking hydroxychloroquine (Plaquenil), an antimalarial drug, for three or more months. Cyclosporine: This immunosuppressant is highly effective at clearing up severe chronic hives.

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

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

  As with acute urticaria, the first step is second-generation H1 antihistamines. […] 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. […] For controlling flare-ups in chronic urticaria, a three- to 10-day burst of corticosteroids (prednisone or prednisolone up to 1 mg per kg per day) is sometimes used; long-term use is not recommended because of adverse effects. […] Once symptoms are adequately controlled, physicians should consider stepping down treatment sequentially.

• #28 Chronic spontaneous urticaria: Effective treatment possible

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

  Much of this research has focused on antihistamines. Dr. Tonkovic-Capin says, When treating hives with an antihistamine, the keys to success are to use the proper dosage required for each antihistamine and to combine these medications in such a way that research shows can be effective. […] It’s important to understand that it can take time to find treatment that works for you. If this happens, your dermatologist may switch medications or add another treatment. […] Today, there are many effective treatments, says Dr. Tonkovic-Capin. Newer medications include omalizumab (Xolair), which the U.S. Food and Drug Administration (FDA) has approved to treat chronic spontaneous hives. This medication is a biologic that works to calm your immune system, which can stop new flare-ups. […] Skin care can also play an important role. When hives develop, the skin is often easily irritated. That’s why dermatologists frequently talk with their patients about skin care.

• #29 Spontaneous urticaria, chronic ordinary urticaria

  https://www.pcds.org.uk/clinical-guidance/urticaria-spontaneous-syn-chronic-ordinary-urticaria

  The most commonly used treatment is omalizumab, an anti-IgE monoclonal antibody. […] Patients responding poorly to treatment, especially if associated with systemic symptoms such as fever and arthralgia, should be investigated for uncommon/rare conditions associated with urticaria such as vasculitic urticaria and the acquired autoinflammatory conditions. […] For a short lived severe episode of urticaria or angioedema – 0.5 mg/kg per day for 3 days. […] For a more generalised episode of recalcitrant urticaria – 25 mg OD for 4 days, 20 mg OD for 3 days, and then 10 mg OD for 3 days.

• #30 Chronic Hives (Chronic Idiopathic Urticaria): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22900-chronic-hives-chronic-idiopathic-urticaria

  Chronic hives (chronic urticaria) are red, itchy skin welts that last more than six weeks. Many people have these welts every day for a year or longer. Antihistamines, steroids and immunosuppressants can soothe the hives. […] Chronic hives are itchy, raised welts that appear on your skin and last for more than six weeks. […] Chronic hives are visible at least twice per week for more than six weeks. Some chronic hives last for months or years. The cause is often unknown. […] Treatments for chronic hives include: Allergy medications: Daily over-the-counter (OTC) or prescription allergy medications like antihistamines relieve itching and reduce or prevent allergic reactions. Steroids: Corticosteroids like prednisone (Deltasone, Rayos) can ease symptoms that don’t respond to allergy medicines. Hydroxychloroquine: A study found that 8 in 10 people with autoimmune disease-induced chronic hives got symptom relief after taking hydroxychloroquine (Plaquenil), an antimalarial drug, for three or more months. Cyclosporine: This immunosuppressant is highly effective at clearing up severe chronic hives.

• #31 Chronic Hives (Chronic Idiopathic Urticaria): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22900-chronic-hives-chronic-idiopathic-urticaria

  Chronic hives (chronic urticaria) are red, itchy skin welts that last more than six weeks. Many people have these welts every day for a year or longer. Antihistamines, steroids and immunosuppressants can soothe the hives. […] Chronic hives are itchy, raised welts that appear on your skin and last for more than six weeks. […] Chronic hives are visible at least twice per week for more than six weeks. Some chronic hives last for months or years. The cause is often unknown. […] Treatments for chronic hives include: Allergy medications: Daily over-the-counter (OTC) or prescription allergy medications like antihistamines relieve itching and reduce or prevent allergic reactions. Steroids: Corticosteroids like prednisone (Deltasone, Rayos) can ease symptoms that don’t respond to allergy medicines. Hydroxychloroquine: A study found that 8 in 10 people with autoimmune disease-induced chronic hives got symptom relief after taking hydroxychloroquine (Plaquenil), an antimalarial drug, for three or more months. Cyclosporine: This immunosuppressant is highly effective at clearing up severe chronic hives.

• #32 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.

• #33 Chronic hives // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/chronic-hives

  Chronic hives can go on for months and years. They can interfere with sleep, work and other activities. The following self-care tips may help you manage your condition: […] Track your symptoms. Keep a diary of when and where hives occur, what you were doing, what you were eating, and so on. This may help you and your health care provider identify triggers.

• #34 Chronic Hives (Chronic Idiopathic Urticaria): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22900-chronic-hives-chronic-idiopathic-urticaria

  You can try these steps at home to ease itchy skin and soothe inflammation: Apply an OTC anti-itch cream. Place cool compresses on the hives several times a day. Take a cool bath or shower. Use hypoallergenic lotions and creams to moisturize dry skin. Wear loose-fitting clothes made with soft fabric that won’t irritate your skin. […] For half of people with chronic hives, the hives go away (often without treatment) within a year. Treatments can ease symptoms of long-lasting hives. […] Chronic hives (chronic urticaria) can be itchy and uncomfortable. Most of the time, providers can’t pinpoint the cause of chronic hives. However, treatments like antihistamines, steroids and even immunosuppressants can help. You can also take steps at home to ease itching and swelling. For many people, chronic hives eventually go away, although it may take a year or longer.

• #35 Chronic Hives: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.chronic-hives-care-instructions.uf7064

  Chronic hives are long-lasting raised, red, and itchy patches of skin. […] When hives and swelling last more than 6 weeks even with treatment, they are called chronic. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Avoid whatever you think may have caused your hives, such as a certain food or medicine. […] Your doctor may suggest a nondrowsy antihistamine, such as loratadine (Claritin), to help control the hives. […] Your doctor may prescribe a shot of epinephrine to carry with you in case you have a severe reaction. […] Call your doctor now or seek immediate medical care if your hives get worse. […] Watch closely for changes in your health, and be sure to contact your doctor if you do not get better as expected.

• #36 Chronic Hives (Chronic Idiopathic Urticaria): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22900-chronic-hives-chronic-idiopathic-urticaria

  You can try these steps at home to ease itchy skin and soothe inflammation: Apply an OTC anti-itch cream. Place cool compresses on the hives several times a day. Take a cool bath or shower. Use hypoallergenic lotions and creams to moisturize dry skin. Wear loose-fitting clothes made with soft fabric that won’t irritate your skin. […] For half of people with chronic hives, the hives go away (often without treatment) within a year. Treatments can ease symptoms of long-lasting hives. […] Chronic hives (chronic urticaria) can be itchy and uncomfortable. Most of the time, providers can’t pinpoint the cause of chronic hives. However, treatments like antihistamines, steroids and even immunosuppressants can help. You can also take steps at home to ease itching and swelling. For many people, chronic hives eventually go away, although it may take a year or longer.

• #37 Chronic Hives (Chronic Idiopathic Urticaria): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22900-chronic-hives-chronic-idiopathic-urticaria

  You can try these steps at home to ease itchy skin and soothe inflammation: Apply an OTC anti-itch cream. Place cool compresses on the hives several times a day. Take a cool bath or shower. Use hypoallergenic lotions and creams to moisturize dry skin. Wear loose-fitting clothes made with soft fabric that won’t irritate your skin. […] For half of people with chronic hives, the hives go away (often without treatment) within a year. Treatments can ease symptoms of long-lasting hives. […] Chronic hives (chronic urticaria) can be itchy and uncomfortable. Most of the time, providers can’t pinpoint the cause of chronic hives. However, treatments like antihistamines, steroids and even immunosuppressants can help. You can also take steps at home to ease itching and swelling. For many people, chronic hives eventually go away, although it may take a year or longer.

• #38 Chronic Hives (Chronic Idiopathic Urticaria): Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22900-chronic-hives-chronic-idiopathic-urticaria

  You can try these steps at home to ease itchy skin and soothe inflammation: Apply an OTC anti-itch cream. Place cool compresses on the hives several times a day. Take a cool bath or shower. Use hypoallergenic lotions and creams to moisturize dry skin. Wear loose-fitting clothes made with soft fabric that won’t irritate your skin. […] For half of people with chronic hives, the hives go away (often without treatment) within a year. Treatments can ease symptoms of long-lasting hives. […] Chronic hives (chronic urticaria) can be itchy and uncomfortable. Most of the time, providers can’t pinpoint the cause of chronic hives. However, treatments like antihistamines, steroids and even immunosuppressants can help. You can also take steps at home to ease itching and swelling. For many people, chronic hives eventually go away, although it may take a year or longer.

• #39 Chronic Hives: 10 Actions to Support Your Mental Health – Allergy & Asthma Network

  https://allergyasthmanetwork.org/news/chronic-hives-mental-health/

  Look for support groups both online and in your area. Since chronic urticaria is so rare, you may want to find a local support group for general health challenges. […] Having family and friends around is one of the leading indicators of better health. […] Regular physical activity releases chemicals called endorphins that can improve your well-being. […] Meditating is a mental practice that is proven to help people manage anxiety, stress, depression, pain, and other symptoms. […] Focusing on the ups at any given moment can be helpful in maintaining a healthy outlook. […] Keeping a journal, either in a private space online or in an actual book, can help reduce mental distress. […] Having something to take care of and nurture can help a lot of people take care of themselves, too. […] A healthy diet gives your body the right nutrition to help fend off illnesses and infections. Low-histamine foods, such as vegetables, fresh and lean meats, rice and pasta, can help you manage chronic urticaria.

• #40 Chronic hives | Altru Health System

  https://www.altru.org/health-library/conditions/chronic-hives

  Chronic hives can be very uncomfortable and interfere with sleep and daily activities. For many people, anti-itch medicines, called antihistamines, provide relief. […] Treatment for chronic hives often starts with nonprescription anti-itch medicines, called antihistamines. If these don’t help, your healthcare professional might suggest that you try one or more prescription-strength medicines. […] Chronic hives can go on for months and years. They can interfere with sleep, work and other activities. The following self-care tips may help you manage your condition: […] To lower your likelihood of getting hives, use these self-care tips: […] You also may need blood tests to determine the cause of your symptoms. An accurate diagnosis will guide your treatment. […] If you know what has triggered your hives, try to avoid that substance.

• #41 Chronic Hives | Dermatologist

  https://resources.healthgrades.com/right-care/allergies/5-dermatologist-tips-for-people-with-chronic-hives

  When experiencing hives, it’s crucial to understand what’s going on with your body. One way to do this is by keeping a diary of your symptoms and asking questions like: Has the intensity of my hive reactions increased? Have they spread further than in the past? How long do they last? Do they occur after a hot shower? Are they showing up when cold weather comes around? It’s also important to make note of any additional symptoms, like shortness of breath, fatigue, or dizziness. Finally, keep a detailed record of your diet and medication usage in case something you’re ingesting orally is the culprit. Good detective work may serve you and your doctor well to determine both the exact cause and what steps you can take to reverse the process. […] […] We may not always know what causes chronic hives, but we do know that respecting the skin and using “skin-friendly” items is a must. If you’re prone to hives, avoid fragranced or dyed lotions and creams, take lukewarm (not hot) showers, and make sure to keep the skin hydrated with moisturizers! Keeping moisturizers or prescription creams in the refrigerator can alleviate itch and calm irritated skin. Cold, by itself, can also reduce unwanted swelling and redness. Ask your dermatologist or allergist for more tips on how to keep your skin looking and feeling its best.

• #42 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  The psychosocial impact of urticaria is addressed through psychosocial support, counseling, and education on coping strategies. […] Regular follow-up assessments and ongoing communication with the healthcare team are essential components of the care plan, allowing for adjustments based on the patients response and any changes in the condition.

• #43 Chronic Hives: 10 Actions to Support Your Mental Health – Allergy & Asthma Network

  https://allergyasthmanetwork.org/news/chronic-hives-mental-health/

  People with chronic urticaria often struggle with mental health. Studies show one of every three people with chronic urticaria live with anxiety, emotional stress or depression. Because chronic urticaria symptoms can arise at any time or any place, it can negatively affect daily activities and quality of life. […] Chronic urticaria can impact your self-esteem, body image and social interactions. Here are 10 actions you can take to support your mental health while living with chronic urticaria, or hives that wont go away. […] Patients AND doctors work together to find the right diagnosis and treatment plan. Your doctor is your first line in understanding your condition and helping you get medical care for chronic urticaria. […] Depending on your insurance, you will want to seek out a therapist who can help with anxiety, stress and depression related to your chronic urticaria. A mental health or behavioral health counselor can help you with the emotional support you need.

• #44 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  The psychosocial impact of urticaria is addressed through psychosocial support, counseling, and education on coping strategies. […] Regular follow-up assessments and ongoing communication with the healthcare team are essential components of the care plan, allowing for adjustments based on the patients response and any changes in the condition.

• #45 Chronic Hives: 10 Actions to Support Your Mental Health – Allergy & Asthma Network

  https://allergyasthmanetwork.org/news/chronic-hives-mental-health/

  Look for support groups both online and in your area. Since chronic urticaria is so rare, you may want to find a local support group for general health challenges. […] Having family and friends around is one of the leading indicators of better health. […] Regular physical activity releases chemicals called endorphins that can improve your well-being. […] Meditating is a mental practice that is proven to help people manage anxiety, stress, depression, pain, and other symptoms. […] Focusing on the ups at any given moment can be helpful in maintaining a healthy outlook. […] Keeping a journal, either in a private space online or in an actual book, can help reduce mental distress. […] Having something to take care of and nurture can help a lot of people take care of themselves, too. […] A healthy diet gives your body the right nutrition to help fend off illnesses and infections. Low-histamine foods, such as vegetables, fresh and lean meats, rice and pasta, can help you manage chronic urticaria.

• #46 Chronic hives mental health causes, self care, and more

  https://www.medicalnewstoday.com/articles/chronic-hives-mental-health

  Chronic hives can also impair self-esteem, which may also worsen mental health. […] The discomfort of hives can negatively affect a persons quality of life. […] Chronic hives can also worsen self-esteem or body image. […] These effects of chronic hives may also negatively affect mental health. […] Some treatments for chronic hives can also affect mental health. […] It is possible that certain mental health issues can cause or worsen hives. […] Mental health issues can also impair sleeping patterns. […] Some researchers recommend stress reduction techniques for people with chronic hives. […] Chronic hives may occur as a result of certain mental health conditions. […] Many people with chronic hives also have a mental health condition, such as depression or anxiety. […] Living with chronic hives can also worsen self-esteem, which can in turn negatively affect mental health. […] If hives does not resolve on its own, consider speaking with a doctor to explore treatment options.

• #47 Chronic Hives: 10 Actions to Support Your Mental Health – Allergy & Asthma Network

  https://allergyasthmanetwork.org/news/chronic-hives-mental-health/

  People with chronic urticaria often struggle with mental health. Studies show one of every three people with chronic urticaria live with anxiety, emotional stress or depression. Because chronic urticaria symptoms can arise at any time or any place, it can negatively affect daily activities and quality of life. […] Chronic urticaria can impact your self-esteem, body image and social interactions. Here are 10 actions you can take to support your mental health while living with chronic urticaria, or hives that wont go away. […] Patients AND doctors work together to find the right diagnosis and treatment plan. Your doctor is your first line in understanding your condition and helping you get medical care for chronic urticaria. […] Depending on your insurance, you will want to seek out a therapist who can help with anxiety, stress and depression related to your chronic urticaria. A mental health or behavioral health counselor can help you with the emotional support you need.

• #48 A Patient Charter for Chronic Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10796664/

  Chronic urticaria (CU) is the recurring development of wheals (aka hives or welts), angioedema, or both for more than 6 weeks. […] The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patients physical and mental quality of life. […] Patients should feel empowered to self-advocate to receive the best care. […] The voice of the patient in navigating the journey of CU diagnosis and management may improve patient-provider communication, thereby improving diagnosis and outcomes. […] A collaboration of patients, providers, advocacy organizations, and pharmaceutical representatives have created a patient charter to define the realistic and achievable principles of care that patients with CU should expect to receive. Principle (1): I deserve an accurate and timely diagnosis of my CU; Principle (2): I deserve access to specialty care for my CU; Principle (3): I deserve access to innovative treatments that reduce the burden of CU on my daily life; Principle (4): I deserve to be free of unnecessary treatment-related side-effects during the management of my CU; and Principle (5): I expect a holistic treatment approach to address all the components of my life impacted by CU.

• #49 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. […] Chronic hives occur daily or almost daily and last longer than six weeks, sometimes for years. Chronic hives can be frustrating because they come and go and can interfere with sleep, work, or school. […] Hives are not contagious. […] Chronic hives are rarely permanent; almost 50 percent of people are hive free within one year. […] Chronic hives are rarely caused by allergies and are not life threatening. […] The bothersome symptoms of chronic hives are treatable in most people. […] In most cases of chronic hives, the cause is unknown. Researchers suspect that problems in the immune system play a role. […] Hives can be a sign of several other medical or autoimmune conditions, including thyroid or liver diseases, chronic infections, or lupus. Most people with one of these conditions will have other symptoms apart from hives.

• #50 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. […] Chronic hives occur daily or almost daily and last longer than six weeks, sometimes for years. Chronic hives can be frustrating because they come and go and can interfere with sleep, work, or school. […] Hives are not contagious. […] Chronic hives are rarely permanent; almost 50 percent of people are hive free within one year. […] Chronic hives are rarely caused by allergies and are not life threatening. […] The bothersome symptoms of chronic hives are treatable in most people. […] In most cases of chronic hives, the cause is unknown. Researchers suspect that problems in the immune system play a role. […] Hives can be a sign of several other medical or autoimmune conditions, including thyroid or liver diseases, chronic infections, or lupus. Most people with one of these conditions will have other symptoms apart from hives.

• #51 10 ways to get relief from chronic hives

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

  Tell your dermatologist if treatment fails to work. If you are following your treatment plan exactly as instructed, you may still have flare-ups. Hives can be stubborn, but treatment can still work. To give you relief, your dermatologist may: […] Understand that extensive allergy testing often does not find a specific cause or allergen. Many people believe that their hives would go away if they could just find out whats causing the flare-ups. Even when the cause remains unknown, treatment can clear your skin and keep it clear. […] Know that chronic hives may go away on their own. About half the people who have chronic hives will stop having flare-ups within 1 year.

• #52 Chronic spontaneous urticaria: Effective treatment possible

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

  If these flare-ups occur daily or on most days of the week for 6 weeks or longer, you have chronic (long-lasting) urticaria. The word urticaria means hives. When what’s causing the hives is unknown, the condition is called chronic spontaneous urticaria. It’s also referred to as chronic idiopathic urticaria. The words spontaneous and idiopathic mean cause unknown. […] Even when you don’t know what’s causing hives, you can get relief. says board-certified dermatologist Viseslav Tonkovic-Capin, MD, FAAD. Today’s treatments can relieve the itch, stop the swelling, and prevent new hives. […] The key is to prevent new hives because this stops the flare-ups. Existing hives clear on their own. […] Dermatologists have conducted many research studies on chronic hives. Through years of research, they’ve found treatments that work even when the cause remains unknown.

• #53 10 ways to get relief from chronic hives

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

  Tell your dermatologist if treatment fails to work. If you are following your treatment plan exactly as instructed, you may still have flare-ups. Hives can be stubborn, but treatment can still work. To give you relief, your dermatologist may: […] Understand that extensive allergy testing often does not find a specific cause or allergen. Many people believe that their hives would go away if they could just find out whats causing the flare-ups. Even when the cause remains unknown, treatment can clear your skin and keep it clear. […] Know that chronic hives may go away on their own. About half the people who have chronic hives will stop having flare-ups within 1 year.

• #54 Managing Chronic Hives | Never Just Hives

  https://www.neverjusthives.com/chronic-hives-treatment

  Managing chronic hives can be challenging. When it comes to living with chronic hives, knowing your options is essential. Typically, a health care provider will choose antihistamines as the first treatment for chronic hives. But if you’re still having symptoms after being on antihistamines for a while, its important to let your health care provider know. While fast symptom relief may feel most important, don’t forget that CSU is a chronic condition, and you need a solution that works long term. Second-line therapy is sometimes prescribed to people who are still experiencing symptoms on antihistamines. With chronic hives, some relief isn’t full relief. You deserve treatment for the way you experience chronic hives on your worst day, even if its not the day you visit your health care provider. That’s why its important to keep a detailed record to track your symptoms as they come and go. This record can be shared with your health care provider so they can work with you to better manage your condition. […] Learn how to have more meaningful discussions with your health care provider about the full extent of your chronic hives. Access tools and tips for managing your chronic hives.

• #55 Chronic Hives: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.chronic-hives-care-instructions.uf7064

  Chronic hives are long-lasting raised, red, and itchy patches of skin. […] When hives and swelling last more than 6 weeks even with treatment, they are called chronic. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Avoid whatever you think may have caused your hives, such as a certain food or medicine. […] Your doctor may suggest a nondrowsy antihistamine, such as loratadine (Claritin), to help control the hives. […] Your doctor may prescribe a shot of epinephrine to carry with you in case you have a severe reaction. […] Call your doctor now or seek immediate medical care if your hives get worse. […] Watch closely for changes in your health, and be sure to contact your doctor if you do not get better as expected.

• #56 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #57

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf10234

  Chronic hives are long-lasting raised, red, and itchy patches of skin. […] When hives and swelling last more than 6 weeks even with treatment, they are called chronic. […] Follow-up care is a key part of your child’s treatment and safety. […] Avoid whatever you think may have caused your child’s hives, such as a certain food or medicine. […] Put a cool, wet towel on the area to relieve itching. […] Ask the doctor about giving your child a non-drowsy antihistamine, such as loratadine (Claritin), to reduce itching. […] Your doctor may prescribe a shot of epinephrine to carry with you in case your child has a severe reaction. […] If your doctor prescribes another medicine, give it to your child exactly as directed. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child does not get better as expected.

• #58 Chronic Hives: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.chronic-hives-care-instructions.uf7064

  Chronic hives are long-lasting raised, red, and itchy patches of skin. […] When hives and swelling last more than 6 weeks even with treatment, they are called chronic. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Avoid whatever you think may have caused your hives, such as a certain food or medicine. […] Your doctor may suggest a nondrowsy antihistamine, such as loratadine (Claritin), to help control the hives. […] Your doctor may prescribe a shot of epinephrine to carry with you in case you have a severe reaction. […] Call your doctor now or seek immediate medical care if your hives get worse. […] Watch closely for changes in your health, and be sure to contact your doctor if you do not get better as expected.

• #59 Xolair Is Effective for Chronic Intractable Hives | Allergy Asthma Care Center, IncAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://ilovemyallergist.com/xolair-is-effective-for-chronic-intractable-hives/

  A randomized double-blind study evaluated the effectiveness of anti-IgE therapy with Xolair for patients with chronic hives. It included 68 patients with severe hives. The diagnosis were idiopathic hives in 61 patients, cold induced hives in 6 and urticarial vasculitis in 1. All patients were steroid dependent. All received Xolair at 150mg per month and were followed for 25 months. Remission rates were documented as 69-79% at up to 25 months of follow-up. Patients used a urticaria-7day urticaria activity score (UAS-7). Scores decreased from 24.4 to 2.2 while medication scores decreased from 13.3 to 3. All cold urticaria patients became asymptomatic with improvement on cold stimulation testing. There were no significant adverse events. Xolair is a very safe and effective therapy for chronic intractable hives with the prospect of remission. […] We have Xolair available through our office. Our practice patients have found relief of their hives with their first injection. We now have sample injections available as a trial for patients with chronic urticaria.

• #60 Help with chronic hives: A new app and North America’s first patient registry | Newsroom – McGill University

  https://www.mcgill.ca/newsroom/channels/news/help-chronic-hives-new-app-and-north-americas-first-patient-registry-360119

  This year, Canadians living with chronic hives have two new resources, developed in part by a McGill University researcher: North Americas first chronic urticaria patient registry and a new app for patient care. […] The app allows patients to report symptoms and treatment responses to their doctors in real time, helping personalize care and track treatment success. […] CURE collects valuable data from patients, helping researchers better understand the condition, evaluate treatments, and improve care. […] Chronic urticaria isnt just about itchy skin it can cause severe swelling, disrupt sleep, and have an impact on mental health. Unpredictable flare-ups often lead to social isolation, missed work, and emergency hospital visits. The condition affects about 65 million people worldwide. Despite its prevalence, chronic urticaria is often underdiagnosed, delaying the care that could improve patients’ lives, said Dr. Netchiporouk.

• #61 A Patient Charter for Chronic Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10796664/

  Chronic urticaria (CU) is the recurring development of wheals (aka hives or welts), angioedema, or both for more than 6 weeks. […] The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patients physical and mental quality of life. […] Patients should feel empowered to self-advocate to receive the best care. […] The voice of the patient in navigating the journey of CU diagnosis and management may improve patient-provider communication, thereby improving diagnosis and outcomes. […] A collaboration of patients, providers, advocacy organizations, and pharmaceutical representatives have created a patient charter to define the realistic and achievable principles of care that patients with CU should expect to receive. Principle (1): I deserve an accurate and timely diagnosis of my CU; Principle (2): I deserve access to specialty care for my CU; Principle (3): I deserve access to innovative treatments that reduce the burden of CU on my daily life; Principle (4): I deserve to be free of unnecessary treatment-related side-effects during the management of my CU; and Principle (5): I expect a holistic treatment approach to address all the components of my life impacted by CU.

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

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

  Hives are treated with a combination of avoiding things that cause or worsen the hives, plus the use of medications. […] 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. […] If your hives do not get better with the treatments discussed above, other treatments are available.

• #63 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.

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

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

  As with acute urticaria, the first step is second-generation H1 antihistamines. […] 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. […] For controlling flare-ups in chronic urticaria, a three- to 10-day burst of corticosteroids (prednisone or prednisolone up to 1 mg per kg per day) is sometimes used; long-term use is not recommended because of adverse effects. […] Once symptoms are adequately controlled, physicians should consider stepping down treatment sequentially.

• #65 Spontaneous urticaria, chronic ordinary urticaria

  https://www.pcds.org.uk/clinical-guidance/urticaria-spontaneous-syn-chronic-ordinary-urticaria

  Chronic urticaria is defined by symptoms lasting for more than six weeks. 60-80% of these have chronic spontaneous urticaria (CSU), most of the rest have chronic inducible urticaria (refer to the related chapter). […] Symptoms can be exacerbated by a number of factors such as heat, stress, various medications such as aspirin and other NSAID, and in some cases pseudoallergens. […] Although chronic spontaneous urticaria is not an allergic condition, in some patients pseudoallergens may play a role. If a patient has a strong belief that diet is playing a role provide them with a patient information leaflet on pseudoallergens. […] It is important to check for both prescribed and over the counter medications. NSAID can aggravate urticaria – consider switching to a COX-2 inhibitor. […] Patients not responding adequately to a dose of four second-generation H1-antihistamines per day, should be referred to Secondary Care.

• #66 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. […] New generation H1 antihistamines are recommended as the first choice in the treatment of urticaria as long-term safety profiles are better. […] 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.

• #67

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf10234

  Chronic hives are long-lasting raised, red, and itchy patches of skin. […] When hives and swelling last more than 6 weeks even with treatment, they are called chronic. […] Follow-up care is a key part of your child’s treatment and safety. […] Avoid whatever you think may have caused your child’s hives, such as a certain food or medicine. […] Put a cool, wet towel on the area to relieve itching. […] Ask the doctor about giving your child a non-drowsy antihistamine, such as loratadine (Claritin), to reduce itching. […] Your doctor may prescribe a shot of epinephrine to carry with you in case your child has a severe reaction. […] If your doctor prescribes another medicine, give it to your child exactly as directed. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if: Your child does not get better as expected.

• #68 Hives, Hives and More Hives! | Texas Children’s

  https://www.texaschildrens.org/content/wellness/hives-hives-and-more-hives

  Chronic hives, also known as chronic urticaria, are often a challenge for the child, parents and physician. The good news is that in most cases of chronic hives, they gradually disappear over time. For some children, they disappear in a few months, but in others they may continue to recur for several years. In these cases, it is more effective to take the medications daily than to wait for breakouts. […] Chronic hives should be evaluated by an allergist who will take a very detailed history and may perform some testing (blood, urine or skin tests). Chronic hives are frequently treated by a combination of two or three antihistamines, and in more severe cases, short courses of steroid medications or long-term immune modulators. If hives involve swelling of tongue or lips, or are accompanied by trouble breathing, your child may be prescribed an epinephrine autoinjector to use in case of emergency.

• #69 Managing chronic spontaneous urticaria (hives) in primary care

  https://journals.rcni.com/nursing-standard/evidence-and-practice/managing-chronic-spontaneous-urticaria-hives-in-primary-care-ns.2018.e11198/print

  Chronic spontaneous urticaria is characterised by the spontaneous appearance of hives or wheals, and/or angioedema, lasting for at least six weeks. […] Nurses have an important role in the differential diagnosis of chronic spontaneous urticaria, assessing patients quality of life, providing advice on non-pharmacological measures, monitoring the patients response to treatment, and referring the patient for specialist care, where appropriate. […] This article describes the presentation, diagnosis and management of chronic spontaneous urticaria in primary care. […] To understand the aspects of optimal nursing care for patients with chronic spontaneous urticaria.

• #70 A Patient Charter for Chronic Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10796664/

  Chronic urticaria (CU) is the recurring development of wheals (aka hives or welts), angioedema, or both for more than 6 weeks. […] The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patients physical and mental quality of life. […] Patients should feel empowered to self-advocate to receive the best care. […] The voice of the patient in navigating the journey of CU diagnosis and management may improve patient-provider communication, thereby improving diagnosis and outcomes. […] A collaboration of patients, providers, advocacy organizations, and pharmaceutical representatives have created a patient charter to define the realistic and achievable principles of care that patients with CU should expect to receive. Principle (1): I deserve an accurate and timely diagnosis of my CU; Principle (2): I deserve access to specialty care for my CU; Principle (3): I deserve access to innovative treatments that reduce the burden of CU on my daily life; Principle (4): I deserve to be free of unnecessary treatment-related side-effects during the management of my CU; and Principle (5): I expect a holistic treatment approach to address all the components of my life impacted by CU.

• #71 A Patient Charter for Chronic Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10796664/

  Chronic urticaria (CU) is the recurring development of wheals (aka hives or welts), angioedema, or both for more than 6 weeks. […] The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patients physical and mental quality of life. […] Patients should feel empowered to self-advocate to receive the best care. […] The voice of the patient in navigating the journey of CU diagnosis and management may improve patient-provider communication, thereby improving diagnosis and outcomes. […] A collaboration of patients, providers, advocacy organizations, and pharmaceutical representatives have created a patient charter to define the realistic and achievable principles of care that patients with CU should expect to receive. Principle (1): I deserve an accurate and timely diagnosis of my CU; Principle (2): I deserve access to specialty care for my CU; Principle (3): I deserve access to innovative treatments that reduce the burden of CU on my daily life; Principle (4): I deserve to be free of unnecessary treatment-related side-effects during the management of my CU; and Principle (5): I expect a holistic treatment approach to address all the components of my life impacted by CU.

• #72

  https://link.springer.com/article/10.1007/s12325-023-02724-6

  Chronic urticaria (CU) is the recurring development of wheals (aka hives or welts), angioedema, or both for more than 6 weeks. […] The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patients physical and mental quality of life. […] Patients should feel empowered to self-advocate to receive the best care. […] The voice of the patient in navigating the journey of CU diagnosis and management may improve patient-provider communication, thereby improving diagnosis and outcomes. […] A collaboration of patients, providers, advocacy organizations, and pharmaceutical representatives have created a patient charter to define the realistic and achievable principles of care that patients with CU should expect to receive. Principle (1): I deserve an accurate and timely diagnosis of my CU; Principle (2): I deserve access to specialty care for my CU; Principle (3): I deserve access to innovative treatments that reduce the burden of CU on my daily life; Principle (4): I deserve to be free of unnecessary treatment-related side-effects during the management of my CU; and Principle (5): I expect a holistic treatment approach to address all the components of my life impacted by CU.

• #73 A Patient Charter for Chronic Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10796664/

  Chronic urticaria (CU) is the recurring development of wheals (aka hives or welts), angioedema, or both for more than 6 weeks. […] The itching and physical discomfort associated with CU have a profound impact on daily activities, sexual function, work or school performance, and sleep, causing significant impairment in a patients physical and mental quality of life. […] Patients should feel empowered to self-advocate to receive the best care. […] The voice of the patient in navigating the journey of CU diagnosis and management may improve patient-provider communication, thereby improving diagnosis and outcomes. […] A collaboration of patients, providers, advocacy organizations, and pharmaceutical representatives have created a patient charter to define the realistic and achievable principles of care that patients with CU should expect to receive. Principle (1): I deserve an accurate and timely diagnosis of my CU; Principle (2): I deserve access to specialty care for my CU; Principle (3): I deserve access to innovative treatments that reduce the burden of CU on my daily life; Principle (4): I deserve to be free of unnecessary treatment-related side-effects during the management of my CU; and Principle (5): I expect a holistic treatment approach to address all the components of my life impacted by CU.

• #74

  https://link.springer.com/article/10.1007/s12325-023-02724-6

  The principles stated in this patient charter may serve as a guide for healthcare providers who care for patients with CU and translate into better patient-physician communication. […] We encourage CU patients to speak with their healthcare provider and share how CU is impacting their daily life and understand they have a role in treatment discussions. […] We urge policymakers and authors of CU treatment guidelines to consider these principles in their decision-making to ensure the goals of the patient are achievable.

• #75 A Patient Charter for Chronic Urticaria

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10796664/

  The principles stated in this patient charter may serve as a guide for healthcare providers who care for patients with CU and translate into better patient-physician communication. […] We encourage CU patients to speak with their healthcare provider and share how CU is impacting their daily life and understand they have a role in treatment discussions.

• #76 Help with chronic hives: A new app and North America’s first patient registry | Newsroom – McGill University

  https://www.mcgill.ca/newsroom/channels/news/help-chronic-hives-new-app-and-north-americas-first-patient-registry-360119

  This year, Canadians living with chronic hives have two new resources, developed in part by a McGill University researcher: North Americas first chronic urticaria patient registry and a new app for patient care. […] The app allows patients to report symptoms and treatment responses to their doctors in real time, helping personalize care and track treatment success. […] CURE collects valuable data from patients, helping researchers better understand the condition, evaluate treatments, and improve care. […] Chronic urticaria isnt just about itchy skin it can cause severe swelling, disrupt sleep, and have an impact on mental health. Unpredictable flare-ups often lead to social isolation, missed work, and emergency hospital visits. The condition affects about 65 million people worldwide. Despite its prevalence, chronic urticaria is often underdiagnosed, delaying the care that could improve patients’ lives, said Dr. Netchiporouk.

• #77 Chronic Hives Resources | Never Just Hives

  https://www.neverjusthives.com/resources/tools-and-support

  Chronic hives is a struggle you dont have to manage by yourself. […] Explore tools and tips to manage living with chronic hives. […] Key information on chronic hives, management, and getting the most out of discussions with your health care provider. […] Track your symptoms and learn how to make the most of your appointments with your health care provider. […] Understand the terms you need to know to have better discussions with your health care provider. […] Emmeka shares her experience navigating chronic hives and what shes learned about the importance of communication and self-expression. […] Finding herself in a place of acceptance and strength, Lisa shares her journey with CSU and how shes learned to make space for self-care and self-love along the way. […] Emmeka and Lisa come together to reflect on their experiences with CSU, discuss the importance of building a community through open communication, and set their goals for the future.

• #78 Chronic Hives Resources | Never Just Hives

  https://www.neverjusthives.com/resources/tools-and-support

  Allergy and Asthma Network (AAN) : AAN unites and advocates on behalf of 60 million Americans with asthma, allergies, and related conditions. […] Asthma and Allergy Foundation of America (AAFA) : AAFA is dedicated to saving lives and reducing the burden of disease for people with asthma, allergies, and related conditions through support, advocacy, education, and research. […] The Autoimmune Association is dedicated to autoimmune disease advocacy, awareness, education, and research.

• #79 What is Chronic Urticaria? – Allergy & Asthma Network

  https://allergyasthmanetwork.org/chronic-urticaria/

  Chronic urticaria is a rare condition. More than 500,000 people live with chronic urticaria in the United States. It occurs in 0.23% (or 23 out of every 10,000) of people. However, there are estimates that rates of chronic urticaria may be higher since many times people do not report or recognize symptoms. […] Chronic urticaria is not a life-long condition; it usually goes away by itself over a period of weeks, months or even years. […] The first line of treatment for most cases of chronic urticaria is a long-lasting antihistamine. Its best to create a treatment plan with your allergist, dermatologist or primary care doctor. […] Chronic urticaria is a challenging disease to live with it not only affects your physical health, but also your mental health and relationships. […] Chronic urticaria can be debilitating for some people. They may have difficulty performing basic activities of daily life. Some may have an inability to sleep, to go along with mental health issues stemming from social isolation, anxiety and depression. […] If your chronic urticaria symptoms are severe enough, they you may qualify for a disability and you may be eligible for benefits.

• #80 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Urticaria, commonly known as hives, is a dermatological condition characterized by the sudden appearance of raised, red, and intensely pruritic welts on the skin. […] Nursing care for individuals with urticaria is essential to alleviate symptoms, identify potential triggers, and enhance the overall quality of life for affected patients. […] This nursing care plan focuses on a comprehensive and patient-centered approach to managing urticaria. […] Through the implementation of evidence-based interventions and a focus on patient education, the nursing care plan for urticaria seeks to enhance symptom control, improve quality of life, and promote long-term management strategies for individuals grappling with this unpredictable and often distressing skin condition. […] Conducting a thorough nursing assessment is crucial in identifying the underlying causes, triggers, and manifestations of urticaria, allowing for targeted interventions to alleviate symptoms and improve the overall quality of care for affected individuals.

• #81 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  Urticaria, commonly known as hives, is a dermatological condition characterized by the sudden appearance of raised, red, and intensely pruritic welts on the skin. […] Nursing care for individuals with urticaria is essential to alleviate symptoms, identify potential triggers, and enhance the overall quality of life for affected patients. […] This nursing care plan focuses on a comprehensive and patient-centered approach to managing urticaria. […] Through the implementation of evidence-based interventions and a focus on patient education, the nursing care plan for urticaria seeks to enhance symptom control, improve quality of life, and promote long-term management strategies for individuals grappling with this unpredictable and often distressing skin condition. […] Conducting a thorough nursing assessment is crucial in identifying the underlying causes, triggers, and manifestations of urticaria, allowing for targeted interventions to alleviate symptoms and improve the overall quality of care for affected individuals.

• #82 Nursing Care Plan For Urticaria – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-urticaria/

  A comprehensive nursing assessment for urticaria encompasses a detailed exploration of the patients medical history, an examination of skin lesions, and collaboration with other healthcare professionals to identify potential triggers. […] Nursing diagnoses for urticaria aim to address both the physical and psychosocial aspects of the condition. […] Nursing interventions for urticaria aim to address both the acute symptoms and the broader impact on the patients well-being. […] By implementing evidence-based interventions and collaborating with healthcare professionals, nurses play a crucial role in alleviating symptoms, identifying triggers, and enhancing the overall quality of life for patients with urticaria. […] The care plan emphasizes the use of antihistamines, both topically and systemically, along with cool compresses and moisturizing emollients to manage itching and inflammation.

• #83

  https://link.springer.com/article/10.1007/s12325-023-02724-6

  The principles stated in this patient charter may serve as a guide for healthcare providers who care for patients with CU and translate into better patient-physician communication. […] We encourage CU patients to speak with their healthcare provider and share how CU is impacting their daily life and understand they have a role in treatment discussions. […] We urge policymakers and authors of CU treatment guidelines to consider these principles in their decision-making to ensure the goals of the patient are achievable.

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