tried cortisone, it did not worked.
now under anti histamine
Eliminating the etiologic agent is the best way to treat chronic urticaria. When the cause of chronic urticaria cannot be found, drug therapy enables most patients to live normal lives. It is important to emphasize that patients should take the prescribed dose and not use the medication on an "as-needed" basis.In the great majority of cases, the lesions of chronic urticaria can be controlled with oral antihistamines. A "non-sedating" antihistamines (loratidine, fexofenadine, e.g.) should be the first choice since they have minimal side effects. Although sedating in a slightly higher percentage of patients than the previous drugs, cetirizine (a metabolite of hydroxyzine) is also very effective in chronic urticaria. Although some clinicians feel that cetirizine is the most effective of the "non-sedating" antihistamines for urticaria, there are no good clinical trials directly comparing these drugs. When these drugs fail, a trial of "classical" antihistamines is warranted. Hydroxyzine, although often sedating, can be used in a single nighttime dose. This drug can be quite effective if high enough doses are given. For those with resistant hives, a morning dose of a less sedating antihistamine can be added to the regimen. The most potent antihistamine, however, is probably the anti-depressant doxepin. Although adverse effects (including sedation, increased appetite, and possible cardiac effects) often limit its use, doxepin is perhaps the most effective of all the antihistamines for urticaria and angioedema (often 10 to 25 mg at bedtime can be quite effective).
- Cortisone Information for Consumers
- Cortisone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Cortisone (detailed)
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