Treatment of urticaria

The treatment of urticaria is first of all general treatment. It is best to find the cause of urticaria and remove it. For example, if you know that you are allergic to a certain food, you will stop eating this food in the future; For example, if you know that it is caused by physical factors, urticaria will occur when you are exposed to cold air, and you can try to avoid contact with cold air; For example, after some laboratory tests, it is found that the patient is accompanied by systemic diseases, such as thyroid abnormalities, and it is necessary to treat the primary disease. Besides general treatment, antihistamines are the first choice for urticaria. Traditionally, there is a generation of antihistamines, such as chlorpheniramine and diphenhydramine. However, the first generation of antihistamines generally have the side effect of drowsiness, and some people are thirsty and sleepy after taking them, which affects their use. At present, the first choice for the treatment of urticaria is the second generation of non-drowsy antihistamines. There are many such drugs, such as loratadine and cetirizine. But it is best to use these drugs under the guidance of a doctor, because the time and course of treatment should be controlled by the doctor. Usually acute urticaria will recover in a week or two. But chronic urticaria needs long-term medication, and some people may need to take it for 3-6 months. For those severe urticaria with angioedema, it may take as long as 12 months. Some patients feel that it is good to take some medicine for urticaria. If you don't take it, you will commit a crime, so you only take medicine when you have an attack. Such irregular treatment will cause dissatisfaction with the treatment effect, so although urticaria is relatively simple and medication is relatively simple, I hope to go to the hospital to ask a doctor to make a correct diagnosis and formulate corresponding treatment plans, and don't take medicine or stop taking drugs casually. Because the second generation antihistamines are relatively safe, but after long-term use, it is necessary to monitor the side effects, including the effects on liver, kidney and heart. If taking second-generation antihistamines can't relieve urticaria, doctors may ask patients to take two second-generation antihistamines at the same time, or use them in combination with the first-generation antihistamines, or change other kinds of antihistamines. If this treatment still doesn't improve, the doctor may suggest taking some immunosuppressants, taking low-dose hormones for a short time, taking cyclosporine and so on. If severe acute urticaria occurs and even affects the respiratory tract, the doctor may give hormones, adrenaline, etc. Must be treated by a doctor in the hospital.