Urticaria

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by Guest Posts on Tue Nov 12, 2019 10:55 am

Urticaria

I seem to be suffering fairly regularly from chronic Urticaria.
Not something I enjoy and have been subscribed a high antihistamine tablet which I take daily.
However, have found out am allergic to cows milk plus a few other foods, but in spite of avoiding them almost daily plus taking my pills, eating a healthy diet.....I find it still flares up occasionally and is really red and itchy and most annoying!
Do you have any other suggestions that may help me please....?
Am a mature lady of over 70 years..
Many thanks
Decima
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Dr Anton Alexandroff
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by Dr Anton Alexandroff on Thu Nov 14, 2019 9:32 pm

Re: Urticaria

Dear Decima,

I am sorry to hear about your urticaria skin problem. The first step would be to take up to 4 doses of antihistamine (for example levoceterizine 10 mg twice daily a day) providing you do not become drowsy on this high dose of antihistamine off licence. The next step would be to add montelucast tablets off licence (off label). The next stop would be injection called a biologic Omalizumab.

I hope this is helpful.
With Best Wishes,

Dr Anton Alexandroff FRCP(UK) PhD CCT(Derm) FRSM FAAD
Consultant Dermatologist and Honorary Senior Lecturer
The British Skin Foundation Spokesperson
London, Cambridge, Leicester and Bedford

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Dr Anton Alexandroff
Consultant Dermatologist, Honorary Senior Lecturer & BSF spokesperson - FRCP, CCT (Derm), PhD, FRSM, FAAD

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Dr Adil Sheraz
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by Dr Adil Sheraz on Fri Nov 15, 2019 10:50 am

Re: Urticaria

Dear Decima

Urticaria can be a very difficult condition to treat and I can imagine it has a great impact on your quality of life. Unfortunately the vast majority of cases of urticaria are known as 'Chronic Spontaneous Urticaria' and the triggers are poorly understood. It is worth looking at any medication you may be on. Certain drugs such as ACE inhibitors (Blood pressure medication) or pain killer such as ibuprofen can bring on Urticaria.

I would agree with Dr Alexandroff that if you have exhausted the maximum amount of antihistamines then it is worth either exploring Omalizumab (an injection) or phototherapy. These can be discussed with your Dermatologist.

I hope this helps.

Adil

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Dr Adil Sheraz
Consultant Dermatologist - MBBS, BMEDSCI(HONS), MRCP (UK), MRCP (DERMATOLOGY) (UK)

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