Usually most cases of Hives do not need to be treated because the symptoms are often mild and the condition gets better on its own within a short period of days. The severe conditions will require proper treatment. To determine the treatment to be used the condition can be defined as short-term Hives or Long-term Hives. More more detailed information you can find on the website www.oxyhives.org.
Short-Term Hives Treatment
If the symptoms of acute Hives (urticaria) persist then you can buy antihistamine medication which you can get over the counter at the local pharmacies.
The effect of antihistamines on the body is to block histamine. They stop the symptoms of itchiness and also reduce the rash. Examples of antihistamines are:
Most people do not get drowsy after using the modern antihistamines. General practitioners (GP) may prescribe chlorphenamine or hydroxyzine to those who have problems sleeping at night.
These treatment may be prescribed to those with severe symptoms.it is usually short course and includes high dose corticosteroid tablets like prednisolone. Corticosteroids works to suppress the body immune system, hence urticaria symptoms are suppressed. The recommended dose of prednisolone is a three to five day course.
Long term use of steroid tablets is never recommended due the many side effects and complications associated such as glaucoma, cataracts, diabetes and high blood pressure.
Long-Term Hives Treatment
This involves the treatment of chronic Hives and is done to control the symptoms and avoid any triggers that could worsen the existing symptoms. The patient may also be referred to a dermatologist if the condition also includes angioedema.
Antihistamines are also used as treatment for chronic Hives. The treatment will last for as long as the symptoms last. As is the case with short-term treatment you may be prescribed a combination of both the non-drowsy and drowsy antihistamines to help get some sleep. You can increase the dose to help control symptoms that did not respond to earlier treatment but this should be as per doctor’s instructions.
Rupatadine which is a newer type of antihistamine has proved effective more the more severe cases of chronic Hives.
This can be used both as an alternative to or in addition to antihistamines. They have been proven to greatly relieve itchiness.
Short doses of corticosteroid tablets can be used to treat the serious episodes of urticaria. The side effects that are likely to occur include weight gain due to the increased appetite, mood change and insomnia. Prolonged use of the tablets is not recommended as mentioned in the short-term treatments.
They are useful in chronic Hives treatment as they help narrow blood vessels. This helps to reduce the redness of the skin. Side effects are uncommon but may include:
Narrowband Ultraviolet Phototherapy
This is a treatment that involves exposing the area of the skin to high-energy ultraviolet light. The light helps clear the persistent area of the rash. Usually the sessions are two to five session a week and most people would require twenty sessions before a significant symptoms improvement.
Leukotriene Receptor Antagonists
These are a type of medication that reduce the redness and swelling of the skin. They are the most useful long-term alternative to using corticosteroid tablets as they carry a lower risk of side effects.
It is a powerful treatment that has proved effective in the treatment of chronic urticaria. It works in the same way corticosteroids.
Two groups of chemicals are found in food and may trigger Hives in some people. The chemicals are vasoactive amines and salicylates. Symptoms may improve by avoiding or reducing the intake of the chemicals.
Avoiding the triggers you know that cause the symptoms of Hives to worsen can help keep the condition under control. Alcohol and caffeine can easily be avoided.