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Diagnosed with cholinergic urticaria. Taken Allegra, Fexy, Smarti, Doxipen. Effective treatment?

i m suffering from itching since last 13 years. my age is 23 years. it is worst during exercises, hot climate,spicy food and my dermatologist diagnosed it to be Cholinergic urticaria. i have tried a lot of antihistamines lie allegra, fexy, smarti m, doxipen etc. Sir is there any effective treatment with no side effects????
Asked On : Mon, 1 Apr 2013
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Dermatologist 's  Response
Dec 2013

Welcome and thanks for posting your query to Healthcare Magic.

According to your query you are suffering from "Cholinergic Urticaria".

Cholinergic Urticaria is a common condition caused by bursting of allergy producing cells known as "mast cells" due to certain aggravating factors present in the environment. As the chemical inside them is released it produces a rash which you have mentioned. There can be multiple factors producing this condition which are included in day to day life and some times it is really difficult to find one exact cause. In your case you are correlating it with exercises, hot climate,spicy food. So it is better to stay away from the offending factors.

The long term effective treatment for this is by oral anti histamine like loratadine under medical advise. It is one of the drug which is not having any side effects and can be taken for long term usage.
Do not scratch or rub the skin as it can lead to further aggravation.
Hope these informations will help.

"With good health wishes"

Dr Sanjay Kumar Kanodia
MD (Dermatology & STDs)
Answered: Tue, 25 Jun 2013
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