Hello, Thank you for writing to us at Healthcare Magic. You seem to be getting cold-induced urticaria, that does only partially respond to creams, as it removes the scratching component. Physical urticaria is when you get more lumps after scratching the skin and therefore you must avoid doing this. House dust mite allergy gets worse in the winter, especially in the western part of the world (due to central heating etc) and once daily long-acting allegra 180mg plus nasonex nasal spray is recommended for the entire winter. The long-acting antihistamine will also help with the skin condition, and occasionally you may have to resort to sedative antihistamines like hydroxyzine 25/50mg (sometimes 75mg) at night to control the difficult urticaria. Hope this helps. Best Wishes.