Chronic urticaria can be difficult to treat. There are no guaranteed treatments or means of controlling attacks, and some sub-populations are treatment-resistant, with medications spontaneously losing their effectiveness and requiring new medications to control attacks.
Drug treatment is typically in the form of antihistamines such as telfast, diphenhydramine
and other H1 receptor antagonists.These are taken on a regular basis to protective effect, lessening or halting attacks.
OtherTricyclic antidepressants, such as doxepin, also are often potent H1 and H2 antagonists have a role in therapy, although side effects limit their use. For very severe outbreaks, an oral corticosteroid such as Prednisone
is sometimes prescribed. However this form of treatment is controversial because of the extensive side effects common with corticosteroids
Dr.Khaleel ,India ,9902596161,Khals2000@yahoo.co.in