Physicians who treat patients for hives often prescribe medication to eliminate symptoms but ordinary urticarial will usually resolve on its own. Oral antihistamines are effective to counteract the histamine released in the body by mast cells. The most common side effect associated with this type of medication is drowsiness.
Benadryl is available in a 25-milligram dose without a doctor’s prescription. Chlor-Trimeton is available in a dose of 4 milligrams. Individuals with symptoms can take either medication as many as three times daily. Anyone who takes them during the day should not operate heavy equipment or drive a car since they induce drowsiness.
Allegra and Loratadine are available without prescription and are less likely to make patients sleepy. Vistaril and Atatarax are two more medications that are less sedating.
Physicians have access to a variety of prescription antihistamines, including Xyzal and Periactin. They sometimes prescribe H2 blockers such as Tagamet and Zantac. There are many more antihistamines available and physicians may modify dosage and the overall treatment plan according to the patient’s reaction.
Prednisone and other oral steroids may offer temporary relief for severe hives but they should not be used long term. Additional treatment options include ultraviolet radiation, Singulair, tricyclic antidepressants, immune system suppressants and antifungal antibiotics, including Adapin, Sinequan, Endep, Elavil, Aventyl and Pamelor.
Many topical therapies are available over the counter but are ineffective. Lotions and creams contain ingredients that eliminate itching by numbing the nerve endings. These ingredients include menthol, pramoxine, camphor and diphenhydramine. Even prescription creams containing steroids do not help control the itching.
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