When treating persistent idiopathic urticaria, your well being crew will seemingly take a “step-up” strategy, Camp says. This implies beginning with a conservative, over-the-counter choice after which bringing in several choices if these do not forestall recurrences or result in symptom reduction.
Antihistamines
The primary line of remedy for many instances of persistent idiopathic urticaria are non-sedating over-the-counter antihistamines, additionally known as H1 antihistamines, says Camp.
- loratadine (Claritin)
- desloratadine (Clarinex)
- cetirizine (Zyrtec)
- fexofenadine (Allegra)
- diphenhydramine (Benadryl, Banophen)
- chlorpeniramine (Chlor-Trimeton, Ahist, Aller-Chlor)
- doxylamine (Unisom)
- brompheramine (BroveX CT)
- hydroxyzine (Atarax, Rezine, Vistaril)
- clemastine (Dayhist, Tavist Allergy)
- cyproheptadine (Periactin)
- dimenhydrinate (Dramamine)
Prescription H2 Blockers
- famotidine (Pepcid)
- cimetidine (Tagamet)
- nizatidine (Axid)
“Therapy could be escalated to those medicines if the over-the-counter choices aren’t decreasing signs equivalent to itch or flares,” says Camp. “This remedy would even be thought-about if hives are having a big, adverse affect on high quality of life, equivalent to interference with work, relationships, or sleep.”

