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Are there any alternative solutions to oral steroids for hives? (photo)

Skin, Hair & Nails

I'm 24 years old, female. I was diagnosed with hives on my hands. The redness, itchiness and swelling only happens (and is very intense) at night. I was given steroids (prednisone) and anti-histamines to take over the last 3 months. This has improved the hives, but the itch returns whenever I finish my course of steroids, which affects my sleep at night. Are there any alternative solutions to taking oral steroids for hives?

Are there any alternative solutions to oral steroids for hives? (photo)
DOCTOR’S ANSWER (1)

For the treatment of hives or urticaria, antihistamines are the Mainstay of treatment. Sometimes, we do need higher doses of antihistamine to get the urticaria under control.

Oral steroids can help control urticaria, but they are not an ideal long-term treatment due to their side effects. 

In persistent cases, oral medications like Montelukast and cyclosporine can be considered. There is now a new treatment for urticaria called omalizumab.

This is a biologic therapy, which is effective for controlling chronic urticaria.  It given as a subcutaneous  injection. I suggest that you speak to your dermatologist to explore these other options if your urticaria is still persistent.


Dr Colin Theng
MBBS, MRCP, MMED (Fam. Med), FAMS

The Skin Specialists & Laser Clinic

Mount Alvernia Medical Centre D
820 Thomson Road #07-61
Singapore 574623


764 views 6 Aug 2018
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