What medicine is good for urticaria?
Urticaria is a common allergic skin disease characterized by red or pale wheals on the skin, accompanied by severe itching. In recent years, the incidence of urticaria has increased and has become one of the hot health topics. This article will combine the hot content of the entire Internet in the past 10 days to introduce the drug treatment plan for urticaria in detail and provide structured data for reference.
1. Common symptoms of urticaria

The main symptoms of urticaria include skin wheals and itching, which may be accompanied by angioedema (such as swelling of lips and eyelids) in severe cases. According to the duration of the disease, it can be divided into acute urticaria (duration of disease ≤6 weeks) and chronic urticaria (duration of disease >6 weeks). The following are typical signs of urticaria:
| Symptoms | Description |
|---|---|
| Skin wheals | Red or pale raised skin lesions of varying sizes |
| itching | Severe itching, affecting quality of life |
| angioedema | Swelling of deep tissues, most commonly seen on the face, hands and feet |
| duration | A single wheal usually resolves within 24 hours |
2. Commonly used drugs for urticaria
Drugs used to treat urticaria mainly include antihistamines, glucocorticoids, and immunomodulators. The following are common drug classifications and representative drugs:
| drug type | Representative medicine | Applicable situations |
|---|---|---|
| second generation antihistamines | Loratadine, Cetirizine | First-line treatment for mild to moderate urticaria |
| first generation antihistamines | Chlorpheniramine, diphenhydramine | Use at night to relieve itching |
| Glucocorticoids | Prednisone, dexamethasone | severe urticaria or angioedema |
| biologics | Omalizumab | chronic refractory urticaria |
3. How to choose urticaria drugs?
When choosing a drug for urticaria, you need to consider the severity of the disease, the duration of the disease, and individual patient differences. The following are medication recommendations for different situations:
1.acute urticaria: Mainly second-generation antihistamines, such as loratadine or cetirizine. If symptoms are severe, corticosteroids can be used short-term.
2.chronic urticaria: Antihistamines need to be taken for a long time, and the dose can be doubled (under the guidance of a doctor). If the effect is not good, biological agents such as omalizumab can be considered.
3.Special groups: Loratadine is the first choice for pregnant women, and the dose needs to be adjusted according to body weight for children.
4. Daily care for urticaria
In addition to medication, daily care is also important:
| Nursing measures | Specific methods |
|---|---|
| avoid triggers | Stay away from allergens (such as food, medicine, pollen, etc.) |
| skin moisturizing | Use a gentle moisturizer to reduce skin irritation |
| Dress loosely | Choose cotton clothing to avoid friction |
| diet conditioning | Eat less spicy, seafood and other allergenic foods |
5. Hot discussions on urticaria treatment
Recently, the following hot topics have been discussed regarding the treatment of urticaria:
1.Omalizumab’s wide range of uses: As a biological agent, omalizumab is effective in the treatment of chronic urticaria, but it is expensive.
2.Controversy over TCM treatment of urticaria: Some patients try traditional Chinese medicine or acupuncture, but the efficacy lacks large-scale clinical verification.
3.Probiotic auxiliary treatment: Research has found that intestinal flora is related to allergic diseases, and probiotics may have an auxiliary effect on urticaria.
6. Summary
The treatment of urticaria requires the selection of appropriate drugs according to the condition. Second-generation antihistamines are the first choice. In severe cases, glucocorticoids can be used for a short period of time. Chronic patients may require long-term treatment with medications or biologics. At the same time, avoiding triggers and scientific care are equally important. If the symptoms persist and do not resolve, it is recommended to seek medical treatment in time.
I hope this article can help everyone better understand the medication options for urticaria and scientifically deal with this common skin disease.
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