What medicine should be taken to relieve itching of urticaria?
Urticaria is a common skin allergic disease, mainly characterized by red or pale wheals on the skin, accompanied by severe itching. In the past 10 days, there has been a lot of discussion on the Internet about the treatment of urticaria and anti-itching methods, especially drug treatment. This article will combine hot topics and authoritative medical advice to provide you with a detailed introduction to drug selection for urticaria and itching.
1. Common symptoms of urticaria
Symptoms of hives often include:
| Symptoms | Description |
|---|---|
| wheal | Red or pale raised patches of varying sizes on the skin |
| itching | Severe itching accompanied by wheals seriously affects quality of life |
| swelling | Angioedema may occur in severe cases, such as swelling of lips and eyelids |
2. Commonly used drugs to relieve itching of urticaria
The following drugs are commonly used clinically to relieve itching of urticaria:
| drug type | Representative medicine | Mechanism of action | Things to note |
|---|---|---|---|
| Antihistamines (H1 receptor antagonists) | Loratadine, cetirizine, fexofenadine | Blocks the binding of histamine to H1 receptors and reduces allergic reactions | Second-generation antihistamines have fewer side effects and are suitable for long-term use |
| Antihistamines (H2 receptor antagonists) | ranitidine, famotidine | Assists in blocking H2 receptors and enhances anti-itching effect | Often used in combination with H1 receptor antagonists |
| Glucocorticoids | Prednisone, dexamethasone | Powerful anti-inflammatory, suppress immune response | For severe cases only, short term use |
| immunomodulator | Cyclosporine, omalizumab | Regulate the immune system and reduce allergic reactions | For refractory chronic urticaria |
3. Principles for selecting anti-itching drugs for urticaria
1.acute urticaria: Second-generation antihistamines (such as loratadine, cetirizine) are preferred. If the effect is not good, the dose can be doubled or H2 receptor antagonists can be combined.
2.chronic urticaria: Antihistamines need to be taken regularly for a long time, and the dosage can be gradually reduced after the symptoms are controlled. Immunomodulatory therapy may be considered in refractory cases.
3.Special groups: Pregnant women, children, and the elderly need to choose safer drugs under the guidance of doctors and avoid using first-generation antihistamines.
4. Adjuvant treatment measures for urticaria
In addition to medication, the following measures can also help relieve urticaria symptoms:
| measures | Specific methods |
|---|---|
| avoid triggers | Identify and avoid exposure to allergens (e.g. food, medications, pollen, etc.) |
| skin care | Use mild cleansing products, avoid scratching, and apply cold water to relieve itching |
| life adjustment | Maintain a regular schedule to avoid mental stress and excessive fatigue |
5. Common misunderstandings about urticaria treatment
1.hormone abuse: Long-term topical or oral hormones may cause serious side effects and should be used short-term under the guidance of a doctor.
2.Ignoring the cause: Focusing only on relieving itching without looking for and avoiding allergens may lead to recurrence of the condition.
3.Discontinue medication at will: Patients with chronic urticaria stop taking medication on their own after their symptoms are relieved, which can easily lead to recurrence.
6. When Do You Need Medical Treatment?
You should seek medical treatment promptly if the following situations occur:
- Urticaria accompanied by systemic symptoms such as dyspnea and chest tightness
- Significant swelling of the face or throat
- Conventional treatments are ineffective and symptoms continue to worsen
- The rash lasts for more than 6 weeks and becomes chronic
Although urticaria is common, symptoms can be effectively controlled with the right medications and lifestyle adjustments. It is recommended that patients use medications rationally under the guidance of a doctor and avoid purchasing and using inappropriate medications on their own. With scientific treatment, most patients with urticaria can obtain good symptom relief.
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