Chronic urticaria, or long-term hives, causes itchy, red welts that last for six weeks or more. While the exact cause can be unclear, effective treatments help manage symptoms and improve quality of life.
What Causes Chronic Urticaria?
Unlike acute hives, which are often triggered by allergies, chronic urticaria may be linked to:
- Autoimmune disorders – The immune system mistakenly attacks healthy skin cells.
- Infections or underlying illnesses – Viral infections, thyroid disease, or lupus.
- Environmental triggers – Heat, cold, stress, or pressure on the skin.
- Unknown causes – Many cases have no identifiable trigger.
Best Treatment Options for Chronic Urticaria
Managing chronic hives requires a combination of medications, lifestyle changes, and advanced treatments.
1. Antihistamines – First-Line Treatment
- Non-drowsy antihistamines like cetirizine, loratadine, or fexofenadine help reduce itching and swelling.
- Higher doses may be recommended if standard doses don’t work.
2. Corticosteroids – Short-Term Relief for Severe Flare-Ups
- Prednisone can be used for severe outbreaks,but long-term use is avoided due to side effects.
3. Biologic Therapy – Effective for Resistant Cases
- Omalizumab (Xolair) is an FDA-approved injectable for chronic urticaria that doesn’t respond to antihistamines.
- It works by blocking IgE antibodies, reducing inflammation.
4. Immunosuppressants – For Severe Autoimmune-Related Hives
- Drugs like cyclosporine may be prescribed if symptoms are linked to autoimmune disorders.
- Used in severe cases where other treatments fail.
5. Lifestyle & Natural Remedies
- Avoid triggers like stress, heat, or certain foods.
- Apply cool compresses to relieve itching.
- Probiotics and Vitamin D may help improve symptoms in some cases.
Why Now Is the Best Time to Seek Treatment
Chronic urticaria affects daily life, sleep, and mental health. If symptoms persist, early treatment can prevent long-term discomfort and help you regain control.
Find the Right Treatment for Lasting Relief
If antihistamines aren’t enough, consult a specialist for advanced options like biologic therapy or immunosuppressants. Get the relief you deserve today!