Sedating antihistamines and alcohol
Pharmacologic treatment options include the following: Consultation with or referral to a dermatologist, allergist, immunologist, or rheumatologist may be appropriate in selected cases, particularly in cases of complicated, recurrent, refractory, severe, or chronic urticaria.Dermatology referral is mandatory if urticarial vasculitis is suspected.Call your doctor at once if you have any of these serious side effects: Oral a. Pediatric Oral Dosage (as recommended by the American Academy of Pediatrics): Dosages of phenobarbital must be individualized with full knowledge of their particular characteristics and recommended rate of administration.Factors of consideration are the patient's age, weight, and condition.For chronic or recurrent urticaria, important considerations include previous causative factors and the effectiveness of various treatments, as follows Management of urticaria is focused on treating the symptoms and typically is not altered by underlying etiology.The mainstay is avoidance of further exposure to the antigen causing urticaria.
Counselling and advice from a general practitioner can help people to cut down.
Urticaria may be confused with a variety of other dermatologic diseases that are similar in appearance and are pruritic including atopic dermatitis (eczema), maculopapular drug eruptions, contact dermatitis, insect bites, erythema multiforme, pityriasis rosea, urticarial vasculitis, and others.
Usually, however, the experienced clinician is able to distinguish urticaria from its mimickers owing to its distinctive appearance (see the images below), intensely pruritic nature, and complete blanching with pressure.
Whereas the term sedative describes drugs that serve to calm or relieve anxiety, the term hypnotic generally describes drugs whose main purpose is to initiate, sustain, or lengthen sleep.
Because these two functions frequently overlap, and because drugs in this class generally produce dose-dependent effects (ranging from anxiolysis to loss of consciousness) they are often referred to collectively as sedative-hypnotic drugs.