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Urticarial Rash: Treatment, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment?(When is the treatment done ?) Who is not eligible for the treatment? Are there any Side Effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Urticarial rash, usually doesn’t need any treatment but if the itchiness and discomfort increases to amount of unable to be controlled by yourself, then you might want to get help from Antihistamines like cetirizine (Zyrtec), fexofenadine (Allegra), and Loratadine (Claritin) will not cause drowsiness. It will take about 30 minutes to effect after taken but is most effective after 1-2 hours but recommended to be taken regularly as prevention drugs till the rash has completely disappeared. Menthol cream in addition to antihistamines can be used because it helps to relieve itchiness.

If the rash is getting severe you might be prescribed for course of Corticosteroid tablets (prednisolone) it works on your immune system to relief the rash. Long-term use of corticosteroids for chronic urticarial isn't recommended for the reasons mentioned above. But medicines like Leukotriene receptor antagonists will help the affected for a longer period of time as it has far less side effects. In rarest of cases, a powerful medication called cyclosporine has proved effective in treating urticarial which again isn’t recommended for longer period of time because of severe side effects.

In case of the severe rash for the treatment you will be given H2 antihistamines. H1 antihistamines are the ones you get from the drugstore with prescription. H2 antihistamines are alternatives or in combination with the H1 antihistamines. Treatment will take time of 1-3 weeks in the severe rash case.

How is the treatment done?

As the rash is usually caused due to an allergic reaction towards a certain entity, the first and foremost treatment is to self-care by the affected person if the trigger for the rash is detected by the person and they avoid the potential trigger for the rash. Another way to self-treatment can be through the menthol cream that will ease the itching and the person can avoid touching it will stop spreading the rash then treatment won’t be needed but the prevention through avoiding the object triggering the urticarial rash.

Secondly, if the rash is severe enough to take drugs, the drugs will help with the itching and discomfort. The severe rash treatment with corticosteroid tablets course will effect on the immune system to help relieve swelling, redness, itching, and allergic reactions.

In the severe case of rash a dermatologist’s treatment will include detecting and evading the potential triggers, dismissing the symptoms with the help of drugs under observation of the specialist. Desensitization procedures are done by the specialists to treat the rash by purifying your sweat and only the antigens are injected into you. This will treat the symptoms significantly better but in some cases the rash might not be cured completely. There should be evidence that you have an autoimmune response to what you are being desensitized. This process should be done under the supervision of a specialist, Otherwise can lead to serious health issues.

Who is eligible for the treatment?(When is the treatment done ?)

The treatment is the option when the rash is growing rapidly and the itching is causing extreme discomfort, affecting your daily activities. There are different levels of treatments for the different levels of rashes. The urticarial rash can be acute or long term urticarial, depending on which the treatments will be given. It is medical emergency and should go for the treatment with the specialists where they will recommend the tests. If the results reveal:

  1. Anemia
  2. Intestinal parasites
  3. Problems with immune system.
  4. Liver problems.
  5. Hypothyroidism or hyperthyroidism.

You should immediately seek medical help for the treatment as soon as possible.

Who is not eligible for the treatment?

If the rash is relieved in sometime due to avoidance of the triggering object or by the drugs the person can avoid having treatment. In most cases the treatment is not needed because the rash gets better in few days without any treatment. But when the rashes are not cured in more than two months then it is necessary to visit a doctor. If the rash is due to something in the environment for example:

  • Air freshener
  • Perfume
  • New surroundings
  • Travelled a lot lately

These triggers are avoidable. Rashes caused due to these triggers can be cured with avoiding or drugs from the store. Or if you already had a treatment and know the object you are allergic to, then you won’t need any treatments for it.

Are there any Side Effects?

Yes, in the cases of needing the treatment there can be side effects based upon the type of treatment one is getting. For example treatment with the H2 and H1 antihistamines there are chances of having less but harming side effects which includes.

  • headache
  • diarrhea
  • dizziness

In course of corticosteroid tablets the side effects include:
  • changed appetite
  • weight gain
  • psychological effects

In rare cases Cyclosporine is used which has severe side effects like:
  • hypertension
  • kidney problems
  • involuntary shaking
  • Increased risks for chest infections, urinary tract infection, heart failures.

These are the cases of severe urticarial rash that is usually caused due to serious health issues to show up as a symptom. The acute urticarial rash will not be needing treatment with severe or any side effects in many cases, feeling sick is the only side effect.

What are the post-treatment guidelines?

Urticarial infections cannot be treated for lifetime and its triggers may bring it back. So to be protected and prevent such situations these measures can be taken:

  • Avoid potential triggers. (pets, perfumes, peanuts, medications like aspirin and ibuprofen)
  • Wear soft fabric and loose breathable clothes
  • Avoid cosmetics containing chemicals
  • Once you know what triggers your rashes avoid it as much as possible.
  • Pollens
  • Take medications for prevention
  • Have your medications in case of an emergency breakout.
  • Keep skin moisturized and maintain proper routine.
  • Avoid metal ornaments
  • Cold compress in case of a chance of any breakout to avoid itching it and stopping it from spreading.

Even if the treatment is done one should avoid any sort of triggers as much as they can.

How long does it take to recover?

Acute urticarial rash will be cured in 3 to 4 weeks with treatment, usually acute urticarial rash gets better on its own but if it lasts more than 6 weeks it can be a reason to visit doctor because it can be chronic urticarial rash which occurs on daily basis for more than 6 weeks. 1 in 100 people have chronic urticarial rash which will take up to 12 months to be treated and recover however it can last more than that, some people tend to have chronic urticarial rash for years and few gets cured in 10 or more years.

What is the price of the treatment in India?

The antihistamines can cost from Rs 50/- to Rs 500/- and sometimes more, depending upon the dosage or power of medicine. The core treatments can cost Rs 20,000 – 30,000 which lasts for 3 months and PRs 3000 – 9000 /- per month depending upon the hospital or organization you are on. But there are cheap treatments from Rs 1500 – 2000/- also available for the treatment for severe but not huge rash. People can also go to the government hospitals for cost cutting and then in private hospitals the doctors’ fees can also be not determined. So best way is to go to a governmental hospital or if you can afford private organizations is also great option.

Are the results of the treatment permanent?

In most cases the treatment results are not permanent and can get triggered anytime. The best way to continue to avoid breaking out is the prevention methods and monthly treatment processes. The people with chronic urticarial rash need to have a lot of restrictions and precautions till the rash is cured.

What are the alternatives to the treatment?

Some of the alternative treatments are as follows:

  • Home remedies
  • Ayurveda treatment
  • Antihistamine
  • Steroid
  • Vasoconstrictor
  • Anti-inflammatory

Popular Questions & Answers

Hi team. I am suffering from urticaria from past 10 years almost. Now every 2 days I have to take anti histamine medicine. Because every 48 hours I start getting red spouts on my body with bad itching and I start felling the heat during that time. Not sure if there is a solution?

Dermatologist, Chennai
You are suffering from allergic dermatitis causing hives. Medicine available for good improvement. As the treatment varies depending on the severity. Send photos of the affected area, by direct online consultation for accurate diagnosis and treatm...
5 people found this helpful

Hi, I am aged 34 hight 5/6 weight 70 kg I am suffering from urticaria since last 10 days is there medicine available in ayurveda n homeopathic? please advice.

Homeopathy Doctor, Bhilai
Yes homoeopathy can help you. You can search for predictive homoeopathy and book your appointment.
1 person found this helpful

I am suffering from severe urticaria since 9 years doctor is prescribing me depzlacort for few months and reducing the tablets but again severe bumps and itching starts I am facing much problem in my daily works. Suggest me the institute where this problem identify and get cure.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Warangal
Get allergy test from endocrine laboratory ahemedabad please stop depzlacort at least one week before blood test send reports to me.
1 person found this helpful

Is it ok to take wysolone 5 mg once daily after food in case of chronic urticaria for 1 month duration & taper it? What are the side effects of it if taken for long duration?

Dermatologist, Chennai
No. Its urticaria or hives. Undergo skin prick test. Contact me by direct online consultation for immunotherapy.
1 person found this helpful

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