What should I do if I get urticaria and itchy skin? Doctor: Different medications during the day and night

urticaria is only a skin disease, once it occurs, it will affect the life and work of the patient. In severe cases, it may be life-threatening. Therefore, how to relieve and treat urticaria has become the key. Huang Shujiang, deputy chief physician of the Department of Dermatology, Guangdong Provincial People's Hospital, said that whether it is to relieve or treat urticaria, it must be done step by step, step by step, and then it will be effective. How does

relieve the itching of urticaria? Different during the day and night

Deputy Chief Physician Huang Shujiang said that during the daytime urticaria, patients can take second-generation antihistamines, such as loratadine, cetirizine, ebastine, mizolastine or non Sofenadine, etc., these drugs have a weak sedative effect and will not affect mental attention. Even if you need to drive, they are safer.

When urticaria occurs at night, patients may consider anti-allergic drugs with drowsiness, such as chlorpheniramine and cyproheptadine. If the itching is severe, you can also use anti-leukotriene drugs, or topical calamine lotion, which is usually called hot rash; or apply a diphenhydramine ointment with antipruritic effect. In addition, Deputy Director Huang Shujiang suggested, “If there is itching, the patient should be kept at a suitable temperature as much as possible, and not too cold or too hot, so that the urticaria can be effectively controlled.”

Urticaria is carried out for specific diseases. Targeted treatment

Deputy Chief Physician Huang Shujiang said frankly, "Urticaria needs to be treated according to its specific disease type. At present, urticaria can be divided into spontaneous, induced, physical, and non-physical according to the disease.

According to Deputy Chief Physician Huang Shujiang, the medication for urticaria is gradual. “Assuming general urticaria, the conventional medication is antihistamines, first the original dose of antihistamines. Use it for one to two weeks. ; If the effect is not good, you have to double the medication, or combine with similar antihistamines, or combine with the first-generation antihistamines, etc.; when the situation has not improved, you need to use anti-leukotriene drugs; When it works, it will start from first-line, second-line to third-line, and when it comes to third-line, immune preparations will be used for treatment, including methotrexate, cyclosporine, prednisone, as well as biologics, immunoglobulin and other drugs. "

In addition to taking medicine, Deputy Chief Physician Huang Shujiang pointed out that the treatment of urticaria also needs to solve the problem of incentives. "If it is a cause of infectious urticaria, such as Helicobacter pylori, targeted treatment should be carried out; if there is an infection focus, Antibiotics should be used for treatment; if the urticaria is related to light, the patient should avoid the sun, if necessary, can also use photosensitizing drugs, and then combine other drugs for treatment. "

" Generally speaking, the most basic medicine for urticaria treatment is antihistamines. On this basis, it will be used in conjunction with other drugs according to its disease or efficacy," Huang Shujiang The chief physician explained, for example, for immune urticaria, it is necessary to do some related examinations and add some immunosuppressive treatments to achieve better results. Can urticaria be left untreated? In severe cases, it can be life-threatening.

With regard to urticaria, many people have a fluke mentality and feel that this is just a small disease that quickly rises and retreats, and it will not hurt if it is not treated. Deputy Chief Physician Huang Shujiang said this is a common misunderstanding, "Mild urticaria Although getting up quickly and retreating quickly, if it is not treated, it may affect mood, quality of life, work, rest, etc., and cause some unnecessary troubles. It is recommended to seek professional guidance to quickly relieve symptoms. "

But if it is severe urticaria, the problem can be much more serious. At this time, systemic symptoms such as dizziness, headache, palpitations, shortness of breath, rapid breathing, abdominal pain and diarrhea, etc. will appear. Deputy Chief Physician Huang Shujiang emphasized that this time should be more important. Treat immediately, otherwise it may be life-threatening. "If not treated at this stage, the condition will become more and more severe, and respiratory problems may occur, such as laryngeal edema, which will affect the normal breathing of the human body. If the rescue is not timely, it may be endangered. life. "

can urticaria be cured? It depends on the cause of the disease. Deputy Director Huang Shujiang said that whether urticaria can be cured is closely related to the cause and the patient’s immune system. “Chronic urticaria should try to find the cause, if the cause can be reduced or Control, some people will be relieved after a while, but it may not be cured, and it may relapse after a period of time. But if the patient’s own immunity changes and returns to a normal state, urticaria willIt may be cured because the patient's autoimmunity is in a balanced state, that is, the patient's mast cell membrane is stable, and the hives may no longer occur. "

But does this mean that the urticaria has been cured? Deputy Chief Physician Huang Shujiang believes that this is not the case. "Maybe the patient may trigger a certain factor someday that causes the mast cells to reactivate and produce active substances or active particles. The vascular endothelial cells expand and eventually lead to recurrence of urticaria. In general, whether the patient has triggered the onset of urticaria is the key. If not, the condition can be maintained in the intermittent or remission period. "