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How do I Choose the Best Medicine for Hives?

By Angela Crout-Mitchell
Updated May 17, 2024
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There are several treatments and medicine for hives available, and some of the most popular include the use of oral antihistamines; epinephrine injections; and home remedies, such as wearing loose clothing and taking cool showers. The most effective treatment for hives will depend on the severity of the problem and the cause of the outbreak. Hives can be attributed to environmental or food allergies; external influences such as heat, cold, or UV rays; and skin irritations caused by contact with a chemical contaminant from a plant, insect sting, or bleach reaction. If the cause of the hives is unknown, it is suggested to seek medical attention to determine the underlying cause and receive treatment. If the hives are accompanied by abdominal cramping along with difficulty breathing, the patient should seek emergency medical care.

The most common medicine for hives is the use of antihistamines to reduce the effects of the allergen on the body and skin. Histamine is the substance the body produces that causes hives, and use of antihistamines is ideal for blocking this response. Over-the-counter antihistamines are available for adults and children, though the patient's doctor may choose to prescribe a more potent medication. This type of hive medication may cause drowsiness in some patients and should be used with care.

When allergies and hives are chronic problems for patients, it is not unusual for physicians to prescribe epinephrine medicine for hives. In most cases, the medicine is often prescribed in injection form, and the patient is required to perform the injection himself, especially in the event of severe hives or allergic reactions. This type of medication for hives is intended for cases wherein the hives are a threat to the health and life of the patient. Severe hives may occur internally, and the swelling can limit the person's ability to breathe normally. Quick acting epinephrine injections are administered for this reason.

The most effective medicine for hives often can be found in the home or as a matter of changing specific behaviors. For example, if a person knows a food causes sensitivity in his system, he can eliminate hives by eliminating that food in his diet. When hives do occur, a cool shower, along with dressing in loose fitting clothing and applying cool compresses to the affected skin can help reduce the severity and the length of the attack. Limiting vigorous physical activity while hives are present may also reduce the hive attack. When home care is ineffective or the hives become worse, the patient should notify his doctor for prescription medications or other treatments.

WiseGEEK is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.

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