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Chronic Spontaneous Urticaria

• Patients with chronic spontaneous urticaria are often frustrated and anxious
• Although no external cause is identified in most patients, numerous factors can aggravate the condition.
• Understanding these triggers and learning to avoid those that are relevant to the individual patient are critical components of successful management. Education should begin as soon as the diagnosis is made.
• H1 antihistamines are recommended as initial therapy for all patients with chronic spontaneous Urticaria.
• Less-sedating, second-generation agents (eg, cetirizine, levocetirizine, fexofenadine, loratadine, desloratadine)are more recommended over older first-generation agents (eg, hydroxyzine, diphenhydramine, chlorpheniramine, or mizolastine)