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Urticaria

Useful link: http://www.pcds.org.uk/clinical-guidance/urticaria-and-angioedema

 

Primary care management prior to referral:

 

Patients should receive 6 weeks of the following combination prior to referral: 

 

  1. Non sedating H1 antagonist at 3-4 times BNF dose
  2. Ranitidine 150mg bd
  3. Montelukast 10mg od

 

Vasculitic urticaria(Wheals lasting >24 hours, burning pain and bruise like marks) should be discussed with the dermatologists via the A+G service

Further guidance on urticaria + angioedema is available here