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