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Q: 
I have a serious allergy with hives which make me very itchy. I’ve had the hives for the last 10-15 years. Sometimes it goes away for a few years, but it came back this year. When the hives began I took EVIL, and then one doctor suggested ALLEGRA-150. After some time, my doctor suggested ALLEGRA-180. This year, ALLEGRA stopped working on my hives. Now he has given me PETADIN and some antibiotics. Any suggestions to help me get this under control?
A: 
Chronic urticaria (hives) can be very frustrating and challenging to control. Nonsedating anti-H1 antihistamines are the mainstay of treatment for chronic urticaria. If these agents are ineffective, higher dosages may be tried, or other agents such as sedating antihistamines, anti-inflammatory agents, and sulfones may be attempted. For many urticaria patients, avoidance of mental stress, alcohol, nonsteroidal anti-inflammatory drugs (NSAIDs), and tight-fitting garments is recommended. You should discuss your symptoms, an evaluation tailored to you, and potential strategies for managing symptoms with your allergist.