How to treat urticaria in children

The country has regulations on timely vaccinations for newborn babies, and urticaria vaccine is within the scope of national regulations. After the baby is born, the hospital will give him/her an urticaria vaccine. Although some babies have been vaccinated in a timely manner as required, they still suffer from urticaria, which also makes their parents very distressed. How to treat urticaria in children?

How to treat urticaria in children

1. Finding and eliminating allergens

Treat the disorder causing urticaria. Autoimmune urticaria is difficult to treat, but giving intravenous immune globulin or plasma dialysis can relieve symptoms.

2. Apply anti-itch lotion topically

Such as calamine lotion (with menthol added) or zinc oxide lotion.

3. Drug treatment

(1) Oral antihistamines. Commonly used first-generation antihistamines include chlorpheniramine maleate tablets, promethazine hydrochloride, diphenhydramine, doxepin, ketotifen, etc.; second-generation H1 receptor antagonists have the advantages of good efficacy and no obvious central nervous system inhibitory effect. They can be used for children over 2 years old. Second-generation antihistamines include cetirizine hydrochloride, loratadine, levocetirizine, desloratadine, fexofenadine, acrivastine, ebastine, epinastine, mizolastine, olopatadine, etc. Take orally once daily. Calcium supplements and vitamin C can reduce the permeability of capillaries and help relieve symptoms. The combination of H2 receptor antagonists (such as cimetidine and ranitidine) and H1 receptor antagonists can treat acute urticaria with obvious abdominal pain. Cyproheptadine can be used to treat chronic or cold urticaria.

(2 ) For stubborn cases, oral prednisone tablets or intravenous hydrocortisone may be used as appropriate, but it is not a routine medication.

Different drugs have significantly different minimum age limits and dosages, and should be used in accordance with the drug instructions. In children who do not respond to treatment, a combination of first-generation (for evening use) and second-generation (for daytime use) antihistamines can be used, but care should be taken to avoid the use of sedating antihistamines in school-age children.

4. Symptomatic treatment

Children with bronchospasm or laryngeal edema can be given a subcutaneous injection of 1:1000 epinephrine solution.

5. Desensitization therapy

For chronic urticaria that is not well responded to conventional drug treatment, corresponding desensitization treatment can be given according to the results of allergen skin tests, which can often achieve certain results.