I knew vaguely that steroids were not-to-be-taken-lightly drugs. The treatment worked beautifully, ending the itch and beating down the swelling within a day or two. But you can understand why I was struck by this recent headline from the American College of Emergency Physicians: "Got Hives? He prescribed an over-the-counter antihistamine, Benadryl, and a steroid, prednisone. ) and hip (why would a bed bug bite on a fat pad instead of near a vein? Every day or two, a new one would appear; some in clusters and others alone; some as small as pimples, but one swelling almost to the size of a ping pong ball. It took a seasoned doctor about 10 seconds to diagnose me with hives: the often-mysterious allergic reaction that affects about one-fifth of us at some time in our lives. The baffling, itchy red welts began in early fall, cropping up in odd places: on my torso (why would a mosquito bite a spot that wasn't exposed? They carry the potential for significant side effects: 'roid rage, blood sugar spikes, long-term risk of infection and bone loss. Hold The Steroids."The press release about the Annals Of Emergency Medicine study included this:"Prednisone is a strong and great drug for certain problems, but it is no better than antihistamine treatment for patients who are itching with hives," said lead study author Dr. Caroline Barniol of the Centre Hospitalier Universitaire in Toulouse, France. “The antihistamine levocetirizine alone achieved full itching relief within two days for 76 percent of patients. Hives (or urticaria) are itchy, erythematous (reddish), often elevated skin lesions that blanch with pressure. Urticaria usually result from the release of mast-cell mediators (e.g. histamine, etc.) within the upper layers of the skin, causing blood vessel dilation, inflammation and local extravasation (or leakage) of intravascular fluid from capillaries into the skin. Hives come in all sizes and shapes, from tiny 2-3 mm to large irregularly shaped hives covering most of the body. Other erythematous, itchy rashes are often erroneously attributed to a diagnosis of hives. Such rashes include erythema multiforme, insect bites, cutaneous lymphoma, dermatitis herpetiformis, atopic dermatitis, porphyria, contact dermatitis, and dozens of other skin conditions. Individual inflammatory skin lesions persisting for days and resulting in lasting discoloration or hyper-pigmentation of the skin are probably not hives, but a result of some other inflammatory disorder (e.g. Skin biopsy of such lesions may be helpful in reaching the correct diagnosis.
Despite standard use for the itching associated with urticaria (commonly known as hives), prednisone (a steroid) offered no additional relief to emergency patients suffering from hives than a placebo did, according to a randomized, placebo-controlled, double-blind, parallel-group study. Despite standard use for the itching associated with urticaria (commonly known as hives), prednisone (a steroid) offered no additional relief to emergency patients suffering from hives than a placebo did, according to a randomized, placebo-controlled, double-blind, parallel-group study published online yesterday in "Prednisone is a strong and great drug for certain problems, but it is no better than antihistamine treatment for patients who are itching with hives," said lead study author Caroline Barniol, MD, of the Centre Hospitalier Universitaire in Toulouse, France. "The antihistamine levocetirizine alone achieved full itching relief within 2 days for 76 percent of patients. With the addition of prednisone, the relief scores were actually worse." At 2-day follow-up, 62 percent of patients treated with levocetirizine (an antihistamine) and prednisone had an "itch score" of 0, while 76 percent of those in the placebo group (levocetirizine and placebo) had an itch score of 0. Thirty percent of patients in the prednisone group and 24 percent in the placebo group reported relapses. Acute urticaria, or hives, is a fairly common presentation in the emergency department. Itching is frequently associated with hives and can interfere with daily activities and sleep. It comes as an immediate-release tablet, a delayed-release tablet, and a liquid solution. Prednisone delayed-release tablet is available as a generic drug and as the brand-name drug Rayos. The immediate-release tablet is only available as a generic drug. Generic drugs usually cost less than the brand-name version. In some cases, they may not be available in all strengths or forms as the brand-name drug. It’s approved to treat: Prednisone works by weakening your immune system. This action blocks chemicals that normally cause inflammation as part of your body’s immune response, and can help decrease inflammation in many parts of your body. If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist.
Prednisone Side Effects by Likelihood and Severity. Hiccups; Hives; Hypothyroidism; Inflammation Of Skin Caused By An Allergy; Joint Pain; Loss Of Memory. Hives can be both painful and irritating. These hives treatment options and home remedies for hives will help you get rid of the rash quickly and