These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.
If you have been totally evaluated and your physicians have been unable to come up with a cause, you most likely have what is called Chronic Idiopathic Urticaria. There is a new drug for this called Xolair ( Omalizumab). This is a drug given in a physician's office. It is subcutaneous.
That's what my diagnosis is. What does that drug do? Are there any interactions?
There are reports of anaphalyxis with this drug, however. However, one of my good friends, an allergist, has had great success with it.
I am on sertraline for depression and know quite a few meds can have interactions with that. Will they be ok?
It is generally used for asthma but has been studied for Chronic Idiopathic Urticaria and found to work. It works by decreasing IgE.
Also, do you know any short term fixes for just now as I am having a massive flare up and bleeding from the scratching
Probably one that you have used before: pulse dose of cortisone. Sometimes, Colchicine works too.
Does xolair have any interactions with sertraline?
I don't think I can get them at the supermarket though
No interactions that I am aware of.
No, this drug is only given in a physician's office and the physician has to be able to treat anaphylaxis.
It's one of the drugs on my list to ask at my gp surgery tomorrow anyway, so I'll see what they say
It is given in 1 or more injections under the skin, one tme every two or 4our weeks.
The information I previously found on that drug said a dose for CIU was 300mg every 4 weeks
It was relatively recently approvewd by the FDA to treat CIU. Yes, that is the dose....`150 mg. in two different sites.
Are there any home remedies that would work just now?
Wait... am I speaking to a US dermatologist? I thought this was a UK site? Will this information be useful?
I would try using antihistamines that you might not have used. Assuming you have used Claritin, Benedryl, etc., you might try one of the others.. Of course, Tagamet too.
I have tried every over the counter antihistamine as well as most prescription ones
I am not sure...I believe Xolair is available in Europe. I am a US dermatologist. I would be happy to OPT OUT and allow some of the UK dermatologists to help you,.
I figured you had tried them all.
That would be preferable as I don't want to get information then find out it is related to treatments not available in the UK
Sure. I would be happy to do so. Good luck!
I know there are at least two excellent UK based dermatologists on the site.
Just to let you know. Presently, I am the only dermatologist available but they should be hopping aboard later.