How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask dermdoc19 Your Own Question

dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4124
Experience:  30 years practice in general and cosmetic dermatology
50983945
Type Your Dermatology Question Here...
dermdoc19 is online now

Ive been suffering with urticaria for over a year now and

Customer Question

I've been suffering with urticaria for over a year now and it's just getting worse. I've restricted my diet to exclude preservatives, I take a combination of drugs every day that aren't helping, and I am going mad with the itching/pain. What else can I do/take?
Submitted: 2 years ago.
Category: Dermatology
Expert:  dermdoc19 replied 2 years ago.

dermdoc19 :

These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.

dermdoc19 :

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.

JACUSTOMER-90xvrvh6- :

That's what my diagnosis is. What does that drug do? Are there any interactions?

dermdoc19 :

There are reports of anaphalyxis with this drug, however. However, one of my good friends, an allergist, has had great success with it.

JACUSTOMER-90xvrvh6- :

I am on sertraline for depression and know quite a few meds can have interactions with that. Will they be ok?

dermdoc19 :

It is generally used for asthma but has been studied for Chronic Idiopathic Urticaria and found to work. It works by decreasing IgE.

JACUSTOMER-90xvrvh6- :

Also, do you know any short term fixes for just now as I am having a massive flare up and bleeding from the scratching

dermdoc19 :

Probably one that you have used before: pulse dose of cortisone. Sometimes, Colchicine works too.

JACUSTOMER-90xvrvh6- :

Does xolair have any interactions with sertraline?

JACUSTOMER-90xvrvh6- :

I don't think I can get them at the supermarket though

dermdoc19 :

No interactions that I am aware of.

dermdoc19 :

No, this drug is only given in a physician's office and the physician has to be able to treat anaphylaxis.

JACUSTOMER-90xvrvh6- :

It's one of the drugs on my list to ask at my gp surgery tomorrow anyway, so I'll see what they say

dermdoc19 :

It is given in 1 or more injections under the skin, one tme every two or 4our weeks.

JACUSTOMER-90xvrvh6- :

The information I previously found on that drug said a dose for CIU was 300mg every 4 weeks

dermdoc19 :

It was relatively recently approvewd by the FDA to treat CIU. Yes, that is the dose....`150 mg. in two different sites.

JACUSTOMER-90xvrvh6- :

Are there any home remedies that would work just now?

JACUSTOMER-90xvrvh6- :

Wait... am I speaking to a US dermatologist? I thought this was a UK site? Will this information be useful?

dermdoc19 :

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.

JACUSTOMER-90xvrvh6- :

I have tried every over the counter antihistamine as well as most prescription ones

dermdoc19 :

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,.

dermdoc19 :

I figured you had tried them all.

JACUSTOMER-90xvrvh6- :

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

dermdoc19 :

Sure. I would be happy to do so. Good luck!

JACUSTOMER-90xvrvh6- :

Thanks

dermdoc19 :

I know there are at least two excellent UK based dermatologists on the site.

dermdoc19 :

Just to let you know. Presently, I am the only dermatologist available but they should be hopping aboard later.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • dermdoc19

    dermdoc19

    Dermatologist

    Satisfied Customers:

    2779
    30 years practice in general and cosmetic dermatology
< Last | Next >
  • http://ww2.justanswer.com/uploads/dermdoc19/2010-09-30_160749_Photo_122807_015.JPG dermdoc19's Avatar

    dermdoc19

    Dermatologist

    Satisfied Customers:

    2779
    30 years practice in general and cosmetic dermatology
  • http://ww2.justanswer.com/uploads/tcsatish/2009-4-14_221547_satish_pp.jpg Dr. Skinner's Avatar

    Dr. Skinner

    Dermatologist

    Satisfied Customers:

    1548
    MD , DNB ( D &V), FAAD
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    274
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology