How Do You Treat Hives? (2024)

The first step in managing hives is to find out the cause. You can then try to avoid that trigger.

A mild case often disappears on its own after a few hours. If it lasts longer, you can try an over-the-counter antihistamine.

See a doctor if your outbreak doesn't disappear in a few days, though. And get medical help right away if you notice symptoms of angioedema (such as swelling of the lips, tongue, or throat) or a severe allergic reaction (anaphylaxis).

If you often get hives, or if your outbreaks affect you a lot, your doctor will probably prescribe antihistamines. Treatment with corticosteroids, which you take by mouth, will sometimes reduce swelling when antihistamines don't work. But doctors usually save them for more severe cases. Your doctor may also consider a biologic drug, omalizumab (Xolair), for chronic hives in people age 12 and over.

Home Remedies

Try putting a cool compress on the area, or take a cool shower. Avoid strong soaps, detergents, and other chemicals that can make itching worse.

If you're severely allergic to bee stings or other insect bites, certain foods, or medications, ask your doctor about prescribing an emergency kit with epinephrine shots. You would use these to treat anaphylaxis. Always carry two epinephrine kits with you.

When to Call Your Doctor

Tell your doctor if you keep getting bouts of hives that last a month or more.

Call 911 or get emergency medical help immediately if any of these things happen:

1. You start to get burning or itchy welts in your throat.

2. You get hives and a dry throat, cough, cold sweats, nausea, dizziness, ortrouble breathingafter a bee sting, aninsect bite, or a new medication. This may be anaphylaxis. Give yourself an epinephrine shot, even if you're unsure whether your symptoms are allergy related. It’s safe to use. You'll still need medical attention even if your symptoms seem to stop.

3. You have symptoms of angioedema (again, that's swelling of the lips, tongue, or throat). You need immediate medical attention so that the swellingdoesn’t block the air passage to the lungs.

How Do You Treat Hives? (2024)

FAQs

How should hives be treated? ›

The standard treatment for hives and angioedema is antihistamines that don't make you drowsy. These medications reduce itching, swelling and other allergy symptoms. They're available in nonprescription and prescription formulations. Drugs that suppress the immune system.

What is the instant treatment of hives? ›

Relieve the itch at home.

Wear loose-fitting, cotton clothes. Apply a cold compress, such as ice cubes wrapped in a washcloth, to the itchy skin several times a day—unless cold triggers your hives. Use anti-itch medication that you can buy without a prescription, such as an antihistamine or calamine lotion.

Are hives self treatable? ›

You may be able to relieve hives with home remedies, including aloe vera or an oatmeal bath, and over-the-counter products. But a doctor may need to treat severe or chronic hives.

What's the best cream for hives? ›

Hives are best treated with an over-the-counter antihistamine or topical creams like hydrocortisone or calamine lotion. Antihistamine medications suppress the histamine that is released from the body, causing your itchy reaction. Topical treatments work on your skin's cells to stop the histamine from being released.

How do you get rid of hives ASAP? ›

13 Ways To Get Rid of Hives
  1. Cold Compresses. A cooling cloth or cold pack may be just the thing to ease the warmth and swelling of hives. ...
  2. Lukewarm Baths or Showers. ...
  3. Oatmeal Products. ...
  4. Scratch Resistance. ...
  5. Benadryl and Other OTC Antihistamines. ...
  6. Prescription Medications. ...
  7. Anti-Itch Lotions or Creams. ...
  8. Stress Relief.
Mar 24, 2024

How long should hives last? ›

Usually, eruptions may last for a few minutes, sometimes several hours, and even several weeks to months. Most individual hives last no more than 24 hours.

Do hives spread by scratching? ›

Scratching the rash may spread the inflammation, lead to infection and even leave scars. When there is an allergic reaction in the body, a chemical called histamine, from specialized cells in the body tissues is released. Histamine causes allergy symptoms such as sneezing, itching, watery eyes, and runny nose.

Should I put lotion on my hives? ›

Topical treatment is also not recommended if the affected area is sore, infected, or features an open wound. Hives with these features may only worsen if you treat them with lotions or creams.

Should you shower with hives? ›

Use only gentle, fragrance-free soap, cleanser, and other skin care products. Take warm (not hot) baths and showers. Wear loose-fitting, 100% cotton clothing. If hives last more than a few days or you get hives frequently, keep a journal: This may help you figure out what's triggering your hives.

Why am I getting hives all of a sudden? ›

Hives usually are caused by other things besides infection, although it could be from a virus. It could be from an allergen, or some sort of an allergy that you have. It could be from a hormonal change. And it even could be emotional in some situations.

Will Benadryl help with hives? ›

Doctors usually prescribe antihistamines as the first course of treatment for hives. Acute cases can generally be treated with over-the-counter antihistamines like loratadine and pseudoephedrine, cetirizine, fexofenadine, or diphenhydramine.

What food not to eat if you have hives? ›

Table 2
Food GroupReported Triggers (Suggest Avoidance)
MeatAged sausages/smoked meats/processed meats
DairyFermented dairy (aged cheeses, yogurt, sour cream)
VegetablesTomatoes Spinach, eggplant, avocado Fermented vegetables such as sauerkraut and kimchi Overripe vegetables
FruitsAll fruits All fruit juices
3 more rows
Dec 31, 2019

When should I see a doctor for hives? ›

Hives are typically harmless and you can manage them at home. But you may need to see a doctor if they cover your entire body, don't go away, or keep coming back. Hives accompanied by trouble breathing or throat swelling are a medical emergency and could mean you're having a severe allergic reaction called anaphylaxis.

What should you not do when you have hives? ›

Watch What You Do
  • Alcohol. Along with aggravating hives, it may not mix well with medication you may be taking to treat your skin. ...
  • Aspirin and NSAIDs. Pain relievers like ibuprofen and naproxen can trigger or cause hives. ...
  • Heat. Try to work and sleep in a cool room. ...
  • Tight clothes.
Dec 19, 2019

Can hives spread by scratching? ›

Scratching the rash may spread the inflammation, lead to infection and even leave scars. When there is an allergic reaction in the body, a chemical called histamine, from specialized cells in the body tissues is released. Histamine causes allergy symptoms such as sneezing, itching, watery eyes, and runny nose.

Should hives be concerning? ›

Hives may be uncomfortable, but they are usually harmless and disappear on their own. When the condition lasts longer than 6 weeks, it is called chronic hives. Usually no cause can be found. Most chronic hives resolve on their own in less than 1 year.

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