What is the role of systemic corticosteroids in the treatment of chronic urticaria?

Updated: Jul 31, 2018
  • Author: Marla N Diakow, MD; Chief Editor: William D James, MD  more...
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Answer

Systemic corticosteroids are usually effective when antihistamines are not adequate. In the rare situation where systemic corticosteroid treatment is needed to treat chronic urticaria, a low daily dose or alternate-day dosing is advised, and the dose should be titrated to the lowest effective level. In general, long-term systemic corticosteroids are not recommended. [32] Patients receiving long-term corticosteroid therapy should be routinely monitored for bone density changes and adverse ocular effects.


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