Using colloidal oatmeal in a tepid bath may help relieve the itching. Medication Mainstay of treatment is antihistamines. Sometimes combination of antihistamines will be more helpful. For rapidly progressing acute urticaria subcutaneous injection of epinephrine is used. Corticosteroids may sometimes need to be prescribed for a severe acute reaction.
Tricyclic antidepressants appear to be effective in some cases of chronic urticaria.
In most cases normal activity is advised. Avoid getting hot, sweaty or excited. If foods are suspected as a cause, keep a food diary to help identify the offending food. Avoid foods containing MSG or artificial flavours. Avoid alcohol and coffee or other caffeine-containing beverages if they appear to trigger outbreaks.