Do You Need Antibiotics for Hives? Treatment Options - Pharmacology

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Do you need to take antibiotics for urticaria?


A week ago, I suddenly developed many small red itchy rashes on my skin, and the doctor diagnosed it as urticaria (hives).
Here is the prescription the doctor provided: oral DOXYCYCLINE HCL, PYRIDOXINE HCL, RIBOFLAVIN, FERDIN 60MG, ANLISU, and topical BETASONE SOLUTION (BETAMETHASONE).
Is DOXYCYCLINE not an antibiotic? Why did the doctor not prescribe antihistamines? Additionally, I am also taking vitamins and health supplements like selenium yeast; could this be the cause of my allergy?

BRIDGET, 20~29 year old female. Ask Date: 2004/12/20

Dr. Liao Lingmei reply Pharmacology


Dear BRIDGET: I apologize for the delayed response due to a system issue.
In principle, if the condition is solely urticaria, the primary treatment would involve antihistamines.
For acute inflammation and itching, a physician may sometimes prescribe corticosteroids depending on the situation.
If there are symptoms of infection, antibiotics may be added.
It is not appropriate to speculate on your condition based solely on medication types; it would be better to discuss this directly with your physician for a satisfactory answer.

Reply Date: 2004/12/20

More Info


Hives, or urticaria, is a common skin condition characterized by raised, itchy welts that can appear suddenly and vary in size. The treatment for hives typically focuses on alleviating symptoms and addressing any underlying causes. In your case, it seems that your doctor has prescribed doxycycline, which is indeed an antibiotic, along with other medications. This raises a few important points regarding the treatment of hives and the role of antibiotics.

Firstly, hives can be triggered by a variety of factors, including allergens, medications, infections, and even stress. In some cases, bacterial infections can lead to hives, and if your doctor suspects that an infection may be contributing to your symptoms, they might prescribe antibiotics like doxycycline. However, if your hives are not associated with a bacterial infection, antibiotics would not typically be the first line of treatment. Instead, antihistamines are usually the preferred choice for managing hives because they specifically target the histamine response that causes itching and swelling.

The reason your doctor may not have prescribed antihistamines could be due to several factors. It's possible that they wanted to rule out any potential infection first, or they may have considered the severity of your symptoms and decided that a broader approach was necessary. Additionally, some patients may not respond well to antihistamines alone, and in such cases, doctors might explore other options, including corticosteroids or other medications.

Regarding your concern about the vitamins and supplements you are taking, it is indeed possible for certain supplements to cause allergic reactions or interact with medications. For instance, some individuals may be sensitive to ingredients in health supplements, which could potentially trigger hives. It’s important to inform your healthcare provider about all the supplements you are taking, as they can help determine if any of them might be contributing to your symptoms.

In summary, while doxycycline is an antibiotic and not a standard treatment for hives, your doctor may have specific reasons for prescribing it based on your individual case. If you have concerns about the appropriateness of your treatment or if your symptoms persist, it is crucial to follow up with your healthcare provider. They can reassess your condition, consider alternative treatments such as antihistamines, and evaluate whether any of your supplements might be contributing to your hives.

In conclusion, while antibiotics are not typically used to treat hives unless there is a clear infection, your doctor’s decision may be based on a comprehensive evaluation of your symptoms. Always communicate openly with your healthcare provider about your symptoms, any medications or supplements you are taking, and any concerns you may have regarding your treatment plan. This collaborative approach will help ensure that you receive the most effective care for your condition.

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