Your Urticaria Treatment: Medications and Follow-Up Care

Medication?

Hello Dr.
Huang: I was recently diagnosed with urticaria by a doctor, who prescribed oral medications and topical ointments.
I would like to inquire about the following medications: (ZAT) ATIZEN (KETOTI 1.00 TAB three times a day), (TEL) TELDEN (PANTAD 1.00 TAB three times a day), OG2 (ANTIHISTAMINICS) 1.00 TAB three times a day, and (CBC2) BELOSOL 0.50 BOX twice a day (topical).
What do these names refer to? To be honest, the answers provided by the doctor were quite vague (they did not specify how long I should take the medications, whether I need to return for follow-up, or if I require regular treatment, only advising me to be cautious of allergens).
What does that mean? The doctor just glanced at me and prescribed medication, saying that if I don't experience frequent outbreaks, I should take the medication twice a day.
Had I known this would be the answer, I would have preferred to wait longer at a larger hospital for an appointment.
Additionally, since I have to work in the morning and attend classes in the evening, I hope the medications are not sedating.
Should I consider switching to another hospital for a second opinion?

Y, 10~19 year old female. Ask Date: 2005/04/15

Dr. Huang Ruiyun reply Dermatology

Actually, you don't need to be so anxious, and you don't necessarily have to go to a large hospital.
Even if you explain it on the spot, you might still be confused, just like trying to explain how to cook a dish to someone who has never cooked before.
He prescribed an oral medication that acts as an antihistamine or has a similar effect; typically, TEL does not cause drowsiness, while ZAT and OG2 may make you feel sleepy.
Most cases of urticaria do not require topical medications unless scratching leads to dermatitis, in which case you can use them.
If the frequency of outbreaks is not high, you can also reduce the frequency of medication.
The allergens for urticaria are often difficult to identify, so if you notice any specific situations that trigger outbreaks, try to avoid them.
Only time will tell how long the outbreaks will last, so if they occur again, return for a follow-up and continue medication; if they do not recur, you can stop.
Additionally, do not take the medication with grapefruit juice, and if you see a doctor for other issues, be sure to bring the full names of the medications you are currently taking for their reference.

Reply Date: 2005/04/15

More Info

Dear Patient,
Thank you for reaching out regarding your recent diagnosis of urticaria (hives) and the medications prescribed to you. I understand that navigating treatment options and understanding your medications can be overwhelming, especially when the information provided by your healthcare provider feels insufficient. Let’s break down your concerns and the medications you mentioned.

Understanding Your Medications
1. Zatizene (Ketotifen): This is an antihistamine that is often used to treat allergic conditions, including urticaria. It works by blocking histamine, a substance in the body that causes allergic symptoms. The typical dosage is 1 mg taken three times a day. Ketotifen can cause drowsiness, so it's important to monitor how you feel after taking it, especially since you have a busy schedule.

2. Telden (Pantoprazole): This medication is a proton pump inhibitor (PPI) used primarily to reduce stomach acid. While it may not directly relate to urticaria, it could be prescribed if there are concerns about gastrointestinal symptoms or if you are taking other medications that may irritate the stomach.

3. Antihistaminics (OG2): This likely refers to a general category of antihistamines, which are essential in managing urticaria symptoms. The dosage of 1 mg three times a day is common, but again, be aware of potential drowsiness.

4. Belosol (Topical): This is a topical medication that may contain corticosteroids or other anti-inflammatory agents to help reduce itching and inflammation associated with hives. Applying it twice daily can help manage localized symptoms.

Follow-Up Care and Monitoring
Regarding your concerns about follow-up care, it is crucial to have a clear treatment plan. Here are some points to consider:
- Duration of Treatment: Typically, antihistamines are taken until symptoms resolve, but it is essential to have a follow-up appointment to reassess your condition. Chronic urticaria can sometimes require long-term management.

- Follow-Up Appointments: It is advisable to schedule a follow-up visit with your dermatologist or consider seeking a second opinion if you feel your current provider is not addressing your concerns adequately. A specialist can provide a more comprehensive evaluation and tailor your treatment plan.

- Identifying Triggers: Understanding your allergens is vital in managing urticaria. Common triggers include certain foods, medications, insect stings, and environmental factors. Keeping a diary of your symptoms and potential triggers can help you and your doctor identify patterns.

- Drowsiness Concerns: If you are concerned about drowsiness affecting your daily activities, discuss this with your doctor. There are non-sedating antihistamines available that may be more suitable for your lifestyle.

Conclusion
In summary, it is essential to have a clear understanding of your medications and a solid follow-up plan. If you feel uncertain about your current treatment or the information provided, seeking a second opinion or consulting a different healthcare provider may be beneficial. Your health and comfort are paramount, and you deserve a treatment plan that fits your needs and lifestyle.

Please take care, and do not hesitate to reach out for further clarification or assistance regarding your treatment.

Best wishes for your health,
Doctor Q&A Teams

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