Allerone-M (Levocetirizine 2.5 mg) is an antihistamine medicine that helps reduce allergic symptoms like hives by blocking the effects of histamine, a chemical involved in allergic reactions.

🩺 Possible Causes of Chronic Hives Despite Normal IgE

Chronic hives lasting over two months with normal serum IgE and no clear allergen may be due to chronic spontaneous urticaria, which can occur without an obvious trigger. Other possibilities include non-allergic triggers such as stress, infections, or autoimmune causes where the immune system mistakenly attacks the skin.

🩺 Next Steps for Diagnosis and Management

It is important to consult a dermatologist or allergist for further evaluation. They may recommend additional tests or skin biopsies to identify underlying causes and adjust treatment accordingly.

💊 Treatment Options Beyond Antihistamines

If standard doses of antihistamines like Allerone-M are insufficient, your doctor might increase the dose or add other medications such as leukotriene receptor antagonists or biologics like omalizumab. Lifestyle changes to avoid known triggers and stress management can also help.

⚠️ When to Seek Urgent Care

Seek immediate medical attention if hives are accompanied by difficulty breathing, swelling of the face or throat, or other signs of a severe allergic reaction (anaphylaxis).

Please continue working closely with your dermatologist or allergist to optimize your treatment plan.To narrow down potential causes, we will need some more information.I understand that you have been experiencing skin hives every day for more than two months despite having normal blood tests. To better assist you, could you please share your age and gender?