Understanding Chronic Urticaria and Current Treatment

• Chronic urticaria is a persistent condition characterized by hives and itching. Some patients may not respond to initial treatments like Levocetirizine and Montelukast due to individual variations in response.

Alternative and Advanced Treatment Options

• Consider trying other second-generation antihistamines at higher doses.
• Omalizumab, an injectable biologic, can be effective for resistant cases.
• Immunosuppressants or corticosteroids may be used under specialist supervision.

Diagnostic and Specialist Consultation

• Consult a dermatologist or allergist for further evaluation.
• Additional tests may be needed to identify underlying causes or triggers.

Lifestyle and Supportive Measures

• Avoid known triggers, manage stress, and maintain proper skin care.

Monitoring and Follow-up

• Regular follow-up is essential to assess treatment effectiveness and adjust therapy as needed.