Patient discussions

Patients should be instructed to strictly avoid any known triggers, and be provided with educational materials that help them to recognize trigger exposure and manage urticaria.[1][37]​ It is imperative to administer treatment, particularly antihistamines, prophylactically on a daily basis rather than reactively after the occurrence of lesions.

Patients with a history of urticaria associated with angioedema of the head and neck should be prescribed two self-injectable epinephrine (adrenaline) devices and instructed on their use.[27]

Patients with hereditary angioedema (HAE) should be taught how to self-administer C1 esterase inhibitor at the first signs of an attack.

Patients with HAE should be advised to avoid methods of contraception that include estrogen. They should be advised to discuss plans for pregnancy with their doctor, because attenuated androgens should be stopped before conception and are contraindicated in pregnancy.[91]

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