Chronic spontaneous urticaria guidelines for children under 12yo, stage 2 second line treatment, Centre of Evidence of Dermatology

Guidelines chronic spontaneous urticaria Updated on december 2019

Responsibility

The information provided by this website comes from sources deemed reliable. However, the French Dermatology Society recommends that the user ensure the validity of this information. Some may prove to be erroneous or be subject to typos or display errors.

The use of this data is under the sole responsibility of the user. The French Dermatology Society cannot be blamed for a misinterpretation of the data provided by the site, or in the event of erroneous information. This decision tree and all the contents of this site have been developed in the context of updated data from science according to the HAS methodology, expert opinions and reviewers of the various documents and in the context of the French healthcare system.

I have read and accept the general conditions of use of this website

Children < 12 years
Second-line treatment

Back to decision-making tree Print last updated on 18/09/2020

In case of failure with single doses of second-generation anti-H1 antihistamines

Gradually increase the dose of anti-H1 antihistamines up to 4 doses per day.

As a second-line treatment, the WG instead recommends multiple doses of rupatadine (no longer available in oral solution since 2018) or desloratadine; these 2 anti-H1 antihistamines have been studied at double, triple and quadruple doses, with a “demonstration” of efficacy and good tolerance in 46 patients.

Delays vary from 1 week to 1 month between each dose increase in the literature.

Was this article helpful to you?
Your opinion counts!

This notice will not be published on this site, but only sent to the publication management. Your email will only be used to reply to you if we deem it necessary. No response will be sent to any request for medical advice via this form.