TREATMENT OUTCOMES OF CHRONIC URTICARIA WITH UP-DOSED H1-ANTIHISTAMINES AT SELECTED HEALTHCARE FACILITIES IN VINH CITY
Main Article Content
Abstract
A prospective study was conducted on 32 patients with chronic urticaria who sought consultation and treatment at Vinh Medical University Hospital and Nghe An General Friendship Hospital. The aim was to further evaluate the efficacy of stepwise up-dosing of H1-antihistamines in the management of chronic urticaria. The results showed that the mean scores for disease activity, frequency of symptom occurrence, and patients’ quality of life significantly improved after both standard-dose and up-dosed antihistamine treatment regimens, with p-values < 0.01 compared to baseline. Moreover, the mean disease control score significantly increased following the up-dosed regimen compared to the standard-dose treatment. The severity of the disease showed a progressive improvement after both standard and higher-dose treatment courses. No serious adverse events were reported. The incidence of adverse effects at the double-dose level was 9.4%, not significantly different from that at the standard dose. Reported adverse effects included headache (3.1%) and dry mouth (6.3%).
Article Details
Keywords
Chronic urticaria, H1-antihistamines
References
2. Li J., Mao D., Liu S. và cộng sự. (2022). Epidemiology of urticaria in China: a population-based study. Chin Med J (Engl), 135(11), 1369–1375.
3. Gonçalo M., Gimenéz-Arnau A., Al-Ahmad M. và cộng sự. (2021). The global burden of chronic urticaria for the patient and society. Br J Dermatol, 184(2), 226–236.
4. Bộ Y tế (2014). Hướng dẫn và điều trị các bệnh Dị ứng - Miễn dịch lâm sàng, 118–120.
5. Huang C., Jiang Z., Wang J. và cộng sự. (2019). Antihistamine effects and safety of fexofenadine: a systematic review and Meta-analysis of randomized controlled trials. BMC Pharmacol Toxicol, 20, 72.
6. Nguyễn Văn Đoàn (2022). Bài giảng dị ứng - miễn dịch lâm sàng - Nhà Xuất Bản Y Học,
7. Kameyoshi Y., Tanaka T., Mihara S. và cộng sự. (2007). Increasing the dose of cetirizine may lead to better control of chronic idiopathic urticaria: an open study of 21 patients. Br J Dermatol, 157(4), 803–804.
8. Shoshan M.B.-, Clarke A., và Raz A. (2012). Psychosocial Factors and the Pathogenesis of Chronic Hives: A Survey of Canadian Physicians. J Allergy Ther, 03(01).
9. Phạm Thị Thu Hà (2011). Nghiên cứu căn nguyên gây bệnh và hiệu quả điều trị mày đay mạn tính bằng phối hợp thuốc kháng histamine H1 và H2.
10. Ansotegui I.J., Bousquet, Jean, Canonica, Giorgio Walter và cộng sự. (2024). Why fexofenadine is considered as a truly non-sedating antihistamine with no brain penetration: a systematic review. Curr Med Res Opin, 40(8), 1297–1309.