Hives that appear without warning, angioedema that frightens, itching that disrupts sleep — we investigate the root trigger, confirm with allergy testing where needed, and build a management plan that keeps you symptom-free long-term.
From acute hives to chronic spontaneous urticaria — we identify the trigger, rule out systemic causes, and build a treatment plan that offers lasting control.
Sudden-onset wheals lasting under 6 weeks — often triggered by food, medication, or infection. We identify and eliminate the cause while prescribing non-sedating antihistamines for rapid symptom control.
Hives and/or angioedema recurring for more than 6 weeks without a clear external trigger. We follow EAACI guidelines — stepped-up antihistamines, add-on ciclosporin or omalizumab referral for refractory cases.
Deep swelling of lips, tongue, eyelids, or throat — can be life-threatening. We evaluate for hereditary versus allergic versus drug-induced (ACE inhibitor) cause and establish a safe long-term management plan.
Itchy, blistering, or weeping rash after contact with an allergen — nickel, fragrances, rubber, preservatives. Our 36-allergen patch test panel identifies the culprit so you can avoid it definitively.
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Hives triggered by pressure, cold, heat, exercise, or sunlight — dermographism, cold urticaria, cholinergic urticaria. Diagnosed by provocation testing; managed with targeted antihistamine dosing and trigger avoidance.
Maculopapular rash, urticaria, fixed drug eruption, or severe reactions (SJS/TEN) from antibiotics, NSAIDs, or other medications. We identify the offending drug, grade severity, and coordinate safe alternatives.
We capture onset, duration, pattern, potential triggers (foods, drugs, infections, stress), previous treatments, and family history of atopy to narrow the differential before any testing.
Dermographism test, ice cube challenge for cold urticaria, pressure testing — physical urticarias are diagnosed clinically without expensive panels, guiding targeted therapy.
Where contact allergy is suspected, a 36-allergen patch test is applied. Specific IgE or total IgE is ordered only when food or inhalant allergy is genuinely suspected — not as a default.
Second-generation antihistamines (cetirizine, fexofenadine, bilastine) at standard then up-titrated doses. Montelukast add-on, short oral steroid bursts for acute flares — never long-term oral steroids for urticaria.
Written allergen avoidance guide — specific foods, cosmetic ingredients, medications, physical factors. Cross-reacting allergens explained to prevent inadvertent exposure.
Chronic urticaria patients are reviewed at 4 and 12 weeks. Non-responders are referred for omalizumab (Xolair) or ciclosporin under specialist supervision.
Most urticaria is managed with antihistamines indefinitely — we go further to find the cause and eliminate it wherever possible.
Comprehensive contact allergen panel identifies the exact culprit — from nickel and fragrances to preservatives and rubber chemicals.
Severe urticaria or angioedema is treated the same day — antihistamines, corticosteroids, and adrenaline auto-injector prescription where indicated.
Management follows European Academy of Allergy & Clinical Immunology urticaria guidelines — evidence-based step-up protocols, not guesswork.
Every patient receives a personalised written guide listing confirmed and cross-reacting allergens — practical, specific, and actionable.
| Criterion | Supreme Elite Clinic | Pharmacy Antihistamines | GP Visit Only | Ignoring the Condition |
|---|---|---|---|---|
| Trigger identification | ✓ Systematic workup | ✗ None | Basic history | ✗ None |
| Patch testing | ✓ 36 allergens | ✗ Not available | ✗ Not available | ✗ None |
| Chronic urticaria protocol | ✓ EAACI step-up | ✗ None | Basic antihistamines | ✗ None |
| Angioedema safety plan | ✓ Included | ✗ No plan | Sometimes | ✗ Risk of anaphylaxis |
| Allergen avoidance guide | ✓ Written, personalised | ✗ None | Verbal only | ✗ None |
| Long-term remission goal | ✓ Active aim | ✗ Symptom suppression only | Sometimes | ✗ Ongoing suffering |
36 standardised European baseline allergens applied to the back for 48 hours, read at 48h and 96h for delayed hypersensitivity.
Contact AllergyNon-sedating second-generation antihistamines (cetirizine, fexofenadine, bilastine) dosed at standard and up to 4× standard per EAACI guidelines.
First-Line TherapyIce cube test for cold urticaria, dermographometer for symptomatic dermographism, exercise challenge for cholinergic urticaria — diagnose physical triggers precisely.
Physical UrticariaFor antihistamine-refractory chronic urticaria, we coordinate referral for omalizumab (Xolair) — a biologic that targets IgE for rapid and sustained remission.
Refractory CasesIf you develop swelling of the lips, tongue, or throat, difficulty breathing, or dizziness alongside hives — call 108 or go to the nearest emergency department immediately. Do not drive yourself.
Same-day consultations available. Call +91 96774 73344 or book online.
