Identify and avoid your triggers
Keep a symptom diary to find patterns
Stop or switch any medication causing hives, with medical guidance
Treat underlying allergies if present
Get evaluated for chronic spontaneous urticaria
Use a non-drowsy antihistamine as directed by a clinician
Increase the antihistamine dose only under medical supervision if needed
Consider a different antihistamine if one does not work
Ask a clinician about add-on treatments for persistent hives
Consider short-term corticosteroids only for severe flares, if prescribed
Treat any underlying infection or medical condition
Manage stress and sleep regularly
Avoid known physical triggers such as heat, pressure, cold, or exercise if they worsen symptoms
Seek specialist care from an allergist or dermatologist for ongoing hives
Get emergency help if hives come with trouble breathing, swelling of the tongue or throat, or fainting