Skip to main content
needsdoctor Find doctors โ€ข Book โ€ข Consult

Urticaria (Hives)

Hives are itchy raised weals that appear and fade within hours, often in different places. Most episodes are short-lived; chronic hives can last months but are usually well controlled with daily antihistamines.

Each weal fades within 24 hours Chronic hives are rarely food allergy Know the signs of anaphylaxis

Reviewed September 2026 · For information, not diagnosis

A meadow of wildflowers in summer light
On this page Signs of anaphylaxis What are hives? Acute or chronic? Treatment that works Self-care The homeopathic approach What the research says Remedies discussed Find a homeopath Sources

๐Ÿšจ Anaphylaxis โ€” call 112 immediately if hives come with

  • Swelling of the lips, tongue or throat, a hoarse voice or difficulty swallowing
  • Difficulty breathing, wheezing or persistent coughing
  • Feeling faint, dizzy or confused, a fast heartbeat, pale clammy skin, or collapse
  • Hives with vomiting or tummy pain soon after a food, sting or medicine

Use an adrenaline auto-injector if you have one (into the outer thigh), then call 112. Lie down with legs raised, or sit up if breathing is hard. A second dose can be given after 5 minutes if there is no improvement. Antihistamines and remedies are not treatments for anaphylaxis.

What are hives?

Hives (urticaria, also called nettle rash or sheetpitti) happen when mast cells in the skin release histamine. This causes weals: raised, itchy bumps or patches, pink or red on lighter skin and skin-coloured or slightly darker on brown skin. Each weal fades within 24 hours without a mark, while new ones may appear elsewhere.

About half of people with hives also get angioedema: deeper swelling of the lips, eyelids, hands or feet that can last up to three days. Angioedema on its own, without hives, can have other causes, including blood-pressure medicines called ACE inhibitors (such as ramipril and enalapril) and a rare inherited condition, and should be checked by a doctor.

Acute or chronic?

Acute and chronic urticaria compared
Acute hivesChronic hives
DurationLess than 6 weeksMost days for 6 weeks or more
Common causesViral infections (especially in children), foods, medicines such as NSAIDs and antibiotics, insect stings; often no cause foundUsually spontaneous, driven by the immune system itself. Some are inducible by pressure, scratching, cold, heat, sweating or sunlight
Role of allergy testsUseful if a food or sting is suspectedRarely helpful; chronic hives are seldom caused by food allergy
OutlookSettles within days to weeksOften lasts months to a few years, then goes

For chronic hives a doctor may check a blood count, inflammation markers and thyroid antibodies. Hives that last more than 24 hours in one spot, leave bruising, burn rather than itch, or come with fever and joint pains need further tests.

Treatment that works

  • Non-drowsy antihistamines (cetirizine, levocetirizine, loratadine, fexofenadine) taken every day — not only when weals appear — control most chronic hives. A doctor may raise the dose up to four times the standard amount.
  • A short course of steroid tablets for a severe acute episode; not for long-term use.
  • For chronic hives that do not respond: omalizumab injections, or ciclosporin, from a dermatologist or allergist.
  • Avoid identified triggers, and check with a doctor before taking aspirin, ibuprofen or diclofenac, which worsen hives in many people.
  • People who have had anaphylaxis should carry two adrenaline auto-injectors and an emergency plan.

Self-care

  • Cool showers or cool compresses ease itching; avoid hot baths.
  • Wear loose, light cotton clothing; avoid tight belts and straps if pressure brings on weals.
  • Keep a diary of episodes, foods, medicines, activities and temperature.
  • Alcohol, heat, exercise and stress can make hives flare.
  • Do not cut out many foods without a clear link; it rarely helps chronic hives.

The homeopathic approach

A homeopath notes whether the weals burn or sting, what brings them on, whether cold or heat helps, and the person’s general make-up, and chooses a remedy.

Using homeopathy safely with hives

  • No remedy treats anaphylaxis. If you carry adrenaline, always carry it.
  • Chronic hives come and go on their own, which makes it hard to judge whether any treatment is working; keep a diary.
  • Keep taking daily antihistamines if they control your symptoms.

What the research says

There are no good-quality controlled trials showing that homeopathic remedies control acute or chronic urticaria.

More broadly, the largest independent assessment — the Australian National Health and Medical Research Council’s 2015 review of 176 studies — found no reliable evidence that homeopathy is effective for any health condition, and advised against using it for conditions that are chronic, serious or could become serious. People often do feel better after a long, unhurried homeopathic consultation; in one controlled trial in rheumatoid arthritis, the benefit came from the consultation rather than the remedy.

In practice: if you choose homeopathy, use it alongside the care described on this page, not instead of it — and tell each practitioner what the other has prescribed. More on the research →

Remedies a homeopath may discuss

These are the traditional descriptions (“keynotes”) from the homeopathic materia medica, listed so you recognise names a practitioner may mention. They are not evidence that a remedy works and not a guide to self-treatment. Homeopaths choose one remedy for the whole person rather than by diagnosis.

Apis Mellifica
Honey bee

Described for pink, puffy, stinging swellings that feel better for cold applications.

Urtica Urens
Stinging nettle

Described for burning, itchy blotches, as after shellfish or nettle contact.

Rhus Toxicodendron
Poison ivy, diluted

Described for hives brought on by damp or cold, with restlessness.

Natrum Muriaticum
Common salt

Described for hives after exertion or sun, with a reserved temperament.

Dulcamara
Bittersweet

Described for hives brought on by cold, damp weather.

Astacus Fluviatilis
Crayfish

Traditionally described for hives with liver complaints.

Sulphur
Sulphur

Described for recurrent itching made worse by warmth of bed.

Bovista
Puffball fungus

Described for hives on waking or after bathing.

Find a homeopath

If you would like to try homeopathy, see a registered homeopathic doctor (BHMS or MD (Hom)) who will take a full history, knows your other treatment and will tell you when you need a medical specialist. Take your prescriptions and recent test reports with you.

Search all homeopaths → Are you a homeopathic doctor? Create your profile.

Sources

  1. Hives — NHS
  2. Anaphylaxis — NHS
  3. Angioedema — NHS
  4. Homeopathy (includes the NHMRC 2015 findings: 57 systematic reviews, 176 studies) — US National Center for Complementary and Integrative Health
  5. Homeopathy (summarises the NHMRC 2015 review and its advice) — Better Health Channel, Victoria State Government
  6. Brien S et al. Homeopathy has clinical benefits in rheumatoid arthritis patients that are attributable to the consultation process but not the homeopathic remedy. Rheumatology 2011 — PubMed 21076131

This page is general information, reviewed September 2026. It is not a diagnosis and does not replace a consultation. Do not stop or change a prescribed medicine without talking to the doctor who prescribed it. In an emergency in India call 112 (ambulance 108).