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Advise patient that these products can be purchased over the counter for short-courses required for acute urticaria

Advise patient that these products can be purchased over the counter for short-courses required for acute urticaria

To consider if itch is interfering with sleep.

180mg strength as 2nd line option after loratadine & cetirizine; both of which can be increased up to four times the standard licensed dose (off-label use) - see NICE CKS.

Advise patient that these products can be purchased over the counter for short-courses required for acute urticaria

Off-label use.

For use if there is an inadequate response to increased dose antihistamine treatment.

https://www.gov.uk/drug-safety-update/montelukast-singulair-reminder-of-the-risk-of-neuropsychiatric-reactions