Oral steroids ( prednisone , [ Medrol ]) can help severe cases of hives in the short term, but their usefulness is limited by the fact that many cases of hives last too long for steroid use to be continued safely. Other treatments have been used for urticaria as well, including montelukast ( Singulair ), ultraviolet radiation , antifungal antibiotics, agents that suppress the immune system, and tricyclic antidepressants ( amitriptyline [ Elavil , Endep ], nortriptyline [ Pamelor , Aventyl], doxepin [Sinequan, Adapin]). Evidence to support the benefit of such treatments is sparse. In ordinary cases, they are rarely needed. A new treatment recently available for chronic urticaria is the monthly subcutaneous injection of a monoclonal antibody, omalizumab ( Xolair ), directed against the IgE receptor on human mast cells.
Finding proper treatment can be difficult - while a dermatologist may understand the complexities of treating the facial skin of rosacea, they lack the training and expertise required to address the symptoms of rosacea involving the eyes. To address the symptoms of eye rosacea, an ophthalmologist would be recommended. Keep in mind though that while they specialize in the treatment of ocular conditions including those involving rosacea, they may not always be aware of the skin symptoms of rosacea and therefore may not link the involvement of ocular and skin in the same condition making it challenging to co-ordinate a treatment plan.
Some skin sensitivity is self-induced. Stripping skin with drying, strong cleansers + peels/exfoliation will trigger sensitive skin conditions. I personally have self-inflicted sensitive skin when I had 70% glycolic peel treatments from a dermatologist. Along with acne drying cream + overwashing the aggressive peel treatment depleted my barrier function + increased my skin’s photosensitivity (sun sensitivity). It is important to be cautious when using AHA’s, retinols + exfoliants. While those with Rosacea + sensitive skin may be able to use them once their condition is under control, these peeling agents should not be used on inflamed skin types. The best way to lessen inflammation + redness is with gentle cooling products like the Holistic Vanity Rosacea Care Line .