Author: tdower Posted: December 22nd, 2021 Category:

1. How old are you?


2. How long have you had Chronic Hives?


3. Have you been diagnosed by a medical doctor with Chronic Urticaria (Chronic Hives)?


4. Do you know what triggers your hives?
Mark all that apply:


5. Do you continue to have symptoms of Chronic Urticaria (e.g., hives, itching and/or swelling) after treatment with antihistamines??

Common types of antihistamines include but not limited to:
  • Brompheniramine (Dimetane®)
  • Cetirizine (Zyrtec®)
  • Chlorpheniramine (Chlor-Trimeton®)
  • Clemastine (Tavist®)
  • Diphenhydramine (Benadryl®)
  • Fexofenadine (Allegra®)
  • Loratadine (Alavert®, Claritin®)
  • Desloratidine
  • Levocetirizine
  • Rupatadine

6. Are you pregnant? Or, plan to be pregnant in the next 16 months?


7. Do you have any of the following conditions? Mark all that apply:


8. What is your zip code?