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Urticaria
Hi , am currently 7 months postpartum and having chronic urticaria and am on anithistamime drug almost every day . Am breasfeeding my child so taking this drug is safe? ( I am taking Montair ) and also since I was child I am having urticaria and it's on and off but now it's severe . Please help
Answers (16)
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Not sure if you have needed other treatments for your chronic urticaria.
Please see a dermatologist to explore treatments with DMARD agents like Methotrexate etc and MABs like Omaluzimab which are available in Bangalore.
All the best.
www.jgsr-health-education.in
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Depends what medicines you are taking and for how long.
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Consult dermatologist or homeopathy
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Yes it is safe. Instead of taking tablets, you can apply locally anti allergy lotions like caladryl or benadryl itch cream.
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You are 7 months postpartum, breastfeeding, and experiencing chronic urticaria requiring daily medication.
First clarification:
Montair usually contains:
• Montelukast (anti-allergic)
• Sometimes combined with Levocetirizine
✔ Is it safe during breastfeeding?
Yes — both montelukast and second-generation antihistamines (like levocetirizine or cetirizine) are considered safe during breastfeeding in standard doses.
They:
• Pass into breast milk in very small amounts
• Are unlikely to harm a healthy 7-month-old infant
Sedating antihistamines (like diphenhydramine) are avoided — but modern antihistamines are preferred.
⸻
Why is urticaria worse now?
Postpartum flare is common due to:
• Hormonal fluctuations
• Sleep deprivation
• Stress
• Immune system rebound after pregnancy
Since you’ve had urticaria since childhood, this is likely chronic spontaneous urticaria (CSU) with episodic flares.
This is immune-mediated — not infection.
Next Steps
✔ Step 1: Continue Safe Medication
Daily antihistamine use is acceptable in chronic urticaria.
If symptoms persist:
• Dose can be increased (under supervision)
• Add montelukast regularly if not already
• Consider vitamin D correction if low
⸻
✔ Step 2: Basic Evaluation (if not done recently)
• CBC
• ESR
• Thyroid profile (TSH, anti-TPO)
• Vitamin D
• Serum IgE (optional)
Postpartum thyroid changes can worsen urticaria.
⸻
✔ Step 3: When to Escalate
If:
• Daily hives despite regular antihistamine
• Angioedema (lip/eyelid swelling)
• Symptoms affecting sleep severely
Then treatment may require:
• High-dose antihistamines
• Omalizumab (if refractory)
This is still compatible with motherhood — do not panic.
Health Tips
✔ Chronic urticaria is not contagious
✔ It is rarely due to food allergy in adults
✔ Stress is a strong trigger
✔ Avoid frequent NSAIDs (they worsen hives)
✔ Keep skin cool; heat aggravates it
✔ Maintain good sleep hygiene
Most postpartum urticaria flares settle once hormones stabilize.
Since you are breastfeeding and symptomatic daily, proper dose adjustment is important rather than self-titration — an online consultation will allow structured control so you can stay comfortable while safely nursing your baby.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Yes,its safe.
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Most antihistamines, including Montair, are generally safe during breastfeeding in proper dose. It usually does not harm the baby.
Next Steps
If hives are severe or daily, dose adjustment may be needed. Consult Gynaecologist
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Which antihistamin drug are you taking bcz some should be avoided while breastfeeding
Next Steps
take loratadine or levocetirizine
(safer)
Health Tips
For better evaluation, further investigation and management..
consult with me on practo online with detailed history.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take levocetrezine during night
Drink plenty of water
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Chronic urticaria is due to an allergic tendency and can worsen after delivery because of hormonal changes stress and sleep disturbance. Montair is generally safe during breastfeeding when taken in recommended dose and only minimal amount passes into breast milk.
Advice
Avoid triggers like heat sweating dust and stress
Wear loose cotton clothes and maintain hydration
Adequate sleep is important
consult me
Severe swelling of lips or breathing difficulty
Poor control despite daily medicines
For further guidance and personalized treatment you may consult me online anytime.
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Yes it is safe
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Generally antihistamines are safe
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