PT - JOURNAL ARTICLE ED - , TI - High-dose antihistamines for chronic spontaneous urticaria in adults AID - 10.1136/dtb.2018.4.0614 DP - 2018 Apr 01 TA - Drug and Therapeutics Bulletin PG - 45--48 VI - 56 IP - 4 4099 - http://dtb.bmj.com/content/56/4/45.short 4100 - http://dtb.bmj.com/content/56/4/45.full SO - Drug Ther Bull2018 Apr 01; 56 AB - Chronic spontaneous urticaria (CSU) is a common skin disease characterised by intermittent weals (hives), angioedema or both lasting for at least 6 weeks.1-3 Second-generation antihistamines are widely used to manage symptoms but are not completely effective in many patients at licensed doses.4 Some guidelines recommend off-label use of high-dose antihistamines as the next therapeutic step.2,3 Here, we review the evidence supporting this recommendation.