Medications
  • First line therapy largely consists of antihistamines
    • Diphenhydramine (Benadryl), hydroxyzine (Atarax) and cyproheptadine (Periactin) are first generation antihistamines that may cause sleepiness.
    • Second generation antihistamines such as Claritin (loratadine) and Zirtek (cetirizine) may be better for daytime use.
    • Short term steroid therapy can be effective but should be used cautiously.
  • Second line
    • Doxepin or other tricyclic antidepressants.
    • Gabapentin or related drugs.
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Wudy’s story
Beyond Words to Describe our Experience

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Married for seven years, long-awaited first-time mother when I thought I was happiest...
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