"I had chronic hives for 8 months and bounced between three other doctors before finding AllergyCenter. Within 6 weeks of starting their plan, I was clear."
James R.
Brooklyn, NY · Chronic Hives
Skin & Allergy
Chronic Hives Treatment
Get a clear plan for hives that won't go away — without weeks of waiting.
Async allergist review for chronic urticaria (hives lasting 6+ weeks). We assess your symptoms, current meds, and history, then prescribe or escalate to the right treatment — antihistamines, biologics like Xolair, or a referral.
5.0· 127 reviews
·
Board-certified allergistsOnline assessment · No waiting room
What's included
Everything you need in one flat fee.
- Detailed symptom and trigger assessment
- Allergist-reviewed treatment plan
- Prescription for antihistamines (Zyrtec, Allegra, Xyzal, etc.) if appropriate
- Escalation to biologics like Xolair if antihistamines aren't enough
- Follow-up plan with clear next steps
- Refill of medications that already work for you
How it works
4 steps. Mostly async.
Step 1
Tell us what's happening
Symptoms, duration, current meds, what you've tried. Upload photos of the rash.
Step 2
Red flag screening
We make sure your case is safe for online care — or route you to urgent care if not.
Step 3
Allergist reviews your case
Within 1–2 business days. We may continue your current treatment, switch to something stronger, or escalate to biologics.
Step 4
Treatment plan + follow-up
Prescriptions sent to your pharmacy, written plan delivered, and we check in to make sure it's working.
Treatment options
The allergist picks the right path for you
Your case may need one of these — or a combination, depending on your history.
Refill what already works
Continue your current antihistamine with allergist sign-off.
Try a different antihistamine
Switch to or escalate among Zyrtec, Allegra, Xyzal, Loratadine to find what works for you.
Up-dose your antihistamine
Many chronic hives patients benefit from higher-than-standard daily doses under allergist supervision.
Step up to Xolair (biologic)
For hives uncontrolled by antihistamines — most patients reach full control on Xolair.
Who it's for
Eligibility at a glance
You qualify if
- ✓Hives lasting 6+ weeks (chronic urticaria)
- ✓Recurrent hives with or without a clear trigger
- ✓Refill of antihistamines that have been working
- ✓Need to escalate from OTC to prescription treatment
- ✓Step-up to biologics (Xolair) when antihistamines aren't enough
Not the right fit if
- !Lip, tongue, or throat swelling (call 911)
- !Trouble breathing, fainting, or signs of anaphylaxis
- !Hives with fever, joint pain, or systemic illness
- !Blistering, peeling, or painful rash
- !Recent ER-level reaction without follow-up
Medical Authority
Care from board-certified allergists
Every order is reviewed by a fellowship-trained allergist — not a chatbot, not an NP reading a script.
Triple Board-Certified
Allergy, immunology, internal medicine
Academic Faculty
Mount Sinai · SUNY Downstate · FDA
Licensed Nationwide
Across all 50 states + DC
Evidence-Based Care
AAAAI and ACAAI guidelines
Dr. Payel Gupta, MD
Co-Founder & Chief Medical Officer
Triple board-certified allergist, immunologist, and clinical educator. Assistant Clinical Professor at Mount Sinai and SUNY Downstate. Co-host of The Itch Podcast. Licensed in 29 states.
Dr. Jenni Yoo, MD
Allergy, Immunology & Obesity Medicine
Triple board-certified in internal medicine, allergy/immunology, and obesity medicine. Focuses on adults and children with allergic and primary immunodeficiency diseases. Currently at the FDA, applying clinical and regulatory expertise to advance public health.
Patient stories
Real patients. Real relief.
5.0 from 127 verified reviews
"I was on every cream the dermatologist gave me with no luck. Dr. Gupta dug into the allergy angle and found the trigger I never would have. Skin is finally calm."
Priya S.
Brooklyn, NY · Eczema
"Honest, evidence-based, and actually listens. Did not try to upsell me on anything I did not need. Refreshing."
Michael T.
Brooklyn, NY · Sinusitis
FAQs
Common questions
What counts as chronic hives?+
Hives lasting more than 6 weeks — either continuously or on-and-off. If your hives come and go for months, that's chronic urticaria.
Will I get a prescription on the first visit?+
In most cases, yes. If your current antihistamine isn't working, the allergist may prescribe a different one, increase your dose, or escalate to a biologic like Xolair.
Is Xolair really effective for chronic hives?+
Yes — most patients with chronic urticaria who fail antihistamines achieve full or near-full control on Xolair. We handle insurance prior authorization if it's the right fit.
When should I see an allergist in person instead?+
If you have lip/tongue swelling, trouble breathing, fainting, hives with fever, or signs of anaphylaxis — go to the ER. For complex cases that need physical exam, we'll recommend a live visit.
Does insurance cover this?+
Most major insurance plans cover allergy consultations and chronic urticaria treatment, including biologics with prior authorization. We verify benefits and handle the paperwork.
Get started in 2 minutes
No paperwork. No waiting rooms. Just allergist-reviewed care, on your schedule.
Start Hives AssessmentHSA/FSA eligible · Most insurance accepted