Urticaria consultation in London

About an urticaria consultation

Hives are often short-lived and managed in primary care, but the pattern matters. We review how long individual marks last, associated swelling, triggers and whether symptoms are becoming chronic or difficult to control.

Care pathway: Usually managed in primary care. Referral may be appropriate when chronic, difficult to control, associated with recurrent swelling or when the diagnosis is uncertain.

What happens at your appointment?

1. History

   We map when the concern began, how it has changed, associated symptoms, triggers and treatments already tried.

2. Skin assessment

   The presentation, distribution and relevant health factors are reviewed, including whether the diagnosis remains uncertain.

3. Right pathway

   You leave with a clear primary-care plan, safety-net advice or onward referral when specialist assessment is more appropriate.

• Appearance, duration and frequency, including photographs when the rash is not present.
• New medicines, infections, foods, pressure, temperature and other possible associations.
• Lip or tongue swelling, breathing symptoms, chronicity and reasons for allergy or dermatology referral.

How much does an urticaria consultation cost?

The consultation fee is confirmed when you arrange your appointment, before you commit. If the pharmacist recommends treatment or onward care, any costs are explained before you decide.

See the full Pharmacillin price list

Good to know before you book

• Many cases have no single identifiable trigger and extensive allergy testing is not always helpful.
• Photographs and a symptom timeline can make an intermittent rash easier to assess.
• Marks that persist in one place, bruise or are painful may suggest a different diagnosis.

After your appointment

• Follow the written skin-care or medicine guidance agreed during the consultation.
• Know which changes mean you should seek earlier clinical review.
• Persistent, worsening or uncertain symptoms are escalated to the appropriate service.

Urticaria consultation: your questions answered

Further reading

Independent information from trusted health sources: