“…Histamine is released from skin mast cells to produce flare and wheal with pruritus by acting on blood vessels and sensory nerves [1,2] and to modulate inflammatory conditions by acting on keratinocytes and other cells [3,4,5,6,7,8,9]. Oral antihistamines are the first-line treatment for urticaria, and their efficacy, speed and duration of action, as well as side effects, such as sleepiness and sedation, depend upon the propensity of each drug [1,2].…”