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If your urticaria is well controlled on Telfast 180mg once a day dosage, u can up-titrate the dose by taking one and a half of the 120mg tablet to make it 180mg as a temporizing measure before your next clinic review. There are many anti-histamines that can be used in the treatment of chronic urticaria, but the choice of which depends on Clinical response and activity level (some may cause drowsiness).