If there is a localised allergic reaction (swelling around the site of the sting) then:

• Take an antihistamine tablet as soon as possible. You can buy these at pharmacies, or get them on prescription. (Antihistamines block the action of histamine which is a chemical that is released by certain cells in the body during allergic reactions.)
• Use a cold compress to ease pain and to help reduce swelling. For example, use a cold flannel or an ice pack.
• Painkillers such as paracetamol or ibuprofen can help to ease the pain.
• Continue with antihistamines until the swelling eases. This may be for a few days.
• See a doctor if the swelling is severe. Your doctor may prescribe a short course of steroid tablets to counter the inflammation.

• A cold compress will ease any pain and help to minimise any swelling. For example, use a cold flannel or an ice pack.
• A painkiller such as paracetamol or ibuprofen may help if you have any pain.
• If it is itchy- you may not need any treatment as itch often soon fades. However, sometimes an itch persists for hours or days. No treatment will take the itch away fully, but the following may help.
• Crotamiton ointment (which you can buy at pharmacies) is soothing when rubbed onto itchy skin.
• A steroid cream may be useful. For example, hydrocortisone which you can buy at pharmacies or get on prescription. A doctor may prescribe a stronger steroid cream in some cases.
• Antihistamines tablets may be useful if you have lots of bites. In particular, a sedative antihistamine at night may help if the itch is interfering with sleep. A pharmacist can advise on which types of antihistamine are sedative and can help with sleep.

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