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Insect Bites/Stings Venom from bee, wasp, yellow jacket, hornet, and/or fire ant stings Medications Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (e.g., Motrin, Advil), naproxen (e.g., Aleve, Naprosyn), opioids (e.g., codeine, morphine), aspirin, certain antibiotics, and/or contrast dyes used in medical imaging (e.g., IV radiocontrast dye) Since triggers can change over time, many patients use a symptom and trigger journal to identify patterns

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