Montair (montelukast) and Alaspan (loratadine) are great for allergies, but your ongoing sinus pain, headache, and congestion suggest significant inflammation or a potential sinus infection that antihistamines alone cannot resolve. For immediate relief, try steam inhalation, warm facial compresses, and over-the-counter saline nasal sprays to clear your passages. You can also take paracetamol or ibuprofen for the pain. Please consult a healthcare professional soon; you may benefit from a prescription nasal steroid spray or, if it is a bacterial infection, targeted antibiotics.

Your symptoms suggest an allergic reaction, possibly triggered by dust or another environmental allergen. Itching of the hands and face, along with facial swelling, may occur in conditions such as allergic dermatitis, urticaria, or dust allergy. Antihistamines, such as loratidine, cetrizine, or fexofenadine, are commonly used to reduce itching and swelling, but should be taken as advised by a doctor. It is also important to reduce exposure to dust by keeping rooms clean, washing bedsheets regularly, wearing masks while cleaning, and avoiding known triggers. Applying a gentle moisturiser may help if the skin is dry or irritated. However, facial swelling should not be ignored, especially if it becomes severe or is associated with difficulty breathing, wheezing, throat tightness, or dizziness. These can be signs of a serious allergic reaction needing urgent medical attention. Avoid scratching the skin, as this can worsen irritation and lead to infection. If symptoms keep returning, a doctor may recommend allergy testing or further treatment depending on the exact cause.

Dealing with a persistent facial rash can be very frustrating, but you are taking all the right steps. Since your skin is sensitive and your IgE levels are elevated, allergies or eczema may play a role. The pending ANA and LE tests are helpful tools to rule out autoimmune conditions. Because you have used topical steroids and antibiotics before, it is important to avoid restarting them without your doctor's guidance, as steroids can sometimes worsen facial rashes over time. For now, stick to a very gentle, fragrance-free cleanser and moisturizer. Please share your test results with your dermatologist so they can create a safe, targeted treatment plan for you.

You can be reassured that PHLOGAM (containing trypsin, bromelain, and rutoside) and ALASPAN AM (containing loratadine and ambroxol) will not make the vaccine less effective, as they do not suppress your immune system. However, if you currently have an active infection, a fever, or are feeling quite unwell with your sore throat, it is generally best to wait until your symptoms fully resolve before getting your vaccine. This helps ensure that any temporary side effects of the vaccine are not confused with your illness. Please rest well, stay hydrated, and consult your doctor if your sore throat worsens.

You can manage excessive itching and skin allergies by avoiding known irritants and hot showers, applying fragrance-free moisturisers or calamine lotion, and taking over-the-counter antihistamines. If symptoms persist or worsen, please consult your doctor or dermatologist for proper diagnosis and treatment.

It is common for fungal infections to recur if the treatment is stopped too early. You should consult your doctor before restarting, as the required duration depends on the infection site, typically ranging from 2 to 6 weeks. Your prescribed medications contain the active ingredients Loratadine, Terbinafine, and Itraconazole. You can safely switch to their generic versions, which have the exact same effectiveness, safety, and strength but at a much lower cost. Ask your pharmacist for generic Loratadine, Terbinafine, and Itraconazole. Please have your doctor re-evaluate the infection to ensure it is completely cleared this time.