The main reason it has not cleared is that Clobetamil G contains a powerful steroid (clobetasol) and an antibiotic, but ringworm is actually a fungal infection. Applying steroids to a fungal infection suppresses your skin's natural immunity, which allows the fungus to thrive and survive much longer. Meanwhile, Allegra (fexofenadine) only helps manage itching, not the infection itself. Using a strong steroid for eight months can also lead to skin thinning. Please stop using Clobetamil G and consult a healthcare provider to get a proper antifungal treatment to safely clear this up.

Fexofenadine (Allegra) is designed to last 24 hours, but if your allergic trigger is strong, symptoms can recur as the drug's peak levels begin to decline. Regarding your blood pressure, hypotension is not a side effect of fexofenadine. Rather, low blood pressure can be a serious complication of a severe allergic reaction, known as anaphylaxis. If you are experiencing low blood pressure, dizziness, or trouble breathing, please seek emergency medical attention immediately.

To manage your allergic runny nose and cough, first identify the trigger via an allergy skin prick test or a specific IgE blood test. For immediate relief, use daily antihistamines and steroid nasal sprays. Prevent recurrences by avoiding common triggers like dust mites, pollen, and pet dander. Wash bedding in hot water and use indoor HEPA air purifiers. For a permanent cure, consult an allergist about allergen immunotherapy (allergy shots or under-the-tongue drops). This treatment gradually trains your immune system to stop reacting to the specific allergen, providing long-term relief.

While sneezing and watery eyes can be allergies, your chest congestion, fatigue, and night fevers suggest a viral respiratory infection, especially since fexofenadine hasn't provided relief. Given your heart valve history and medications like acenocoumarol, carvedilol, and furosemide/spironolactone, please avoid over-the-counter decongestants and NSAIDs (like ibuprofen), as they can dangerously affect your blood pressure and bleeding risk. Safe remedies include steam inhalation and saline nasal sprays. Paracetamol is generally safer for fever but should be used cautiously. Please consult your doctor or cardiologist promptly to ensure you receive a safe, tailored treatment plan.

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The weakness and burning around the eyes could be related to the underlying viral illness itself, as fatigue and eye irritation are common with colds. Additionally, fexofenadine (Allegra) can sometimes cause mild dryness in the eyes, leading to a burning sensation, or slight drowsiness. While paracetamol is generally well-tolerated, the combination of illness and medication can sometimes make you feel run down. Please ensure you stay well-hydrated and rest. If these symptoms persist, worsen, or if you notice any swelling or vision changes, please consult your doctor for a personalized evaluation.