Is oral fexofenadine (Allegra) the most appropriate treatment for chronic upper airway symptoms, throat irritation, and fatigue in a patient with an elevated IgE of 495 IU/mL and unremarkable paranasal sinus imaging?
I understand how frustrating chronic throat irritation and fatigue can be. Your elevated IgE level of 495 IU/mL strongly suggests an allergic response, and since your sinus imaging is clear, allergic rhinitis is a very likely cause. Fexofenadine (Allegra) is an excellent, non-drowsy antihistamine that is highly appropriate for these allergy-driven upper airway symptoms. While it will help, some patients also benefit from a nasal steroid spray for complete relief. Additionally, managing your allergies may help improve your sleep and ease your fatigue. I recommend discussing these results with an allergist to find the best combination for you.
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Is oral fexofenadine (Allegra) the most appropriate treatment for chronic upper airway symptoms, throat irritation, and fatigue in a patient with an elevated IgE of 495 IU/mL and unremarkable paranasal sinus imaging?