While fexofenadine helps manage the itching sensation, it only masks the symptom rather than treating the root cause. Because this has lasted for over a year, it is very important to see a doctor or a dermatologist. They can examine the area to identify the exact cause?such as a persistent fungal infection, contact allergy, or skin condition?and prescribe a targeted, permanent treatment. Please avoid applying strong over-the-counter creams until you are evaluated, as they might worsen the irritation.

Since it has lasted four days without improvement despite taking azithromycin, it is very important to see a doctor for an in-person evaluation. Because azithromycin is an antibiotic, it won't help if your infection is viral, such as mononucleosis, or if it is caused by a resistant bacterial strain. A healthcare provider can perform a quick throat swab to check for strep throat. To help you feel more comfortable in the meantime, you can gargle with warm salt water and take over-the-counter pain relievers like ibuprofen or acetaminophen.

The temporary relief you are experiencing from creams like Candid-B and Fourderm is likely because they contain strong steroids. While they temporarily reduce inflammation, overuse can thin the delicate skin, cause rebound itching, and mask the underlying issue?such as a resistant fungal infection or a chronic skin condition. I gently advise stopping these combination creams and consulting a dermatologist. They can identify the exact cause and guide you toward a safe, targeted, and steroid-free treatment plan. Please be reassured, this is very common and highly treatable with the right care.

Please be reassured that there are many effective alternative paths. Since these oral medications haven't cleared the allergy, your doctor might recommend adding a mild topical corticosteroid cream to soothe the skin directly, or performing allergy testing to pinpoint specific triggers. In some cases, a short course of oral corticosteroids or alternative non-steroidal therapies may be suggested. I highly recommend consulting your doctor or a dermatologist to safely adjust your treatment plan.

An IgE level of 3000 is elevated, but please do not worry; it simply means your immune system is very active in responding to allergens. Allegra 120 (fexofenadine) is an antihistamine that is excellent for relieving allergy symptoms, but it does not lower the actual IgE antibody levels in your blood. Similarly, Remune AL supports your immune balance but is not designed to directly reduce IgE numbers. These medications are meant to help you feel comfortable rather than change your lab results. I highly recommend discussing these results with an allergist to identify your specific triggers and safely manage your symptoms.

It is highly unlikely that the creatine you took a month ago is causing your swollen lips, pimples, and groin rash, as it leaves your body quickly. Since fexofenadine (Allegra) and other allergy medications haven't helped, your symptoms may not be a simple allergic reaction. Instead, they could be related to separate issues, such as a localized fungal or bacterial infection, or another skin condition. I highly recommend visiting a doctor or dermatologist for a physical exam so you can get the correct, targeted treatment to help you feel better soon.