It sounds like you are experiencing an allergic reaction, likely contact dermatitis from the hair treatment chemicals. Since you have already taken fexofenadine (Allegra), this should help reduce the itching. You can gently wash your scalp and hair with lukewarm water and a mild, fragrance-free shampoo to remove any remaining chemical residue. Applying a cool, damp compress or a mild, over-the-counter hydrocortisone cream to the affected skin can also provide relief. Please avoid scratching to prevent infection. If the rash continues to spread, or if you develop swelling in your face, lips, or have any difficulty breathing, please seek immediate medical attention.

Since it is spreading and feels warm despite using Allegra (fexofenadine), Permed (permethrin), and Gris-ODT (griseofulvin), it is very important to contact her prescribing doctor or a dermatologist promptly. A spreading, warm rash could suggest that the current treatment needs adjusting, or it could indicate a secondary skin infection or an allergic reaction. In the meantime, applying cool, damp compresses can help soothe the itching and warmth. Please encourage her to avoid hot showers and scratching. A quick medical evaluation is the safest way to ensure she gets the right relief.

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It is completely normal to feel a bit nervous about starting a new medication like sertraline. Please be reassured that this is a very common, safe, and effective option to help support your well-being. In the first couple of weeks, you might experience mild, temporary side effects like slight nausea or minor sleep changes, but these typically fade as your body gently adjusts. It usually takes about four to six weeks to feel the full, positive benefits. Taking it with food can help prevent any stomach upset. You are doing a wonderful job taking proactive steps for your health, and your doctor is always there to support you.

You can safely proceed with your scheduled vaccination. Environmental allergies, dust sensitivity, and a crooked nasal passage are not reasons to delay your vaccine. Additionally, taking allergy medications like Montec LC (levocetirizine/montelukast) or Allegra (fexofenadine) will not interfere with the vaccine's safety or effectiveness. There is no need to reschedule your appointment. Please inform the vaccination staff about your allergies and current medications before receiving the dose.

Since Dolo 500 (paracetamol) is not fully lowering her temperature, you may consider ibuprofen, another generic option, after consulting her doctor for the correct dosage based on her weight. Please do not give additional paracetamol-containing medications. For comfort and sleep, keep her hydrated, use lukewarm sponge baths, and ensure her room is cool. Allegra (fexofenadine) is an antihistamine and will not help with fever. If her fever remains high, she becomes lethargic, or has trouble breathing, please seek immediate medical attention.