I am so sorry you are dealing with these persistent, frustrating throat infections. Since strong antibiotics like moxifloxacin, amoxicillin-clavulanate, and linezolid haven't cleared this up, we should look beyond typical bacterial infections. I highly recommend seeing an Ear, Nose, and Throat (ENT) specialist. They can perform a detailed exam, possibly using a small camera to look closely at your throat, and take specialized cultures to check for fungal or resistant organisms. We should also investigate non-infectious causes like silent acid reflux, allergies, or immune system health. There are many effective management options, sometimes including tonsillectomy, and we will work to find you lasting relief.

The tiny red spots you noticed that fade or disappear when pressed (called blanching) are generally reassuring, as they often point to a mild, temporary skin reaction rather than anything serious. While it is possible to have a mild reaction to Allegra-M (fexofenadine and montelukast), it is relatively uncommon. Please monitor the spots to see if they spread or if you develop other symptoms like itching, swelling, or difficulty breathing. If you feel unwell or if the spots persist, it's best to stop the medication and consult your doctor or pediatrician for a quick check.

Generally, Allegra M (fexofenadine/montelukast) is safe for individuals with COPD, as its components do not typically interfere with lung function or dry out airway secretions. However, Allegra M works very differently from Xolair and is not a direct replacement for it. Because managing chronic lung conditions requires careful coordination, I highly recommend consulting their healthcare provider before starting Allegra M. They can help find the safest, most effective alternative to keep their breathing stable and comfortable.

You can generally take second-generation antihistamines like fexofenadine or cetirizine safely alongside common over-the-counter anti-diarrheal medications like loperamide. There are no major interactions between them. Please make sure to drink plenty of fluids to stay hydrated while your body recovers. If your symptoms worsen, or if you develop a fever or severe abdominal pain, please reach out to a healthcare provider.

Since your cough, green phlegm, and forehead pressure have persisted, you may need a detailed evaluation. This could be a resistant sinus infection or another issue. Please consult a doctor or an ENT specialist. They may recommend a sinus scan or chest X-ray to pinpoint the cause and guide proper recovery.

To help your body adjust, you can try a gradual tapering schedule. If you currently take it daily, try taking it every other day for one to two weeks. If you feel comfortable, space it out to once every three days for another week before stopping completely. Alternatively, you can consult your healthcare provider about transitioning to a lower dose first. Keeping your skin well-hydrated with a gentle, fragrance-free moisturizer can also help soothe any mild itching during this transition. Please share this plan with your doctor to ensure it is safe for you.