Allegra M contains two active ingredients: fexofenadine and montelukast. While both are generally considered relatively safe, we usually prefer to minimize combination medications during pregnancy. Fexofenadine and montelukast are not known to cause harm to your baby, but it is always best to use the minimum medication necessary. I highly recommend speaking with your OB/GYN. They can help you decide whether to continue Allegra M or switch to a preferred, single-ingredient allergy option while you are trying to conceive and throughout your pregnancy.

It is generally safe to take these medications together under your doctor's supervision. Pan 40 (pantoprazole) and Ganaton (itopride) help heal your food pipe by reducing acid, while Allegra M (fexofenadine/montelukast) targets your blocked nose and thick spit. Alprazolam helps manage anxiety but may cause drowsiness. Your sore food pipe and sticky saliva are very common, temporary reactions to the recent camera test (endoscopy) due to mild throat irritation. These symptoms should settle within a few days. Rest assured, you are on the right recovery path, but do keep your doctor updated on how you feel.

It sounds like you have severe allergic rhinitis that is not responding to your current medicines. Dry mouth and worsening symptoms may occur with some nasal sprays or antihistamines. You should see an ENT specialist or allergist for a proper review; they may recommend a stronger or different nasal steroid spray, antihistamines, or allergy testing to find triggers. In the meantime, try saline nasal rinses, keeping your environment dust-free, and using a humidifier to ease congestion and itching.

Since Gamascab and Allegra (fexofenadine) haven't provided relief, it is possible you are experiencing 'post-scabetic itch,' which can frustratingly persist for several weeks even after successful treatment. Other possibilities include treatment resistance, re-exposure, or a different skin condition altogether, such as eczema or a fungal infection in the skin folds. I highly recommend consulting your doctor or a dermatologist.

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.

Since topical treatments like ketoconazole and Candid powder haven't worked, and the infection has spread, you likely require a prescription oral antifungal medication. The skin darkening you noticed is post-inflammatory hyperpigmentation, which is very common and will gradually fade once the infection is fully cleared. Please stop using the Ayurvedic remedies, keep the area clean and dry, wear loose cotton clothing, and consult a doctor or dermatologist for a targeted prescription plan to finally resolve this.