It is quite common for antihistamines like Allegra to become less effective over time. Fortunately, you have several excellent long-term options. A doctor may suggest safely increasing your daily dose of second-generation antihistamines under supervision, or adding a different class of medication, such as an H2 blocker. For persistent hives, a highly effective biologic injection called omalizumab is often recommended. Please consult an allergist or dermatologist to safely adjust your treatment plan and find the relief you deserve.

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.

However, experiencing a low-grade fever of 99.4?F every evening for a month is something we should look into. While a mild evening temperature can sometimes be a normal body variation or a lingering response to a virus, a month-long trend warrants a professional check-up. I highly recommend scheduling a visit with your doctor. They can run simple tests to rule out any underlying mild infection or inflammation. In the meantime, rest well, stay hydrated, and keep tracking your temperature.

I want to reassure you that it is generally safe to take both Allegra (fexofenadine) and Brufen (ibuprofen) together. Allegra can help ease your runny nose, while Brufen is excellent for relieving body aches and throat discomfort. Your symptoms sound like a common viral cold. Alongside these medications, the best treatment is plenty of rest and staying well-hydrated with warm fluids like tea or broth. If your symptoms worsen, do not improve after a week, or if you develop a high fever, please consult a doctor.

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.

It is common for ear pain and congestion to bounce back. Since azithromycin and an antihistamine only provided temporary relief, the cause could be a lingering fluid buildup in your middle ear, a viral infection that antibiotics cannot cure, or a bacterial infection that requires a different approach. I recommend scheduling an appointment with your doctor or an ear, nose, and throat specialist.