It must be incredibly frustrating when medications like budesonide (Rhinocod), fluticasone (futonase), montelukast (Airfast), and fexofenadine (Allegra) aren't bringing relief. Since these standard treatments aren't working, I highly recommend seeing an allergist. They can discuss advanced options like immunotherapy (allergy shots) to desensitize your system. For immediate comfort, try daily saline nasal rinses to clear dust, and use dust-mite proof covers on your bedding.

Yes, your migraine medication, Saridon, could indeed be contributing to your symptoms. Some of its active ingredients can trigger or worsen chronic itching and facial swelling. Additionally, using the steroid prednisolone for two years requires close medical guidance due to potential long-term side effects. Please do not stop your prescribed medications on your own. I gently encourage you to consult an allergist. They can safely evaluate if Saridon is related, review your fexofenadine (Allegra) and prednisolone use, and find a safer, more comfortable long-term treatment plan for both your skin symptoms and migraines.

Since you've been advised to avoid steroids, please note that Nasonex (mometasone) is still a corticosteroid, much like the fluticasone in Furamist AZ. While nasal steroids have very low absorption, they can occasionally affect eye pressure. On the other hand, Allegra M (fexofenadine and montelukast) is entirely steroid-free and safe for your eyes. I highly recommend discussing with your eye doctor or allergist to find a completely non-steroidal nasal spray, like azelastine alone, to safely manage your symptoms.

Regarding his medications, both Ibugesic Plus and Ibugesic contain ibuprofen. Giving both, alongside Allegra and T-Minic, risks an accidental overdose of similar active ingredients. I highly recommend consulting his pediatrician to safely review this drug combination and get the correct dosages tailored for his weight. For now, keep him comfortable and well-hydrated to help his body naturally fight off the virus.

Since fexofenadine (Allegra) hasn't helped, these bumps are likely not simple allergic hives. They could be folliculitis (inflamed or infected hair follicles), mild localized skin infections, or insect bites that have become slightly irritated. Please avoid squeezing or popping them, as this can spread infection. Keep the area clean and dry with mild soap and water. I recommend having a healthcare provider examine your arm. They can determine the exact cause and prescribe the right treatment, such as a targeted topical cream if needed.

Since the oral itraconazole and creams aren't helping, it is possible these circular spots are not a fungal infection, or they may require a different targeted treatment. Other conditions can closely mimic fungal infections, such as pityriasis rosea, eczema, or granuloma annulare. I highly recommend consulting a dermatologist. They can perform a simple skin scraping or biopsy to identify the exact cause and guide you toward the right therapy. Please rest assured that finding the correct diagnosis is the key to getting you the relief you deserve.