Moving to a new city like Bangalore can often trigger allergic rhinitis due to local allergens. While Allegra helps temporarily, long-term relief for your blocked nose and watery eyes is best achieved with a daily corticosteroid nasal spray, such as fluticasone, alongside regular saline nasal rinses. These reduce inflammation directly in your nasal passages to prevent nighttime stuffiness. For your watery eyes, generic antihistamine eye drops can provide targeted comfort. Please consult a local doctor to safely start these preventive treatments.

Since fexofenadine (Allegra) hasn't provided relief, these symptoms?particularly worsening at night with blistering?highly suggest a skin condition like scabies, which can sometimes be linked to pet exposure. I recommend seeing a doctor or dermatologist for a physical exam and a quick skin scraping to confirm. If confirmed, the standard treatment involves prescription topical permethrin cream or oral medication, as antihistamines won't cure the underlying cause. It is also important that all household members are treated simultaneously, and bedding is washed in hot water.

Since these antihistamines aren't helping, the rash might not be typical hives, or it may require a different treatment approach. I highly recommend having a healthcare provider examine the area. They can pinpoint the exact cause?whether it is contact dermatitis, an infection, or another skin condition?and prescribe a targeted therapy, like a prescription topical cream. For now, try applying cool compresses and wearing loose, breathable clothing to soothe the irritation. A doctor will help you find the right relief.

Because it is isolated to your right palm, it is very common for this to be contact dermatitis?a localized reaction to something your hand touched, like soaps, lotions, or cleaning products. It could also be a form of localized eczema. While fexofenadine (Allegra) helps temporarily, it doesn't fully quiet the local skin inflammation. Please try to protect your hand from harsh chemicals and keep it moisturized with a gentle, fragrance-free cream. I highly recommend consulting a doctor; they can prescribe a targeted topical treatment to bring you lasting relief.

Since Allegra 180 and cetirizine aren't fully helping, and long-term use of Otrivin can actually worsen congestion, we should look at sustainable options. A great next step is discussing daily nasal corticosteroid sprays with your doctor; these safely reduce inflammation over time. For a permanent solution, allergen immunotherapy (allergy shots or sublingual drops) can desensitize your body to dust. Additionally, using a daily saline nasal rinse and wearing a scarf over your nose in cold weather can help. Please consult an allergist to safely transition off Otrivin and create a personalized plan.

Since your current antihistamines, cetirizine and fexofenadine (Allegra-M), aren't fully controlling the flare-up, the most important next step is to be evaluated by a doctor. They can prescribe stronger, short-term treatments to help soothe your skin. Please seek immediate medical care if you experience any swelling of your lips, tongue, or throat, difficulty breathing, or dizziness. In the meantime, try to avoid hot showers and known triggers to keep your skin as comfortable as possible.