If you have had a cold for a year, you can try medicines like cetirizine, loratadine, or a nasal spray instead of Allegra M or Alerfix. Saline water rinsing also helps. But you should consult your doctor to find the exact cause and proper treatment.

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.

While both medications are generally well-tolerated, taking this combination daily for 10 years is something that should be carefully reviewed by your doctor. Over time, your allergy patterns may have changed, and long-term use of montelukast requires monitoring for any mood or sleep changes. I gently recommend scheduling an appointment with your healthcare provider or an allergist. They can safely evaluate your current symptoms, check your overall health, and help you determine if you can safely taper off or switch to a different management plan.

It is generally best not to apply Anovate cream and Himalaya Pilex ointment at the exact same time. Mixing them on sensitive skin can increase the risk of irritation or allergic reactions. Anovate contains an active steroid and local anesthetic, while Pilex is an herbal formulation. If you wish to use both, it is safer to space their applications several hours apart. However, I highly recommend consulting your doctor first to see which single treatment is best suited for your skin. Applying a cool compress can also bring gentle relief.

Yes, experiencing breathing difficulty and chest tightness during allergy attacks can suggest the onset of allergy-induced asthma. Your current antihistamines, Allegra (fexofenadine) and cetirizine, are excellent for managing nasal allergies, but they do not treat airway inflammation in the lungs. I highly recommend scheduling an appointment with an allergist or a pulmonologist. They can perform simple breathing tests to provide a clear diagnosis and help you find the right treatment to breathe easier.

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.