If your runny nose has lasted two months and Fexofenadine with Montelukast did not help, it may be allergic, sinus-related, or due to another underlying cause. You can try a saline nasal spray or rinse to clear the nose and reduce irritation. See an ENT or allergy specialist; they may suggest treatments to get effective relief.

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.

To help find the root cause, a doctor may recommend several standard blood tests. These typically include a Complete Blood Count (CBC) to check for inflammation, liver and kidney function tests, thyroid panels (as thyroid imbalances can cause itchy skin), and an IgE test to check for allergies. These routine tests are a great first step toward finding you lasting comfort. Please consult your physician or a dermatologist to safely guide your next steps.

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.

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.

A whitehead on an insect bite often represents a collection of inflammatory cells as your body naturally heals. Since you are already using Fucibet (fusidic acid/betamethasone) and taking Allegra (fexofenadine), you are actively treating both the inflammation and potential infection. Please try not to squeeze or pop the whitehead, as this can delay healing. Keep the area clean and continue your prescribed treatment. If you notice worsening redness, swelling, or pain, please have it evaluated by a doctor.