Temperature of 99.5?F is a very mild fever. Since you are experiencing bone pain, getting plenty of rest and staying well-hydrated are your best immediate steps. Please complete the two-day course of azithromycin and fexofenadine as prescribed. If your symptoms do not improve after this, it is very important to follow your doctor's advice and get tested for dengue, as bone pain is a common feature. If you notice any warning signs like severe abdominal pain, persistent vomiting, or unusual bleeding, please seek medical care immediately.

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.

Antihistamines like cetirizine and fexofenadine work by blocking histamine receptors to control symptoms, but they do not cure the underlying cause?such as chronic urticaria or an overactive immune response. When you stop the medication, histamine binds to these receptors again, causing the itch to return immediately. For long-term relief, I highly recommend consulting an allergist or dermatologist.

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.

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.

Since Allegra (fexofenadine) is an oral antihistamine, it is often not enough to soothe localized vulvar irritation. For temporary relief, you can apply a thin layer of mild, over-the-counter hydrocortisone cream (1%) or a plain, preservative-free ointment like white petrolatum to the outer area. Avoid scented products and tight clothing. Because these symptoms can stem from various causes like yeast, bacterial vaginosis, or contact dermatitis, I highly recommend visiting a healthcare provider. They can easily diagnose the exact cause and prescribe the right targeted treatment to help you find lasting relief.

Since Allegra did not provide relief and there is no discharge, this may be a localized skin irritation, a fungal infection, or a skin condition like lichen sclerosus. For temporary relief, a mild over-the-counter topical hydrocortisone cream or a protective barrier like petroleum jelly can soothe the skin. Please avoid harsh soaps and tight clothing. I highly recommend seeing a healthcare provider for an exam, as they can provide an accurate diagnosis and prescribe targeted treatments, like stronger topical steroids or antifungals, to help you find lasting relief.

Since your symptoms returned after stopping hydroxyzine (Atarax) and fexofenadine (Allegra), the underlying scalp inflammation or infection?such as folliculitis?may still be active. While your 8X shampoo is excellent, it works best if left on the scalp for 5 to 10 minutes before rinsing. Please try to avoid scratching, as this can worsen the pimples. I highly recommend consulting a dermatologist. They can safely evaluate your scalp and determine if you need to resume your antihistamines or start a targeted treatment to bring you lasting comfort.

Since your liver tests are normal, we can rule out several systemic issues, which is very reassuring. The returning itchy, burning bumps on your hands and legs suggest an ongoing allergic reaction, like hives, or contact dermatitis. Since fexofenadine (Allegra) only provided temporary relief, the underlying trigger might still be present in your environment, or you may need a different treatment approach. While this is likely not a sign of a serious medical condition, I highly recommend visiting a doctor or dermatologist. They can help identify the cause and prescribe a more effective, targeted treatment to bring you lasting relief.

Since her symptoms have lasted a week, we want to focus on safe, effective relief. For her body aches, generic acetaminophen or ibuprofen are generally considered safe options while breastfeeding. Nasal saline sprays can help safely relieve congestion. Since Allegra and montelukast are meant for allergies, they may not help much with a cold. Please have her avoid oral decongestants like pseudoephedrine, as they can reduce milk supply. Because she has been sick for a week, it is best to consult her healthcare provider for a quick evaluation.