I understand how frustrating it must be to deal with this persistent infection for months despite using medications like itraconazole, terbinafine, and creams like Lilituf-xl, TYZA, and Sertaspore. Please be reassured that the dark skin you are noticing is likely post-inflammatory hyperpigmentation, which is a common, temporary sign of healing after intense skin inflammation. Since the condition hasn't fully cleared, I highly recommend consulting a dermatologist. They can perform a simple skin scraping test to see if active fungus remains or if it is just healing tissue, and safely guide your next steps.

Yes, it is generally safe for you to receive the Covaxin vaccine while taking Levosiz (levocetirizine) for your chronic hives. Your low dose of levocetirizine (2.5 mg every other day) will not interfere with the vaccine's effectiveness, nor will the vaccine worsen your hives. Please continue taking your medication as prescribed to keep your hives under control; stopping it suddenly could cause a flare-up. As a standard precaution, remain at the vaccination center for 15 to 30 minutes after your shot so healthcare staff can monitor you. If you have any history of severe allergic reactions (anaphylaxis), please inform the vaccinator beforehand.

It is very common to experience these symptoms with weather changes. Nazomac FF (fluticasone furoate) and Levosiz (levocetirizine) are highly effective for managing this. While fluticasone nasal spray is generally safe for long-term use under medical supervision, levocetirizine is usually best taken during active flare-ups rather than daily for years. Both are safe, but I recommend consulting your doctor periodically to monitor your progress, check for any mild nasal dryness, and see if your dosage can be adjusted.

Levosiz-M (levocetirizine and montelukast) is great for allergies, and paracetamol helps with fever, but they might not address the root cause of a prolonged illness. A 40-day cold with a feverish feeling suggests this could be a chronic sinus infection or an ongoing allergy with a secondary issue, rather than a typical cold.

It is generally safe for you to get the Covishield vaccine. Having a history of occasional hives or previously taking levocetirizine (Levosiz) is not a reason to avoid the vaccine. A history of mild, brief hives does not increase your risk of a severe allergic reaction to the vaccine. However, as a precaution, please inform the vaccination staff about your history of hives. They will likely monitor you for 30 minutes after the injection instead of the usual 15 minutes, just to ensure your safety.

A running nose and cold that does not improve quickly are most often due to a viral infection or allergy rather than a serious illness, and in many cases, medicines from local stores only give temporary relief instead of treating the main cause. Viral colds usually take a few days to settle naturally as the body clears the infection, so symptoms like a blocked nose, sneezing, and mild throat irritation can persist even after starting medication. If it is allergy-related, exposure to dust, weather change, pollution, or strong smells can keep triggering symptoms again and again, which is why relief feels short-lived. For faster recovery, rest, warm fluids, and steam inhalation can help soothe the nose and throat and loosen congestion. Saline nasal drops or washes are also useful to clear mucus and reduce irritation. Avoid cold air exposure, dust, and sudden temperature changes as much as possible. If symptoms are mainly allergic and keep recurring, a doctor may suggest regular anti-allergy treatment rather than only symptom relief medicines. If fever, facial pain, thick yellow-green discharge, or symptoms lasting more than a week appear, it is better to get checked to rule out sinus infection or other causes.