This is often caused by heat, sweat, or increased blood flow, sometimes called cholinergic urticaria or physiological flushing. Since you already take Levosiz (levocetirizine) for skin itching, these spots could be related to the same underlying skin sensitivity. Levocetirizine actually helps control these reactions, so you likely do not need any new medication. To help prevent them, try taking cooler showers after your workouts. Please mention this to your doctor during your next visit to ensure your current treatment plan is fully optimized for you.

A tingling, popping, or bubbling feeling is typically a sign of scalp inflammation or nerve sensitivity?often linked to underlying scalp conditions?rather than a direct cause of permanent hair loss. Your prescribed medications, including Betasalic lotion (betamethasone and salicylic acid), Af-150 (fluconazole), Levosiz (levocetirizine), SGD, and Hair Gro, work together to reduce this inflammation, fight infection, and support hair health. It is safe to continue using them exactly as your doctor prescribed, as calming the scalp will help reduce shedding. Please keep your dermatologist updated on your progress.

Generally, Canditral 100 (itraconazole) and Levosiz (levocetirizine) can be taken together. However, because your father has diabetes, some caution is needed. Itraconazole can sometimes interact with certain oral diabetes medications, which may lower his blood sugar levels. Please be reassured that this can be easily managed. I recommend closely monitoring his blood glucose levels and consulting his doctor. They can review his specific diabetes prescriptions to ensure these medicines are completely safe for him to use together.

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 to use fluconazole (AF-150), levocetirizine (Levosiz), and Betasalic lotion with minoxidil 5%. However, please confirm if your Hair gro also contains minoxidil to avoid doubling your dose. The tingling or popping sensations in your head and body are not typical signs of hair loss. They could be related to scalp sensitivity from the topical lotions or occasionally stress. I highly recommend sharing these specific sensations with your doctor to ensure you feel comfortable and supported during your treatment.

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.