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.

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, taking Levocetirizine daily is generally safe and highly effective for the long-term management of chronic allergies. However, for persistent morning symptoms, daily intranasal corticosteroid sprays (such as fluticasone or mometasone) are excellent alternatives. They target nasal inflammation directly at the source with minimal side effects. Incorporating a saline nasal rinse before bed can also help clear out nighttime allergens. Because your symptoms are chronic, I recommend consulting your doctor or an allergist. They can help identify your specific triggers and safely tailor a treatment plan that works best for you.

Four days is a very short time for treatments like metronidazole gel, pimecrolimus cream, and oral doxycycline to show visible results; these medications often need a few weeks to work. Adding T Levosiz (levocetirizine), which is an antihistamine, can certainly help soothe the itching in the meantime, though it will not cure the bumps themselves. Please give your current routine a bit more time to work, and consult your doctor before adding levocetirizine to ensure it safely aligns with your treatment plan.

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.

Since your rash has not responded to antifungals like terbinafine and Flucan, or antibiotics like cefadroxil, the cause may not be fungal or bacterial. The distribution on your wrists, hands, and joints suggests conditions like scabies or eczema rather than a simple fungal infection. I highly recommend stopping these ineffective treatments and seeing a dermatologist for a skin scraping to get an accurate diagnosis. For temporary relief from the itching, you can continue your antihistamine, Levosiz, and use cool compresses.