Regarding your new prescription, taking oral terbinafine and griseofulvin (Grisovin) together is a strong approach for resistant cases, but combining two oral antifungals can increase the risk of liver strain. While it can be effective, it is very important to consult your prescribing doctor to confirm if they intended for you to take both simultaneously, and to discuss if liver function monitoring is needed.

Using medication for an abortion (typically mifepristone and misoprostol) at one month of pregnancy is very safe and will not affect your ability to get pregnant again in two years. These medications are cleared from your body quickly, and your normal menstrual cycle and fertility should return within a few weeks. It does not increase the risk of future infertility or pregnancy complications. When you are ready in two years, your body's natural ability to conceive will be just as it was before.

While pantoprazole is highly effective for acid reflux, using it for over a year and a half does warrant a gentle review with your doctor. Long-term use can sometimes affect how your body absorbs certain nutrients like calcium and vitamin B12, and can occasionally impact kidney health. Please don't be alarmed, as these side effects are relatively rare, but it is always best to use the lowest effective dose for the shortest time possible. I recommend scheduling a quick reachout with your healthcare provider to see if you can safely taper down or use it only as needed.

While it is difficult to safely force your period to start early, you can easily and safely delay it. If you already take combined oral contraceptive pills, you can skip the inactive placebo pills and start your next pack immediately to prevent bleeding. If you are not on birth control, a doctor can prescribe a generic progesterone medication, such as norethisterone, to take a few days before your expected period. This will safely delay your period until after your wedding. Please consult your healthcare provider to find the best option for your body.

I understand how frustrating recurring ear pain can be, especially after trying medications like CefpoClva and Diovol LA. Since your throat endoscopy showed redness and you have a history of chewing gutkha, your ear pain is likely 'referred pain' originating from throat irritation or acid reflux. Your next best step is to consult an Ear, Nose, and Throat (ENT) specialist for a detailed evaluation of your throat and ear. It is also highly important to completely stop chewing gutkha to allow your throat lining to heal. In the meantime, avoid spicy foods and stay hydrated.

When you taper off medications like Parry CR (paroxetine), Etalam (etizolam), and Zisper (risperidone), your brain is adjusting to the change. Sometimes, returning feelings of anxiety, anger, or depression can be a temporary discontinuation reaction, or it may mean your body still needs the support of these medicines. Please reach out to your prescribing doctor to share what you are experiencing. They can gently guide you, whether that means adjusting your taper schedule or restarting a treatment that worked for you.