It is highly unlikely that your Forcort inhaler (budesonide/formoterol) is causing this, as very little medicine enters your bloodstream. Montair (montelukast) can rarely cause hair loss as a side effect, but it is uncommon. Often, hair loss in women around age 40 is linked to other factors like stress, thyroid function, iron levels, or hormonal shifts. I gently recommend discussing this with your doctor to check your blood work before making any changes to your essential asthma medications.

Since Aerocort (levosalbutamol/beclomethasone) is no longer providing relief, your asthma may require a treatment adjustment. Your current dose of Montair (montelukast) 5mg is typically a lower dose, and using Otrivin (xylometazoline) long-term can actually worsen nasal blockage. I strongly recommend consulting your doctor or a pulmonologist. They can evaluate your lung function, safely adjust your inhaler therapy, and guide you on managing your nasal congestion safely. Please do not change your medications without their guidance.

A three-month course of Montair (montelukast) is a very common and generally safe treatment to help manage nocturnal coughs and nasal irritation. While montelukast is highly effective at controlling these symptoms and helping her rest easier, it is not a permanent cure for pediatric allergies, as allergies are typically managed rather than cured. Please monitor her for any rare but important changes in mood or behavior, and keep in close contact with her pediatrician to ensure she continues to thrive.

I understand it can be confusing when medication instructions are unclear. Montair LC Kid Syrup, which contains montelukast and levocetirizine, is commonly prescribed to relieve allergy or cough symptoms. While the antibiotic is a short 4-day course to target an infection, supportive medications like Montair LC are often continued longer?frequently for 5 to 10 days, depending on his symptoms. It is very safe to give this syrup alongside his antibiotic. However, because the ideal duration depends on his specific condition, I warmly recommend a quick call to your pediatrician's office to confirm exactly how many days they would like your sweet boy to take it.

While Ascoril, Montair Kid (montelukast), and Vistaclav (amoxicillin-clavulanate) are effective for acute symptoms, giving an antibiotic like Vistaclav every month is not advisable, especially since his chest X-ray is normal. Recurring monthly coughs are often due to allergies or reactive airway disease rather than recurrent bacterial infections. I highly recommend consulting a pediatrician or pediatric pulmonologist to identify the underlying cause. They can suggest a safe, preventive management plan to keep him comfortable without unnecessary antibiotic use.

Yes, a chest X-ray and a sputum AFB test are indeed very appropriate and logical next steps. Since your symptoms have persisted despite taking amoxicillin-clavulanate and other supportive medications, these tests will help evaluate your lungs and rule out any lingering infections. It is a very proactive and safe approach to finding the right treatment. Please consult your doctor to arrange these tests so we can get you some relief soon.