For Montair FX, the US equivalents are available as two separate generic medications: fexofenadine (an over-the-counter antihistamine) and montelukast (a prescription medication). For Topcort cream, the direct US equivalent is generic mometasone furoate 0.1% cream, which is a prescription topical steroid. I highly recommend consulting a local doctor to get the appropriate prescriptions and ensure these medications are safe and right for your specific symptoms.

Headaches can sometimes occur with nasal sprays, often due to the spraying technique. When using your spray, try pointing the nozzle slightly outward toward your ears rather than straight up or toward the middle wall of your nose, as this reduces local irritation. Also, make sure to stay well-hydrated. Since this was prescribed alongside Montair FX, please consult your doctor before stopping. They can easily review your technique or adjust your treatment to a more comfortable option.

During your first trimester, it is safest to avoid Montair FX (which contains fexofenadine and montelukast) unless your doctor specifically recommends it. For safe, natural relief from your runny nose and sneezing, try using saline nasal sprays or gentle saline rinses. Inhaling steam from a warm shower and staying well-hydrated are also wonderfully effective and completely safe options. Please consult your obstetrician before taking any over-the-counter medications to ensure the best care for you and your baby.

Since this cough and mucus have lasted for over two years despite using medications like Grilinctus and Montair FX, you should not ignore it. This is a common post-COVID issue, but it requires proper evaluation. I highly recommend scheduling an appointment with a pulmonologist (a lung specialist). They can check for airway sensitivity or post-nasal drip and guide him toward the right treatment.

But please do not start this combination of medications without a doctor's evaluation. Taking Azithromycin (an antibiotic) and Ivermectin without a confirmed diagnosis is not recommended and won't help if it is a viral illness. Montair FX (montelukast and fexofenadine) and Alex SF syrup manage allergies and cough, while Pantodac DSR (pantoprazole and domperidone) is for acidity. Since your fever and chills have lasted 5 to 6 days, it is safest to see a doctor for a proper diagnosis and a tailored treatment plan.

Please be reassured that your prescribed treatment, including Levofloxacin (Levoflox 250), Rabeprazole (Rabedif), and Montelukast/Fexofenadine (Montair FX), is highly appropriate for a bilateral sinus infection. Since you only started yesterday, it is completely normal to not feel relief yet; antibiotics typically take 48 to 72 hours to show noticeable improvement, and full recovery can take one to two weeks. I recommend resting, staying hydrated, and using warm compresses. If you develop a high fever, severe eye swelling, or see no improvement after three full days, please contact your doctor or seek a second opinion.