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.

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.

Your throat irritation and cough returning after stopping Montair FX (montelukast and fexofenadine) suggest an underlying allergy or environmental trigger rather than a bacterial infection requiring continuous antibiotics. For long-term relief, identifying allergens and using targeted treatments like steroid nasal sprays can help you avoid daily oral medicines. The intense vaginal itching is likely a yeast infection, a common side effect of antibiotics disrupting your natural microflora. This can be easily treated with an antifungal medication like fluconazole or topical clotrimazole. Please consult your doctor to safely address the yeast infection and establish a sustainable long-term allergy management plan.

No, your medication (montelukast and fexofenadine) does not cause green discharge. Instead, the green discharge and increased congestion suggest a bacterial sinus or ear infection has developed. To treat this, your doctor may prescribe antibiotics, nasal steroid sprays, or saline rinses. While these alternatives can clear the infection and temporarily relieve congestion, they cannot correct the physical bend of a deviated septum. If the blockage is purely structural, surgery is often the most effective long-term solution. I recommend discussing treatments to clear the active infection with your doctor first before finalizing any plans for surgery.

Typically, antibiotics like Clarithromycin can take 48 to 72 hours to show a full effect. Since you have taken four doses, it is best to consult your doctor before making any changes. They can evaluate if you need to continue, require a different treatment, or if medical tests are necessary to find the exact cause of your infection. Please continue taking paracetamol as prescribed to manage the fever, stay well-hydrated, and rest. If your fever rises or you develop new symptoms, please seek prompt medical care.

While a viral infection is possible, a fever not responding to Parasafe 650, Loxof 500, and Zostum O 200 warrants prompt medical attention to rule out a TB relapse or a resistant bacterial infection. Viral fevers typically resolve within 3 to 7 days, but given your history, you should consult your doctor immediately. They may recommend tests like a complete blood count (CBC), chest X-ray, or sputum tests. Please stay hydrated, rest, and contact your healthcare provider right away for an accurate evaluation.