Montair LC (a combination of montelukast and levocetirizine) helps manage allergies and asthma, but your current symptoms suggest your airways may be irritated or narrowed, which this medication alone may not fully control. Since noisy breathing can indicate airway inflammation or bronchospasm, it is very important to have a doctor listen to your chest. They can determine if you need an additional reliever medication, like an inhaler. Please seek a prompt medical evaluation to help you breathe more comfortably, and go to the nearest emergency room if you experience severe shortness of breath.

While an IgE level of 430 strongly suggests an allergic response, symptoms like a dry cough and itching can sometimes be triggered by environmental irritants, dry air, or non-allergic rhinitis. Regarding alternative therapies, there is currently no robust clinical evidence showing that homeopathic treatments can effectively lower IgE levels or safely replace your current regimen of montelukast and levocetirizine. These medications are generally very safe for long-term use. I highly recommend discussing your concerns with an allergist to find a safe, comfortable management plan that works best for you.

While Montair LC (montelukast/levocetirizine) and Doxypylin (doxofylline) help open your airways, and Pantosec DSR (pantoprazole/domperidone) manages acid reflux, nighttime coughs can still occur. This often happens because lying down can cause stomach acid to travel up and irritate your airway, or because asthma symptoms naturally worsen at night. Try elevating your head with extra pillows and avoiding food for three hours before bed. Please consult your doctor to see if your medications need adjustment or if an inhaler would provide better relief.

Conventional medicines like Cetirizine and Montair LC (which contains montelukast and levocetirizine) work by directly blocking histamine and leukotrienes?the specific chemicals in your body that trigger allergy symptoms. They are scientifically formulated to stay active in your system for a full 24 hours. In contrast, homeopathic remedies like Allium Cepa and Arsenic Album are highly diluted substances. Because they do not contain these concentrated chemical blockers, they often provide only temporary or partial relief. It is wonderful that you have found consistent relief with your conventional treatments.

Your ear popping, crawling sensation, jaw pain, and post-nasal drip suggest a combination of Eustachian tube dysfunction, potential temporomandibular joint (TMJ) irritation, and ongoing sinus inflammation. While Montair LC, Levoday, and Avamys address allergy and infection, they may take time or need adjustment. Yes, long-term relief is very possible. I highly recommend returning to your ENT specialist or a TMJ specialist to evaluate your jaw-ear connection and fine-tune your treatment plan. Please be assured that with the right targeted approach, these symptoms can be managed effectively.

The sleepiness and headache you are experiencing are common, mild side effects of Montair LC (levocetirizine and montelukast). While these active ingredients are generally considered safe during the second trimester of pregnancy, it is very important to consult your obstetrician before continuing. Since your cough has not improved after three days, a proper medical evaluation is necessary to identify the underlying cause and ensure you receive the safest, most effective treatment for both you and your baby. Please stay well-hydrated and rest as much as possible.