Your blood clotting and liver tests are improving. Your persistent mucus, tiredness, and shortness of breath might be due to a prolonged inflammatory response or airway hypersensitivity. While medications like prednisolone, Montair LC, and Pantop DSR help manage inflammation, allergies, and reflux temporarily, using oral steroids long-term requires careful monitoring. I highly recommend consulting a pulmonologist. They can perform lung function tests to pinpoint the exact cause of your airway irritation and help you safely transition to a sustainable, long-term treatment plan for permanent relief.

It is not safe to take Montair LC (montelukast and levocetirizine) without a doctor's prescription. Fortunately, you will not develop a physical tolerance or become dependent on this medication. Since Montair 10mg did not provide enough relief, other effective, non-addictive options to discuss with your doctor include generic daily antihistamines like fexofenadine or cetirizine, or daily nasal corticosteroid sprays like fluticasone. Please consult a healthcare professional to safely find the best treatment plan to help you breathe easier.

Since Montair LC (which contains levocetirizine and montelukast) and steam inhalation aren't helping, your symptoms might be due to a different type of nasal sensitivity or persistent inflammation rather than a simple allergy. I recommend consulting an ENT specialist or allergist. They can help identify specific triggers and might suggest alternative options, such as prescription nasal sprays, to target the inflammation directly.

Regarding bathing, you do not need to bathe every day if it dries your skin, but if you do, keep it short and use lukewarm water. Since your irritation hasn't resolved after a month of taking Montair LC (montelukast/levocetirizine) and moisturizing, it is best to consult your doctor or a dermatologist. They can evaluate your skin to see if a different targeted treatment, such as a specific topical cream, is needed to help you find relief.

Yes, taking Montair LC (which contains montelukast and levocetirizine) 12 hours before your Pulmonary Function Test (PFT) can affect the results. This medication helps relax your airways, which might make your lung function appear better than it typically is without treatment. To get the most accurate baseline assessment of your lungs, doctors usually recommend holding this medication for at least 24 hours before the test. Please don't worry, but do let your testing technician or doctor know that you took a dose 12 hours prior, so they can interpret your results accurately or safely reschedule if needed.

It is very possible that your new symptoms are related to your medications. Prednisolone (Wyselone) and your iron supplement (Hemoshine) are well-known to cause heartburn and acid reflux, which often triggers breastbone pain, especially at night. Prednisolone can also cause restlessness and headaches. Additionally, Alprazolam (Alprex) can sometimes cause a feeling of an irregular heartbeat or restlessness as it wears off. Please be reassured that these are manageable side effects. I highly recommend speaking with your doctor, who can safely adjust your doses or suggest a stomach-protective medication to help you feel much more comfortable. Please do not stop your medicines without their advice.