Since your current antihistamine medications are not effective, you should see your doctor for a proper evaluation. Your doctor may recommend a stronger or different class of allergy medication, such as a non-sedating antihistamine, a nasal corticosteroid spray, or a leukotriene receptor antagonist, that is safe to use with Telmisartan. Avoid taking over-the-counter allergy medicines on your own.

These medications, including Duolin (ipratropium/levosalbutamol), Asthalin/Salmabutol (salbutamol), and Montair (montelukast), are common for breathing issues, but using too many together can overlap. Since they aren't helping and dust worsens her symptoms, she needs a pediatrician's evaluation to adjust her treatment. The doctor may recommend a chest X-ray or allergy testing to tailor her care. Avoid giving Amoxyllin (amoxicillin) unless a bacterial infection is confirmed. Once a proper, simplified treatment plan is started and dust exposure is minimized, you should see her improve within a few days. Please seek a specialist's guidance soon to help her feel better.

Montair LC (a combination of montelukast and levocetirizine) is prescribed to help ease your breathing. For someone with severe COPD, reducing airway inflammation is crucial. This medication works gently to open up your airways and control allergic reactions, making breathing easier. Importantly, it is generally safer for your heart, blood pressure, and sodium levels compared to some other respiratory medications that could put extra strain on your heart. It helps support your lungs while keeping your other conditions stable. Please continue to partner closely with your doctor.

Continuous sneezing during weather changes is typically due to allergic rhinitis (seasonal allergies). For effective relief, you can try an over-the-counter, non-drowsy antihistamine such as Cetirizine (10 mg) or Fexofenadine (120 mg) once daily. Alternatively, a corticosteroid nasal spray like Fluticasone can be highly effective if started just before the weather shifts. Try to avoid known triggers and stay hydrated. Please consult a doctor or allergist for a definitive diagnosis and to ensure these medications are safe and appropriate for your specific health profile.

Nasal sprays like fluticasone and mometasone furoate (Metaspray) are preventive; they require daily, consistent use for one to two weeks to build up and effectively reduce inflammation and post-nasal drip. If your nose is highly congested, the spray cannot penetrate deeply. On the other hand, oral medications like cetirizine and Montair LC work quickly throughout your body to block allergy triggers, offering rapid, noticeable relief. For the sprays to help, try clearing your nose first and using them consistently.

Since you do not have a fever, your frequent throat clearing and cough might not be from an infection. Instead, conditions like acid reflux or persistent post-nasal drip could be irritating your throat. Please be reassured that this is very common and highly manageable. I recommend consulting your doctor to re-evaluate your symptoms. They may suggest checking for reflux or adjusting your therapy. In the meantime, staying well-hydrated with warm fluids and using a humidifier can help soothe your throat.