Since your symptoms have lasted a month despite taking Montair LC (montelukast/levocetirizine), it is best to consult a dermatologist for a tailored plan. Regarding your routine, you can bathe daily, but keep it short, use lukewarm water, and apply a gentle, soap-free cleanser. For an Ayurvedic alternative to coconut oil, you might try refined sesame oil (Til Taila) or sweet almond oil; they are deeply hydrating, light, and have a very mild, almost odorless profile.

For suspected viral infections like COVID-19, azithromycin (an antibiotic) and ivermectin are generally not recommended. Montair LC (montelukast and levocetirizine) can help with respiratory symptoms, but you should discuss its continuation with your doctor. Please stop the chewable vitamin C, as its acidity is likely causing your tongue to burn; you can get vitamin C from your diet instead. Focus on resting, staying well-hydrated, and taking paracetamol to manage your fever and body aches safely. Once your results arrive, consult your healthcare provider to guide your next steps.

Since you stopped Flutofil, we can explore other options. A non-drowsy daily oral antihistamine, such as loratadine, can relieve itching without making you sleepy. Alternatively, restarting a steroid nasal spray like fluticasone propionate is often the most effective approach for direct nasal relief with minimal side effects. I highly recommend discussing these generic options with your doctor to find the safest, most comfortable match for your daily routine.

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.

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.

Yes, you should consult your doctor. Fluticasone nasal spray can take up to a few weeks of consistent daily use to reach its full effect. Cold, dry air conditioning is a common trigger that can dry out nasal passages, worsening your symptoms. Your doctor can assess your progress and determine if you need to adjust your fluticasone use, restart Montair (montelukast), or add a moisturizing saline spray for travel.