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.

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.

His sudden weakness, sweating, anxiety, and shortness of breath after walking are significant and require prompt medical evaluation. While his lung infection was treated with Montair 10 (montelukast) and Asthalin Rotahaler (salbutamol), these new symptoms could indeed be related to his heart. A heart ultrasound (echocardiogram) is very helpful here, as it can reveal if his heart muscle is weak or if there is a valve issue, both of which can cause fluid to back up into the lungs and limit his stamina. Please share his ultrasound results with a doctor urgently to help him feel better.

Yes, it is entirely safe for you to receive the COVID-19 vaccine while taking Montair LC (montelukast and levocetirizine) for your asthma and seasonal allergies. This medication will not interfere with the vaccine's effectiveness or increase your risk of side effects. In fact, it is highly recommended to keep your asthma and allergy symptoms well-controlled before and after your vaccination. You do not need to stop or skip your daily dose of Montair LC. If you have any specific concerns or history of severe allergic reactions to vaccines, please discuss them with your healthcare provider or vaccination staff beforehand.

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.

It is generally not recommended to take Montair LC and Alex syrup together. Montair LC contains an antihistamine (levocetirizine), and Alex syrup also contains an antihistamine. Combining them can lead to duplicate therapy, which significantly increases the risk of side effects like excessive drowsiness, dizziness, and severe dry mouth. For your safety, it is best to use only one of these medications or consult your healthcare provider to find a safer, more targeted combination to relieve your throat symptoms. Staying well-hydrated can also help soothe your throat naturally.