While asthma and environmental allergies cannot be permanently cured, they can be managed so effectively that you may eventually reduce or stop daily medication. Your current medicine (montelukast and levocetirizine) controls symptoms but doesn't eliminate the underlying allergy. For long-term management, focus on strict trigger avoidance using N95 masks and air purifiers. Additionally, consult an allergist about allergen immunotherapy (allergy shots or drops). This treatment desensitizes your immune system to dust and smoke over time, which can significantly decrease your reliance on daily pills. Always consult your doctor before adjusting your medication, as they can safely guide you through a 'step-down' treatment plan.

Regarding your medications: the Formonide inhaler (budesonide/formoterol) is considered safe during breastfeeding because very little of it enters breast milk. The Montair LC tablet (montelukast/levocetirizine) is also generally safe, though it is wise to monitor your 7-month-old for any unusual sleepiness. These prescribed medications are appropriate to help soothe your airways and relieve your painful breathing. Please continue them as directed by your doctor, and reach out to them if your symptoms do not improve.

Since there is no improvement after four days on Ascoril, Trifet, and Montair, it is very important to have her re-evaluated by her pediatrician. A 15-day cough and cold may suggest a secondary infection or allergy that requires a different treatment plan. Please do not change or add any medications without consulting your doctor. In the meantime, keep her well-hydrated and use saline nasal drops to ease her congestion.

Since Montair LC (montelukast and levocetirizine) can dry out and thicken your mucus, staying highly hydrated and using warm steam inhalation will help thin it. Daily saline nasal rinses are a safe, non-steroid way to flush out thick mucus, clear the unpleasant odor, and help your sense of smell recover. Because a bad nasal odor can sometimes indicate a sinus infection, please consult your doctor to safely adjust your treatment plan.

While allergies or asthma can cause these symptoms?especially if Montair (montelukast) is no longer working as well?worsening breathing difficulty means your current treatment may need adjustment. Because severe shortness of breath requires prompt attention, please seek immediate medical care or consult your healthcare provider right away. They can safely listen to your lungs, find the exact cause, and prescribe the right treatment to help you breathe easily again.

Regarding your allergy medication, Montair LC (which contains levocetirizine and montelukast), it is best to pause taking it until you consult your obstetrician. While both ingredients are sometimes used during pregnancy under medical supervision, we generally prefer safer, well-studied alternatives for managing sneezing and a runny nose during this special time. Please discuss this with your doctor at your next visit so they can recommend the safest option for you and your baby.