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.

The symptoms of shaking, sweating, and extreme weakness after minimal walking could be a side effect of Asthalin (salbutamol), which can cause temporary tremors and a rapid heart rate. However, because your grandfather is 80 and has high blood pressure, these symptoms after walking just a few steps could also indicate a strain on his heart, potentially triggered by the recent chest infection. His heart ultrasound (Doppler) and cardiologist's findings are essential to check his heart's pumping function. Please share these test results with his cardiologist immediately. They will determine if his medications need adjustment to help him regain his strength safely.

Your morning symptoms are likely triggered by allergens like dust mites in your bedding. A warm bath helps by washing away these allergens and clearing your nasal passages with steam. Montair LC (which contains levocetirizine and montelukast) is highly effective at controlling these allergy symptoms, but it only provides temporary relief and does not cure the underlying allergy. Once the medication wears off, your body's natural response to the allergens returns, causing the symptoms to reappear. I recommend discussing safe, long-term management strategies with your doctor.

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.

Montair LC contains two active ingredients: levocetirizine and montelukast. While both are generally considered relatively safe in late pregnancy, we usually prefer to avoid combination medications if a single-ingredient option can provide relief. There are other highly studied, single-ingredient antihistamines that might be safer first-line choices for your symptoms. Please consult your obstetrician before taking Montair LC so they can recommend the safest and most effective option for you and your baby during this important time.

Since her cough and cold are persisting despite using Montair LC (montelukast and levocetirizine) and the nebulizer, the best next step is to have her evaluated by her pediatrician. They can listen to her chest and adjust her treatment safely. In the meantime, keep her well-hydrated with warm fluids, use saline nasal drops to ease any congestion, and monitor her breathing closely. If you notice rapid breathing, chest retractions, or a high fever, please seek medical care immediately.