Montair LC (which contains levocetirizine and montelukast) is excellent for providing temporary relief by blocking the chemicals that cause your sneezing. However, it only works while the medicine is active in your body. Since dust is an ongoing trigger in our environment, your symptoms can return a few days after the medicine wears off and you are re-exposed. Managing dust allergies often requires consistent treatment during high-exposure periods, alongside minimizing dust at home. Please discuss a safe, long-term management plan with your doctor to keep you comfortable.

Since your nasal endoscopy was normal?which is very reassuring?your ongoing ear pressure, crawling sensation, and jaw pain may not be sinus-related. Instead, they could stem from Eustachian tube dysfunction or Temporomandibular Joint (TMJ) issues, where jaw tension affects the ear nerves. Since medications like Montair LC and Avamys haven't fully resolved this, I gently recommend consulting your ENT specialist to evaluate your Eustachian tube directly, or a dental specialist to check for TMJ dysfunction. In the meantime, applying warm compresses to your jaw may offer some comforting relief.

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.

Fortunately, both medications you mentioned are generally safe to take while breastfeeding your 5-month-old baby. Hhamclav 625 (amoxicillin and clavulanic acid) and Montair (montelukast) pass into breast milk in only tiny, safe amounts. You can comfortably take them as prescribed by your healthcare provider. As a standard precaution, just keep a gentle eye on your baby for any temporary, mild changes like loose stools or diaper rash. Please ensure you complete the full course of your antibiotic to fully recover.

It is very possible that your new symptoms are related to your medications. Prednisolone (Wyselone) and your iron supplement (Hemoshine) are well-known to cause heartburn and acid reflux, which often triggers breastbone pain, especially at night. Prednisolone can also cause restlessness and headaches. Additionally, Alprazolam (Alprex) can sometimes cause a feeling of an irregular heartbeat or restlessness as it wears off. Please be reassured that these are manageable side effects. I highly recommend speaking with your doctor, who can safely adjust your doses or suggest a stomach-protective medication to help you feel much more comfortable. Please do not stop your medicines without their advice.

His symptoms of sudden weakness, shaking, and sweating could indeed be linked to his medications. Asthalin (salbutamol) can sometimes cause temporary shaking, sweating, or a fast heartbeat, especially after physical exertion. Montair (montelukast) is less likely to cause these specific symptoms. However, because these signs occur after walking just a few steps, they could also be related to an underlying heart condition or a drop in blood pressure. Since he is 80, it is best to have his doctor evaluate him promptly to ensure his safety and adjust his treatments if necessary.