Since your cough is lingering despite these medications and gargling, it may be due to airway hypersensitivity, post-nasal drip, or even acid reflux rather than an active infection. Please do not worry, as this is quite common. I gently recommend consulting your doctor for a follow-up evaluation. They can listen to your chest and determine if a different approach, such as a targeted inhaler or a change in therapy, is needed.

Omalizumab (Xolair) can be very effective for allergic asthma and may also help your eczema. However, because your IgE level is quite high (above 3000 IU/mL), standard dosing charts for omalizumab might not easily fit your needs. Your doctor will carefully evaluate if omalizumab is still the right choice, or if another targeted biologic medication might be safer and more effective for you. Please rest assured that there are wonderful, advanced treatments available to help you breathe easier and feel better.

Montemac L is best taken in the evening, with or without food (either before or after dinner). Since it contains levocetirizine, which can cause drowsiness, taking it at bedtime is ideal. Regarding a complete cure, Montemac L is highly effective at controlling and managing your allergic symptoms, but it will not cure the underlying allergy permanently. Allergies are chronic conditions that require ongoing management, including identifying and avoiding personal allergy triggers like dust or pollen. Please continue to follow your doctor's advice for long-term management.

With Spirodin 650 (doxofylline) and Montemac FX (montelukast and fexofenadine), you should start feeling your breathing improve within a few days to two weeks as your airways relax and inflammation decreases. However, lowering your body's allergy antibody (IgE) levels is a much slower process, typically taking several weeks to months of consistent treatment to show a significant drop. Please continue taking your medications exactly as prescribed by your doctor.

While the risk of increased eye pressure (glaucoma) from these targeted nasal sprays is generally very low, long-term use does warrant regular eye check-ups just to be safe. Switching to Montemac FX (montelukast and fexofenadine) alone can avoid this specific risk, as it is not a steroid. However, it may not control your symptoms as effectively as the sprays. I gently recommend discussing this with your doctor and having a simple eye pressure check to find the safest, most comfortable plan for you.

Usually, you should start feeling some relief within a few days of starting Montemac FX (montelukast and fexofenadine) and Spirodin 650 (doxofylline), though complete recovery depends on your specific condition and can take a couple of weeks. Please rest assured that these medications do not weaken your immune system. Instead, Montemac FX calms down overactive allergic reactions, while Spirodin 650 relaxes your airways to help you breathe easier. Stay consistent with your doses, and please reach out to your doctor if your symptoms do not improve.