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.

Among your options, Metaspray (mometasone furoate) is generally the safest and most recommended for long-term use. As a nasal steroid spray, it works directly in your nasal passages with minimal absorption into the rest of your body, making it highly effective and safe for daily, extended use. While Nasomac AF is also a helpful nasal spray and Montemac FX is an oral tablet, local therapies like Metaspray are the gold standard for safe, long-term management. Please consult your doctor to ensure this choice aligns perfectly with your overall health.

It is quite common for respiratory symptoms to take more than three days to show significant improvement. Please continue taking your prescribed Augmentin (amoxicillin/clavulanic acid) and Montemac (montelukast) exactly as directed, as completing the antibiotic course is crucial. Stay well-hydrated and rest. If your cough worsens, or if you experience shortness of breath or a high fever, please consult a General Physician or a Pulmonologist (chest specialist) for a physical exam. They can listen to your lungs and determine the best next steps for your recovery.

You can take a non-drowsy antihistamine, such as cetirizine or fexofenadine, to relieve sneezing and a runny nose. Using a saline nasal rinse in the morning can help clear allergens. For a headache, an over-the-counter pain reliever like paracetamol or ibuprofen may help. Consult a doctor if symptoms persist or worsen.

Your persistent year-round breathing issues, hearing blockages, and noisy nighttime breathing suggest chronic nasal allergy or sinus inflammation that is affecting your Eustachian tubes (which connect your nose to your ears). Since Montemac-LC has not provided relief, oral tablets alone may not be sufficient. You may benefit from a prescription corticosteroid nasal spray (such as Fluticasone) to directly reduce swelling in your nasal passages and ears. However, it is highly recommended that you consult an ENT (Ear, Nose, Throat) specialist. They must evaluate you for nasal polyps, a deviated septum, or fluid behind the eardrums before starting new medications.

You can take over-the-counter medications such as acetaminophen or ibuprofen to reduce fever and headache. A non-drowsy antihistamine like Cetirizine may help relieve sneezing and a runny nose. To thin phlegm, you can use a mucolytic such as Ambroxol or an expectorant containing Guaifenesin. If your symptoms persist or worsen, consult a doctor for further evaluation and treatment.