It is very common for ear ringing to seem louder in the evening as your surroundings quiet down and daily congestion builds. Tinnicar (caroverine) and Monticope (montelukast/levocetirizine) help by easing swelling and improving ear circulation. When you stop taking them, the mild middle ear inflammation can surface again. While there is no instant permanent cure, middle ear issues usually resolve completely once the underlying congestion or allergy is fully healed. Please consult your doctor about safely extending your treatment or managing allergies to give your ears the time they need to recover.

You likely have a viral cold with congestion and nausea from mucus swallowing. Stay hydrated, take steam inhalation, and use paracetamol for fever or discomfort. If vomiting continues or you can't keep fluids down, see a doctor for anti-vomiting medication.

While there isn't a permanent cure for allergic asthma, excellent long-term control is highly achievable. Since Monticope only provides temporary relief, you may benefit from daily preventive treatments, such as inhaled corticosteroids, which keep airway inflammation down. For your high eosinophils, allergen immunotherapy (allergy shots) can help desensitize your immune system over time, and targeted biologic therapies are available for more precise control. I gently encourage you to discuss these long-term preventive options with an allergist or pulmonologist to help you breathe comfortably year-round.

Long-term sneezing and runny nose suggest allergic rhinitis, which may need stronger treatment like nasal steroid sprays or allergy testing rather than just Monticope. Excessive sleepiness and tummy weight gain may be due to antihistamine side effects or lifestyle factors. An ENT/allergist can adjust your treatment and check for triggers to give long-term relief.

Your oxygen levels are improving, but at 91-92% with ongoing shortness of breath, you need close monitoring. Please consult your doctor immediately before changing your regimen. Typically, you should not abruptly stop Medrol (methylprednisolone) or Rivaroxaban (blood thinner) as they are critical for your lungs and clot prevention. Inhalers like Budecort (budesonide) and Duolin (levosalbutamol/ipratropium) are important to continue for your breathing. Supportive medications like Pantop D, Monticope, Zincovid, and Vitamin C can generally be continued, while five-day courses of Azithromycin and Ivermectin are usually complete. Please have your doctor evaluate your oxygen levels today.

Since he has diabetes, it is very important to monitor his blood sugar levels closely, as infections can cause them to fluctuate. Please ensure he stays well-hydrated and continues steam inhalation. He can continue Monticope and Dolo 650 (paracetamol) as needed, but since he has a productive cough and weakness, I highly recommend consulting his doctor for a physical evaluation. A doctor can listen to his chest to rule out any chest infection and safely adjust his treatment. Please seek immediate medical care if he experiences difficulty breathing.