This infection primarily affects individuals with uncontrolled high blood sugar or those on prolonged, high-dose steroids (like Predmet, which is methylprednisolone) who have severely weakened immune systems. Since your blood sugar levels are completely normal and your health is improving, your body's defenses are in a much stronger position. Just continue to monitor your health, maintain good hygiene, and stay in touch with your doctor if you experience any unusual symptoms like facial pain or nasal congestion.

Your father's oxygen levels of 85-86% and breathlessness when talking or walking are clear signs that he requires immediate hospital evaluation and oxygen therapy. While lying on his stomach helps temporarily, it is not a substitute for professional medical care, especially given his history of diabetes and COVID-19. Please take him to the nearest hospital or contact emergency services right away. You should continue his current medications, Predmet (methylprednisolone) and aspirin, exactly as prescribed until the hospital doctors review his treatment. Prompt medical care will ensure he gets the right support to recover safely.

An oxygen level of 92% is low and requires immediate medical evaluation, even with a negative COVID-19 test. Since you are currently taking Predmet (methylprednisolone) and Ziffy (cefixime), it is very important to contact your doctor or visit an urgent care clinic immediately for a chest assessment. In the meantime, rest, practice slow, deep breathing, and try lying on your stomach (prone positioning) to help improve your oxygenation. Please do not alter your medication doses without consulting your healthcare provider.

It is generally safe to take Nintena (nintedanib) and Predmet (methylprednisolone) together, and taking them after food is excellent for protecting your stomach. However, taking two tablets of Nintena 150 mg at once (totaling 300 mg) is higher than the standard single dose, as it is typically prescribed as one tablet twice a day. Tapering Predmet (methylprednisolone) after seven days is a common and safe practice, but this specific schedule must be confirmed by your doctor. Please verify your exact dosage instructions with your healthcare provider to ensure you are taking them safely.

The steroid medication Predmet (methylprednisolone) is well-known for significantly raising blood sugar levels. Your recent HbA1c of 6.1% indicates a pre-existing mild vulnerability to processing sugars. The steroid likely triggered this sharp increase to 441 mg/dL, which can also cause temporary weight loss. While this may be steroid-induced hyperglycemia rather than permanent diabetes, a reading this high requires prompt medical evaluation. Please contact your prescribing doctor or seek immediate medical care today so they can safely help lower your blood sugar and review your treatment plan.

Nasal polyps can severely block your airway, potentially causing sleep apnea (where breathing temporarily stops), which can trigger a racing heart, chest pain, and anxiety. Since stopping Predmet, your polyps may have regrown. While clonazepam helps with anxiety, it does not treat the physical blockage. I gently urge you to see an Ear, Nose, and Throat (ENT) specialist. They can discuss long-term solutions, such as endoscopic surgery or targeted medications to shrink the polyps. Please also have a doctor evaluate your chest pain and racing heart promptly to ensure your safety.