### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
HELLO DOCTOR . i HAD MET AN ENT DOCTOR. mY WIFE HAD SERERVE COLD AND NOSE LEAKING LOT. SHE WAS ADVICE TO TAKE RUPANEX -M . THE DOCTOR SAID SHE ALERGIC OF DUST, SMOKE, WHICH HAS CREATED PROBLEM. AFTER TAKING 40 TABLAT OF RUPENXE -M .THE DOCTOR STOP THE SAME AND SAID IT IS NOW OK. BUT TWO DAYS BACK IT STARTED AGAIN . HER FACE CHANGED WITH DARK PATCHES .NOW SHE STARTED TO TAKE THE RUPANEX -M .NOW AGAIN SHE IS OK BUT THE SKING COLOR HAS NOT CHANGED .pLEASE ADVICE.

### output:

Hi Panel m contains rupatidine n montelukast which are anti-histaminic n mast cell stabilizer respective and was prescribed to you for allergic rhinitis. But it wads not indicated for you to take it for 40 Days.Hence, your ENT surgeon advised you to stop n have it VN symptomatic again.  Again developed allergic rhinitis with skin rash so take same medication for 5 days and if symptom persists or aggravates then visit versatility clinic n get reviewed.  Prevent condition to which allergic to use mask while going in dusty env or apply simple Hank can work, avoid food allergic, clean house n bed if possible with value cleaner n mop etc Hope u stay in good health.  Thanks n regards