<s>[INST] Hi I started with allergy symptoms I have never had, red eyes, runny nose , itchy nose, and then a cough. Recently, I have added really itchy earlobes, now moving down my neck and face. I have tried life brand non-drowsy desloratadine allergy control 5 mg. and hydrocortisone cream .5 % The itchy earlobes and neck and face seemed to be getting better but as the day wore on it got a little worse again. What can I do, Please? Debra [/INST] Dear Debra, Are your symptoms only itchy earlobes or red eyes, runny nose, itchy nose, cough and itchy earlobes? If it is the former (i.e., ear itchy only) then you may wish to consider if this is secondary to metal allergy like earrings or jewelry. Nickel allergy is quite common that is a hypersensitivity (delayed rather than immediate) and can last for quite long and flares up on little contact again. Patch test procedure can diagnose chemical (delayed) hypersensitivities. If you have all the symptoms, then dust mite or pollen allergy is more likely. Skin prick or specific IGE (blood test) can reveal all the allergies but needs to be discussed with a Specialist in Allergy. Combination of oral antihistamines and nasal sprays are required and occasionally leukotriene antagonists for a longer duration of benefit. Thanks. </s>