I continue to be fatigued, after 5 weeks of treatment for sinusitis, reactive airway (asthma)post viral ; used nasal steroid spray, z pak + 2 xtra days of zithromax @ 500 mg., continue on Dulera 100/5 twice/day, (rtn to Pulmonary ) 1 week. I could literally fall asleep if I just close my eyes, standing up, at work, passenger, at home watching tv. Exact pattern for a few years now, happens 2-3 x per year. Always in April. Sore throat, followed by fever , few days, once sorethroat subides, cough appears. Allergy tested, for 50+ standard allergens.ALL negative. Negative CXR. Dry cough ( not productive) worse during day and when talking. Use lozenges, lots of water, saline nasal spray, steam , warm salt water gargle. Suggestions.