He is on both. Initially, the antihistamine was for his eczema and hay fever, and we ended up adding singulair after a failed attempt at flovent, because he started having wheezing issues after a bout with H1N1 when he was 3.

He now takes both, and seems to need both. If he goes off the singulair, he starts to wheeze, and if he goes off the antihistamine, he starts to itch and have eczema issues again.

He has very significant food and environmental allergies, though. While he often needs his rescue inhaler during the first weeks of winter and during the spring pollen season, we have had no ear infections since starting this regimen, and no urgent visits for the nebulizer. In fact, our ped was surprised when we were in for strep this fall because he had had so few sick visits since finally hitting on this combination.