Long-term night-time breathing difficulty for 7-8 years, especially needing daily nasal drops like Nasogest, may be due to chronic nasal blockage such as Allergic rhinitis, sinusitis, or even a deviated septum. Continuous use of decongestant drops can actually worsen blockage over time, so it?s important to stop unsupervised use and switch to safer options like saline sprays or prescribed steroid sprays. Please consult an ENT specialist (as advised) for proper evaluation and long-term treatment rather than relying on daily drops.

Using your Asthalin (salbutamol) inhaler seven to eight times a day indicates your asthma is currently uncontrolled. The weakness and fast heartbeat you are feeling are common side effects of using this reliever medication so frequently. Please consult your doctor or visit an urgent care clinic as soon as possible. You likely need a daily controller medication, such as an inhaled corticosteroid, to prevent these flare-ups so you do not have to rely so heavily on your rescue inhaler. Please seek medical care promptly to safely adjust your treatment.

While your Asthalin (salbutamol) inhaler is highly effective for quick relief, using it daily suggests your breathing condition is not fully controlled. Relying on a rescue inhaler too often can lead to minor side effects like shakiness and means the underlying inflammation needs attention. I recommend speaking with your doctor soon. They can safely guide you toward a daily controller medication to prevent these symptoms from happening in the first place, helping you sleep peacefully and breathe easier every day.

Since your wheezing returned after finishing amoxicillin and Montzir LC (montelukast/levocetirizine), the underlying cause might be hyperactive airways or asthma triggered by allergies or a virus, rather than a bacterial infection. Relying frequently on your Asthalin (salbutamol) inhaler indicates your symptoms are not fully controlled. I gently recommend consulting your doctor or a pulmonologist. They can evaluate your lungs and may suggest a daily preventative inhaler, like an inhaled corticosteroid, to calm airway inflammation and prevent future episodes. Please seek immediate medical care if your breathing worsens.

Since your symptoms haven't improved after nearly two weeks of cephalexin and your Asthalin inhaler, please contact your doctor for a follow-up. This cough might be due to a viral infection that antibiotics cannot treat, or you may need an adjusted treatment plan. In the meantime, continue staying hydrated, using steam, and propping your head up with extra pillows to ease nighttime coughing. Please get evaluated soon so you can get the restful sleep you need.

Since your quick-relief inhaler (salbutamol) is not helping, please consult your doctor promptly, as this indicates your asthma is currently uncontrolled. Given your history of treated tuberculosis, your doctor will want to ensure your symptoms are not related to any past lung scarring. Typically, for better control, doctors recommend daily preventer inhalers rather than relying solely on quick-relief medicine. Common options include a combination of an inhaled corticosteroid (like fluticasone or budesonide) and a long-acting bronchodilator (like salmeterol or formoterol) to reduce airway swelling. Please seek a professional medical evaluation to safely find the right treatment plan for you.