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.

Asthalin (salbutamol) is a fast-acting reliever for sudden breathlessness, while Seriflo 250 (salmeterol and fluticasone) is a controller inhaler used daily to reduce airway swelling. While they can be highly effective if your cough is due to asthma or airway spasms, using these prescription inhalers without a doctor's diagnosis isn't recommended. The duration of use depends entirely on your specific lung health. I gently advise consulting a healthcare professional for a proper examination so they can safely prescribe the correct dosage and duration for your recovery.

Since your symptoms are not fully controlled, you may benefit from oral medications. A leukotriene receptor antagonist like montelukast is highly effective as it treats both asthma (wheezing) and allergic rhinitis (sneezing). Daily oral antihistamines, such as cetirizine or loratadine, can also help control your sneezing. However, using your Salbutamol inhaler three times a day indicates your asthma is currently uncontrolled. While oral pills can assist, you likely need a daily preventive inhaler rather than just quick-relief medication. Please consult your doctor or an allergist so they can safely evaluate your lungs and prescribe the most effective, personalized controller treatment.

I recommend consulting an allergist/immunologist or a pulmonologist (lung specialist). These specialists can perform specific allergy and lung function tests to pinpoint your triggers. Since you are currently relying on a rescue bronchodilator nebulizer, a specialist can prescribe a daily controller medication, such as an inhaled corticosteroid, to prevent these episodes entirely. Please schedule an appointment soon so you can get a personalized treatment plan and start breathing much easier.

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.

However, inhalers like Asthalin (salbutamol) and Budecot (budesonide) act directly in the lungs, making them very safe and highly effective. To help reduce his symptoms naturally, try identifying environmental triggers like dust, pollen, or pet dander. Using saline nasal drops, keeping his room dust-free, and using a cool-mist humidifier can provide great relief. Please discuss these lifestyle adjustments with his pediatrician before stopping his inhalers, as managing airway inflammation is crucial for his long-term health.