If your Asthalin (salbutamol) is no longer helping, it suggests your airway inflammation may have changed, requiring a daily controller medication rather than just a rescue inhaler. While your smoking history and family history of tuberculosis are important to discuss with your doctor, please don't worry?this reduced response is common and manageable. Montec (montelukast) can help control airway inflammation, but it may not be the best or only option for you. I strongly recommend visiting your doctor for a physical exam to safely find the right treatment plan for your lungs.

You should seek urgent medical attention immediately, as chest tightness and acute respiratory problems can be serious and may indicate conditions like a heart attack, asthma attack, or severe infection. While waiting for help, stay calm, sit upright, and avoid any physical exertion. If you have a prescribed inhaler or medication for heart or lung conditions, use it as directed by your doctor.

The most suitable inhaler depends on the severity and type of your asthma, but commonly a combination of a daily inhaled steroid (e.g., budesonide or fluticasone) and/or a rescue bronchodilator (e.g., salbutamol) is used. Ask your doctor to tailor the inhaler type and dose to your symptoms and breathing tests.

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.

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.

It is medically safe to take Asthalin (salbutamol) alongside your Mox (amoxicillin), as there are no harmful interactions between them. However, salbutamol is a bronchodilator designed to open tight airways and may not effectively soothe a throat tickle or a simple cough. For your throat discomfort, warm fluids or steam inhalation can be very soothing. I highly recommend checking with your prescribing doctor before starting Asthalin to ensure it is the right treatment for your symptoms.