Because your mother is experiencing chest heaviness and shortness of breath with oxygen levels between 92% and 94%, she needs immediate medical evaluation. Please contact her treating doctor or a hospital right away. She may require a chest evaluation and blood tests to check for lung inflammation. In the meantime, encourage her to lie on her stomach (awake prone positioning) to help improve her oxygenation. Keep monitoring her oxygen closely. If her oxygen levels drop below 92% or her breathing difficulty worsens, please seek emergency hospital care immediately.

While your liver and kidneys are highly resilient and excellent at processing medications, taking several drugs simultaneously?especially pain relievers like aceclofenac and etoricoxib?can sometimes place extra strain on them. To keep you safe and give you peace of mind, I highly recommend a simple routine blood test, specifically a liver and kidney function test. Please share these results with your doctor so they can review your current prescriptions and safely simplify your regimen.

Your symptoms could point to a viral infection like influenza, mononucleosis, or COVID-19, which often cause muscle aches and fever even as throat symptoms improve. Please stop taking azithromycin unless it was specifically prescribed by a doctor; antibiotics do not treat viral infections and can cause side effects. You may continue paracetamol to help manage your fever and discomfort, ensuring you don't exceed the safe daily limit. Since your fever is persisting on day four, please consult a healthcare professional for a proper evaluation and personalized treatment plan.

Your completed course of Azee 500 (azithromycin) and current use of Nadibuct cream (nadifloxacin) are safe during breastfeeding. To safely treat pimple marks while lactating, topical azelaic acid cream is highly recommended. It has negligible systemic absorption, making it very safe for your baby while effectively fading dark spots. Gentle options like topical niacinamide are also safe. Please avoid retinoid creams during this time. Ensure you wash your hands after application and avoid applying any creams near the breast area to prevent direct contact with your baby.

Yes, you should switch to the newly prescribed medications as directed by your doctor, and stop the previous ones completely. There is no risk of overdose as long as you follow the exact dosages prescribed and do not mix the old and new medicines. Specifically, Nobel Plus already contains paracetamol, so you must not give Fepanil alongside it. Bactoclav is a different antibiotic, and Ambrodil S will help his cough. Please closely monitor your baby, and reach out to his pediatrician if the fever persists or if you feel unsure about the exact dosages.

Your symptoms, triggered by cold air and water changes, suggest airway sensitivity or allergies rather than a bacterial infection. Therefore, antibiotics like Azee (azithromycin) are not suitable unless prescribed by a doctor. Supportive measures like steam inhalation and Betadine (povidone-iodine) gargles are actually very safe and effective for soothing your airways. Please consult a healthcare professional who can recommend appropriate targeted treatments, such as antihistamines, to safely manage your sensitivities.