Your child's symptoms of fever, cough, and nasal blockage worsening at night suggest ongoing respiratory infection or allergy-related issues despite the current medications.

🩺 What This Likely Means

The Cetifar 10 mg tablet contains cetirizine, an antihistamine that helps with allergy symptoms like a blocked or runny nose but does not treat infections. Merimol 250 (likely a paracetamol or similar) helps reduce fever and pain. Persistent high fever at night and nasal blockage may indicate a viral or bacterial infection needing further evaluation.

🩺 Recommended Next Steps

• Continue giving fever-reducing medication as advised, ensuring proper hydration and rest.
• Use saline nasal drops or sprays to relieve nasal congestion safely.
• Monitor for worsening symptoms such as difficulty breathing, persistent high fever beyond 3 days, lethargy, or poor feeding.

⚠️ When to Seek Immediate Care

• If your child develops difficulty breathing, bluish lips, or severe lethargy.
• If fever remains very high despite medication or lasts more than 3 days.
• If there is persistent vomiting or inability to drink fluids.

It is important to consult a pediatrician promptly to assess if antibiotics or other treatments are needed and to rule out complications. They can also review the current medications and adjust treatment based on your child's condition.

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