It is not safe to take Combiflam in early pregnancy. For fever in pregnancy, the safest option is Paracetamol, but only in the correct dose and if your doctor agrees.

Since options like Combiflam and Ketorol D are no longer providing relief, the inflammation has likely reached the deep nerve of your tooth. Lying down increases blood flow to your head, which worsens this throbbing pressure. The most effective treatment is an urgent visit to a dentist for a root canal treatment or tooth extraction to resolve the underlying infection. For temporary relief tonight, try propping your head up with extra pillows to reduce pressure, and continue to avoid extreme temperatures. Please schedule a dental appointment as soon as possible to safely relieve your pain.

Please avoid taking Combiflam (which contains ibuprofen and paracetamol) for your symptoms. Ibuprofen can severely irritate your stomach lining, which may worsen your stomach pain and acid indigestion, especially after vomiting. Instead, generic medications like antacids or acid-reducers (such as omeprazole) are much safer options for stomach distress. For now, try to rest your stomach and stay hydrated by taking small, frequent sips of water or oral rehydration solutions. If your vomiting or pain continues, please consult a doctor for a proper evaluation.

I understand it is concerning when a fever persists. Please be very careful, as both Combiflam (which contains ibuprofen and paracetamol) and Dolo 650 (paracetamol) contain paracetamol. Taking them too close together can cause an accidental paracetamol overdose. Since you just took Dolo 650, please avoid taking any more of either medication for at least 6 hours. To help cool your body safely, stay well-hydrated with plenty of water and try lukewarm water sponging. If your fever remains high, or if you develop symptoms like a severe headache, chills, or difficulty breathing, please consult a doctor in person for a proper medical evaluation.

The next best step is to get the recommended chest X-ray done promptly. This will help your pediatrician check for any lung congestion or infection that may require adjusting his treatment. Please continue giving the amoxicillin/clavulanate (Augmentin Duo) and levosalbutamol (Levolin) nebulizer exactly as prescribed. Keep him well-hydrated and comfortable. If you notice fast breathing, chest pulling in, or extreme sleepiness, please seek immediate medical care. Your pediatrician will guide you further once they review the X-ray.

For frequent migraines, your daughter needs a dual approach supervised by her doctor. 1. Acute Relief: Since OTC painkillers and Migranil are ineffective or unsafe long-term, Triptans (like Sumatriptan or Rizatriptan) are highly effective prescription alternatives to stop an active attack. 2. Prevention: To reduce attack frequency from every 10 days, daily preventive medications like Beta-blockers (e.g., Propranolol), Tricyclic Antidepressants (e.g., Amitriptyline), or Anticonvulsants (e.g., Topiramate) can be used. Lifestyle changes, including maintaining regular sleep and food triggers tracking, are also beneficial. Please consult a neurologist to safely tailor her treatment plan.