A fluctuating high fever, severe cough, and intense muscle aches for four days suggest your body is fighting a viral illness, such as influenza. Since paracetamol and ibuprofen are only providing temporary relief, it is best to see a healthcare provider for a proper evaluation. They can listen to your lungs and perform a quick swab test to guide your treatment. For now, please rest as much as possible, drink plenty of fluids, and continue your current medications safely. Seek immediate medical attention if you develop any difficulty breathing or chest pressure.

Because your headaches occur 2 to 3 times a week, frequently taking NSAIDs (like ibuprofen in Brufen or diclofenac in Diclogem) can irritate your stomach lining and lead to rebound headaches. It is very important to see a healthcare provider for an accurate diagnosis, as this sounds like it could be migraine. They can prescribe targeted treatments, such as sumatriptan, or daily preventive medications to reduce headache frequency, alongside a stomach-protecting medicine like omeprazole. Please consult a doctor to find a safe, effective plan.

Since you took Combiflam (which contains paracetamol and ibuprofen) yesterday, we must prevent paracetamol overdose. Crocin Advance and Crocin 650 contain plain paracetamol, while Nicip Cold and Flu contains paracetamol and a decongestant. Because you are already using Okacet and OxySpray, adding Nicip Cold and Flu could cause unnecessary duplication of decongestant medications. Therefore, Crocin Advance is your safest choice for relieving body aches, provided you stop taking Combiflam. Please ensure you keep a 4 to 6-hour gap between doses and stay well-hydrated.

Both medications are effective, but they work a bit differently. Combiflam (containing ibuprofen and paracetamol) is a wonderful, milder starting option for general pain relief. Meftal Spas (mefenamic acid and dicyclomine) specifically targets uterine muscle spasms, making it highly effective for sharper cramps, though it is slightly stronger. If your cramps are mild, Combiflam is a great, gentle choice to start with. Please remember to always take either medication after a meal to protect your stomach.

A cough lasting over a month with wheezing suggests your airways might be inflamed or hyper-reactive, which antibiotics do not treat. I strongly recommend consulting a doctor or pulmonologist. They can perform a lung function test and may prescribe inhaled bronchodilators or inhaled corticosteroids to soothe your airways. Please avoid starting new medications without an evaluation, as targeted therapies are needed to safely and effectively clear this up for you.

While medications like paracetamol or ibuprofen can lower a fever, your doctor may want to monitor your temperature to track how your body is naturally fighting the infection, or to see if your symptoms change. Suppressing a mild fever isn't always necessary, as a fever is actually a sign your immune system is working. Please stay well-hydrated, rest, and keep cool with a damp cloth. If your temperature rises significantly, you feel worse, or you develop new symptoms, please contact your doctor before taking any medication.