The shivering and sweating he is experiencing, which improve with rest and Combiflam (a combination of ibuprofen and paracetamol), often suggest a mild underlying infection or low-grade fever. Sweating after minor activity can occur as the body tries to regulate its temperature or during recovery from an illness. Please ensure he stays well-hydrated and gets plenty of rest. While Combiflam helps manage these symptoms temporarily, it is best to have him evaluated by a healthcare professional to identify the exact cause and ensure he receives the right care.

Since Combiflam (which contains ibuprofen and paracetamol) hasn't helped over the past three days, the underlying cause?such as a deep cavity or infection?needs direct dental attention. For temporary relief, try gently rinsing your mouth with warm salt water and applying a cold compress to your cheek. Avoid very hot, cold, or sweet foods. Please schedule an appointment with a dentist as soon as possible, as you may need specific treatment or antibiotics that over-the-counter medications cannot replace.

Most common over-the-counter options like ibuprofen or acetaminophen can safely be taken every four to six hours, so taking another dose tonight should be fine as long as you follow the package limits. Many underarm lumps, such as clogged glands or swollen lymph nodes, do heal on their own without antibiotics. Applying a warm compress can bring some comfort and help it resolve. However, if the lump grows, becomes redder, warmer, or leaks fluid, please have a doctor check it.

Since you have kidney problems and diabetes, it is best to avoid Combiflam. It contains ibuprofen, which can further strain your kidneys. Instead, a much safer option for your pain relief is paracetamol, as it is gentler on the kidneys when used in appropriate doses. Please consult your doctor to diagnose the underlying cause of your ear pain and to guide you on the safest dose for your needs.

Yes, it is very possible that the spreading, itchy red sores are an allergic reaction to either Combiflam (ibuprofen/paracetamol) or Azithromycin. Both pain relievers and antibiotics are common triggers for drug-induced skin rashes. Please stop taking both medications immediately. I highly recommend seeing a doctor promptly to have the rash evaluated and to get a safe alternative medication for your fever. In the meantime, try to keep the area cool and avoid scratching to prevent infection.

Since Combiflam is not providing relief, your nighttime leg pain may not be simple muscle soreness. Bilateral leg pain at night can be caused by conditions like Restless Legs Syndrome (RLS), nerve pain (neuropathy), poor circulation, or vitamin deficiencies (such as B12, D, or iron). I strongly advise against self-medicating with stronger painkillers. Please consult a physician for a proper evaluation, including blood tests. Depending on the diagnosis, they may prescribe targeted medications like gabapentin for nerve pain or dopamine agonists for RLS. For temporary relief, try gentle stretching before bed, a warm bath, and staying well-hydrated.