First, please stop using cold water for sponging, as cold water can cause shivering and actually raise her temperature. Instead, use lukewarm water. Keep her hydrated with plenty of fluids and dress her in light clothing. Since the Combiflam syrup (ibuprofen and paracetamol) hasn't eased her fever after three doses, please consult her pediatrician. They will check the correct dosage based on her weight and investigate the cause of the fever. Seek immediate medical care if she becomes very lethargic, has difficulty breathing, or refuses fluids.

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.

These symptoms can be side effects of Augmentin (co-amoxiclav) or Combiflam (ibuprofen/paracetamol), or simply a result of your body recovering from the infection and mild dehydration. It does not necessarily mean your illness is worsening. Please do not stop taking your Augmentin without consulting your doctor, as finishing the antibiotic course is important. For now, rest, drink plenty of fluids, and contact your doctor to discuss these side effects and ensure it is safe to continue.

Since Combiflam (ibuprofen and paracetamol) hasn't helped and you are experiencing brief blackouts when standing up, this could be related to changes in your blood pressure (called orthostatic hypotension) alongside a chronic headache. To stay safe, please avoid sudden movements and stand up very slowly. Drinking plenty of water can also help. Because these symptoms have lasted for over 20 days, I highly recommend visiting a doctor soon for a proper physical exam and blood pressure check.

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.

Because you are experiencing persistent vomiting and cannot keep fluids or oral medications like Combiflam down, it is very important to seek immediate medical attention. When oral intake is not possible, a healthcare professional needs to evaluate you and likely administer intravenous (IV) fluids to prevent dehydration, along with IV medications to stop the vomiting and safely lower your fever. Please visit an urgent care center or emergency room right away so they can help you feel better and get this under control safely.