Combiflam contains ibuprofen, which can severely irritate the stomach and is unsafe for her stomach ache, especially at her age. For her headache, a plain paracetamol tablet is a much safer option, provided she has no liver issues. However, because she has a stomach ache, it is very important to have her evaluated by a healthcare professional, perhaps via a telemedicine consultation or home visit, to safely find the cause. Please keep her comfortable and offer small sips of water to keep her hydrated.

ince Combiflam (which contains ibuprofen and paracetamol) hasn't provided relief, please do not take more medication immediately to avoid liver overload. Instead, you can transition to plain paracetamol after a safe interval of 6 hours from your last dose. To help bring the fever down naturally, try tepid sponging with lukewarm water; avoid cold water as it worsens shivering. Please drink plenty of fluids like water or coconut water to stay hydrated and combat weakness, and get ample rest. If the fever persists or symptoms worsen, please consult a healthcare professional promptly.

It is safe for her to take Alceff Novo 250 (cefuroxime) and Rabepep 20 (rabeprazole) as prescribed. However, please avoid taking Combiflam close to Dolo 650. Both Dolo 650 and Combiflam contain paracetamol. Taking them together can lead to an unsafe double dose, which can strain the liver. To manage her fever and pain safely, she should wait at least 6 to 8 hours after her Dolo 650 dose before considering Combiflam, or consult her doctor about using a pain reliever without paracetamol. Keep her well-hydrated, and please consult her healthcare provider for personalized guidance.

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.

Since dental and ear issues have been ruled out, progressive pain that doesn't respond to NSAIDs like ibuprofen could be caused by temporomandibular joint disorder (TMD) related to nighttime teeth grinding (bruxism), jaw clenching, or a minor disc displacement within the joint. Stress and localized muscle spasms can also play a major role. For now, try eating soft foods and applying gentle, warm compresses to your jaw. I highly recommend seeing a dentist or doctor soon. They can evaluate your jaw alignment and discuss alternative options, like a custom nightguard or muscle relaxants.

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.