Combiflam contains ibuprofen and paracetamol, and ibuprofen is not safe during pregnancy, especially in the later stages, as it can affect the baby’s heart and kidneys. You should not take Combiflam and should not self-medicate. A proper medical evaluation is essential to identify the underlying cause of your throat pain and ensure that any treatment prescribed is safe for both you and your baby.

Yes, you can switch from Dolo (paracetamol) to Combiflam, which combines ibuprofen and paracetamol. The ibuprofen in Combiflam is an anti-inflammatory that can target severe muscle aches more effectively than paracetamol alone. Because ibuprofen can sometimes irritate the stomach lining, it is best to take Combiflam with food or after a meal. Taking a stomach-protective medicine like a proton pump inhibitor or an antacid before your meal can also help prevent acidity and gas.

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.

I understand you are experiencing discomfort. For temporary relief from the pain, you can take over-the-counter pain relievers like ibuprofen or paracetamol, following the package instructions. To help soothe and clean the wound, gently rinse your mouth with warm salt water a few times a day. Please avoid placing any pain relief tablets directly against the gums, as this can cause irritation. While these steps will help manage your symptoms temporarily, it is very important to see a dentist. Molar pain with an open wound needs a proper physical examination to treat the underlying cause, such as an infection or decay, and ensure it heals safely.

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.

After a facial and dental surgery, it is common to have significant pain for a few days because the tissues are still healing, especially when an infected bone area and tooth have been removed. Combiflam is usually one of the stronger routine painkillers, so instead of switching to a stronger medicine on your own, it is better to take it exactly as prescribed and on time with food, as irregular dosing often makes pain feel worse. You can also help reduce pain by using cold compresses on the face for the first 24-48 hours, keeping your head elevated while resting, and avoiding chewing on the operated side. However, if the pain is not controlled even after regular doses, or if you notice increasing swelling, fever, foul discharge, or worsening pain after initial improvement, you should contact your surgeon promptly, as this may indicate infection or the need to adjust treatment or add antibiotics rather than simply stronger painkillers.