I understand how worrying it is when your little girl's fever persists despite giving her Crocin DS (paracetamol) and Ibugesic Plus (ibuprofen). Since the fever has lasted four days, it is very important to have her evaluated by a pediatrician today. They can perform a physical exam to find the underlying cause. In the meantime, focus on keeping her comfortable and well-hydrated with water, soups, or rehydration fluids. Dress her in lightweight clothing. Please seek immediate medical care if she becomes extremely lethargic, has difficulty breathing, or develops a new rash.

Since alternating paracetamol (Crocin) and mefenamic acid (Meftal P) along with lukewarm water sponging isn't lowering the temperature, please consult your pediatrician promptly. It is crucial to verify the exact dosages for her 13.2 kg weight to ensure effectiveness and safety. Keep her well-hydrated with water, soups, or ORS, and dress her in light clothing. Avoid using cold water for sponging. Please seek immediate emergency care if she becomes unusually lethargic, has difficulty breathing, or shows any signs of a seizure.

Crocin DS contains paracetamol. For a child weighing 30 kg, the correct dose of Crocin DS (240 mg/5 ml) is actually about 9 mL per dose, which can be given every 4 to 6 hours as needed (up to 4 times in 24 hours). The 5 mL dose you gave was likely too low to effectively lower her fever. Please adjust to the correct dose, ensuring at least a 4-hour gap between doses. Keep her well-hydrated and dressed in light clothing. If the fever persists despite the correct dosage, or if she becomes lethargic, please consult her pediatrician.

Please do not start ivermectin, as current medical guidelines do not recommend it for treating COVID-19. It is best to continue with her supportive care, including multivitamins (Zincovit) and paracetamol (Crocin 500) to manage her headache and fever. Regarding isolation, it is generally safe for her to end it on day 14, provided she has been fever-free for at least 24 hours without using fever-reducing medicine and her other symptoms are steadily improving. Keep monitoring her, and ensure she gets plenty of rest and fluids.

Since your fever and severe cough haven't improved after three days of taking Crocin (paracetamol) and Coscopin, it is best to consult a doctor. Persistent symptoms can sometimes indicate a respiratory infection that requires a targeted prescription rather than over-the-counter support. Please rest, stay well-hydrated, and have a healthcare professional examine you to ensure you get the right care to start feeling better soon.

The throat spots, sore tongue, and fever suggest a common childhood viral infection. It is completely normal for the fever to return as the effect of Crocin DS (paracetamol) wears off after 5 to 6 hours. Keep him comfortable by offering cool liquids, yogurt, or ice pops, and avoid warm, spicy, or acidic foods that might sting his mouth. Please continue the paracetamol as directed by your doctor. I highly recommend having his pediatrician examine him soon to confirm the diagnosis and ensure he stays well-hydrated.