It sounds uncomfortable to have mucus that isn’t clearing despite medication. Since Alkof cough syrup (a cough expectorant) and cetirizine (an antihistamine for allergies) have not relieved your symptoms, it’s important to get a thorough evaluation.

🩺 What This Likely Means

Your cough with mucus that is not coming out may indicate thick or sticky mucus, possibly due to infection, inflammation, or allergy-related airway irritation. Cetirizine helps with allergy symptoms but does not directly clear mucus. Alkof helps loosen mucus but may not be sufficient if there is an underlying infection or other cause.

🩺 What You Should Do Now

• Consult a pulmonologist or an ENT (ear, nose, and throat) specialist for a detailed examination and possibly a chest X-ray or sputum test.
• Avoid irritants like smoke or strong perfumes that can worsen mucus production.
• Stay well hydrated to help thin the mucus.
• Use steam inhalation at home to loosen mucus.
• If you develop fever, worsening breathlessness, chest pain, or coughing up blood, seek urgent medical care.

🩺 When to See a Doctor

If symptoms persist beyond a week or worsen despite home care and medications, professional assessment is necessary to rule out infections like bronchitis or pneumonia and to tailor treatment.

Please see a specialist doctor soon to get the right diagnosis and treatment plan. If urgent symptoms appear, contact emergency services immediately.To narrow down potential causes, we will need some more information.I understand you're dealing with a cough and have already tried some remedies. Could you please share your age and gender?