A persistent cough lasting 30 days that worsens at night and has not responded to amoxicillin, ambroxol, or dextromethorphan requires a professional medical evaluation. Since antibiotics did not help, the cause is likely non-bacterial. Common culprits for a night-worsening cough include cough-variant asthma, post-nasal drip, or acid reflux. I highly recommend consulting a physician or pulmonologist who may suggest a chest X-ray or lung function tests. Depending on the diagnosis, effective treatments could include inhaled bronchodilators, corticosteroid inhalers, or antihistamine nasal sprays. Do not worry; chronic coughs are very common and highly treatable once the underlying cause is correctly identified.

Needing to use her Levolin (levosalbutamol) and Serflo (fluticasone/salmeterol) inhalers as often as every 3 to 4 hours is a sign that her asthma is not currently well-controlled. Please contact her doctor or visit a healthcare facility promptly to have her treatment adjusted. In the meantime, try to keep her calm, sit her upright, and ensure she is using her inhalers with the correct technique. If she experiences severe chest tightness, difficulty speaking, or blue lips, please seek emergency medical care immediately.

It is wonderful how deeply you care for your wife's health. Since she already uses Foracort (budesonide/formoterol) and Levolin (levosalbutamol) inhalers, her doctor may recommend the nebulizer versions of these same medications during flare-ups. Specifically, levosalbutamol respules can provide quick relief, while budesonide respules help reduce airway inflammation. Using these generic nebulizer solutions ensures she receives the same trusted ingredients she is accustomed to. However, because nebulizer doses differ from inhalers, please consult her physician to get a specific prescription and dosage plan tailored to her needs.

For a 51-day-old infant, administering Levolin (levosalbutamol) and Mahacort DZ (deflazacort) requires extreme caution. Deflazacort is a strong steroid, and levosalbutamol is a bronchodilator; neither should be given to such a young baby without a direct physical examination by a pediatrician. Infant airways are very delicate, and a severe cough requires a doctor to listen to their chest to find the safest, most effective treatment. Please consult a pediatrician immediately before giving these medications.

I completely understand how tiring it can be to constantly rely on your Levolin (levalbuterol) inhaler. While there is no permanent cure for asthma, it can be beautifully managed. Relying frequently on levalbuterol usually means your lungs need a bit of daily support. The best long-term strategy is using a daily 'preventer' or 'controller' medication, such as an inhaled corticosteroid. This targets the underlying inflammation to prevent symptoms before they even start. I highly encourage you to speak with your doctor about creating a personalized asthma action plan.

Yes, it is safe to use your Levolin (levosalbutamol) inhaler as prescribed to help ease your wheezing and open your airways. However, because you are experiencing persistent vomiting and weakness, you should not wait for your two-week medication supply to finish before seeking help. Please schedule a follow-up appointment with your doctor right away. They need to evaluate these symptoms and safely guide your next steps. In the meantime, try to sip small amounts of water or oral rehydration solutions to stay hydrated and support your strength.