Because your baby is drinking less milk and symptoms are persisting despite using paracetamol and levosalbutamol, the most important next step is to have her evaluated by a pediatrician today. Decreased feeding can quickly lead to dehydration in a six-month-old. Additionally, nasal decongestants like oxymetazoline are generally not recommended for infants this young. Please keep offering frequent, smaller breastfeeds to help keep her hydrated, monitor her wet diapers, and seek professional medical care promptly so a doctor can safely assess her breathing and guide her treatment.

Since her fever and cough are persisting despite using levosalbutamol (Levolin), montelukast/levocetirizine (Montair LC), and paracetamol (Crocin), she needs a prompt clinical evaluation by her pediatrician. The doctor will listen to her chest and check her ears and throat to rule out a secondary infection that might require a different treatment plan. For now, please keep her well-hydrated, continue offering comfortable fluids, and administer paracetamol as advised for fever relief. Seek immediate medical attention if she exhibits rapid breathing, difficulty breathing, or unusual lethargy.

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.

Levolin 1.25 mg Respules may be used in children for breathing problems, but the exact dose and safety for a 9‑year-old should be determined by a doctor. Children require the right strength and proper inhalation technique to avoid side effects like rapid heartbeat or tremors. To ensure safe and effective use, inform your doctor before giving it to your child.

For quick relief, Levolin (levosalbutamol) can typically be used as 1 to 2 puffs every 4 to 6 hours, generally not exceeding 8 puffs in 24 hours. Foracort (formoterol/budesonide) is a preventer inhaler, and its daily limit depends on your specific prescribed dose, typically not exceeding 4 to 8 puffs daily. If you find yourself needing extra puffs frequently, or if your breathing does not improve after using Levolin, please seek immediate medical attention rather than taking more inhalations.

It is quite common for children to vomit during intense coughing fits, but being unable to keep water down can lead to dehydration. Since you just started Levolin (levosalbutamol) today, it may need a bit more time to help open the airways. However, because your child cannot retain fluids, I highly recommend having them evaluated by a pediatrician today. In the meantime, try offering tiny, frequent sips of water or an oral rehydration solution instead of large gulps. Please seek immediate care if they have any difficulty breathing.