Since improper lifting triggered this four days ago, you likely have a muscle strain or ligament sprain. Since the Volini gel and Meftal (mefenamic acid) haven't brought relief, the most important step right now is to rest your left arm completely and avoid lifting. Applying ice packs wrapped in a towel for 15 minutes, three times a day, can help reduce inflammation. Please consult a doctor or physical therapist for a proper physical examination to rule out a deeper injury. If you experience severe weakness, numbness, or worsening pain, seek medical care promptly.

Meftal (mefenamic acid) is an anti-inflammatory medication that can help reduce fever when paracetamol is ineffective. For an 18-year-old, the typical dose of mefenamic acid is 500 mg, taken up to three times a day, always after meals to protect your stomach. However, because you have COVID-19, staying well-hydrated is crucial when taking this medication to protect your kidneys. Please consult your doctor before starting Meftal to ensure it is safe for your specific health profile and to confirm the correct duration.

Meftal Spas (mefenamic acid and dicyclomine) is generally safe for short-term relief of period cramps when used as directed. However, because your pain is severe enough to keep you in bed, it is highly recommended to consult a gynecologist. They can help identify the root cause, such as endometriosis, and guide you on safer, more effective long-term treatment options. Please ensure you do not take this medication on an empty stomach to avoid gastric irritation.

Please do not give her these old prescriptions, especially the antibiotic Azithra (azithromycin). Using leftover medicines can be unsafe, as dosages for children change quickly as they grow and gain weight. For her fever, Calpol (paracetamol) is generally safe, but the exact dose must be calculated based on her current weight. Combining multiple medicines like Meftal P and Calpol without a doctor's guidance can also be harmful. Please have a pediatrician examine her today to get the correct, safe treatment for her symptoms.

Fainting due to dehydration, especially when combined with a reaction to a medication like Meftal (mefenamic acid), can sometimes trigger a brief, seizure-like event. Since her doctor is already involved, please follow their advice closely. For now, ensure she stays well-hydrated and avoids taking Meftal again. While she is recovering well, please seek immediate medical attention if she experiences any further fainting, confusion, or unusual weakness.

Since her high fever of 103?F has lasted for two days and is not settling with Calpol (paracetamol) or Meftal P (mefenamic acid), she needs to be evaluated by a healthcare professional promptly. Her weakness and inability to eat suggest she may be getting dehydrated. Please take her to a doctor or clinic today for a proper physical exam and potential blood tests. In the meantime, encourage her to take small, frequent sips of water or oral rehydration solutions (ORS), and use lukewarm water sponging to help soothe her. Seeking professional care now is the safest step.