You likely have a viral cold with congestion and nausea from mucus swallowing. Stay hydrated, take steam inhalation, and use paracetamol for fever or discomfort. If vomiting continues or you can't keep fluids down, see a doctor for anti-vomiting medication.

Since he has not shown progress after taking Maxtra, Azithal (azithromycin), and Monticope (montelukast and levocetirizine), it is highly recommended to have his pediatrician re-evaluate him. Sometimes, a persistent cough is viral and requires supportive care like warm fluids and saline drops rather than antibiotics, or it may require a different treatment approach. Please consult your doctor promptly for a physical exam. Seek immediate care if you notice rapid breathing, chest pulling in, or extreme sleepiness.

Monticope contains montelukast and levocetirizine. Both of these ingredients pass into breast milk in very small amounts and are generally considered safe during breastfeeding. However, because your baby is only four months old, please monitor him for any unusual sleepiness, fussiness, or changes in feeding. While it is likely safe, it is always best to consult your pediatrician before taking it. For immediate relief, simple measures like steam inhalation can also help clear your mucus.

While there isn't a permanent cure for allergic asthma, excellent long-term control is highly achievable. Since Monticope only provides temporary relief, you may benefit from daily preventive treatments, such as inhaled corticosteroids, which keep airway inflammation down. For your high eosinophils, allergen immunotherapy (allergy shots) can help desensitize your immune system over time, and targeted biologic therapies are available for more precise control. I gently encourage you to discuss these long-term preventive options with an allergist or pulmonologist to help you breathe comfortably year-round.

Since he has diabetes, it is very important to monitor his blood sugar levels closely, as infections can cause them to fluctuate. Please ensure he stays well-hydrated and continues steam inhalation. He can continue Monticope and Dolo 650 (paracetamol) as needed, but since he has a productive cough and weakness, I highly recommend consulting his doctor for a physical evaluation. A doctor can listen to his chest to rule out any chest infection and safely adjust his treatment. Please seek immediate medical care if he experiences difficulty breathing.

Monticope contains two active medicines: levocetirizine and montelukast. Both of these generic medications are generally considered safe to use while breastfeeding, as only very small amounts pass into breast milk. They are unlikely to cause any harm to your baby. However, it is always a good idea to monitor your little one for any unusual sleepiness or fussiness. To be absolutely safe, please check in with your doctor or pediatrician before starting this medication so they can confirm it is the best choice for you.