Hello Chanchal It’s concerning to hear about your sister’s symptoms, especially with throat pain, headache, and difficulty breathing. Given her history of blocked nose, cough with phlegm, and the recent recurrence of symptoms, it’s important to approach this carefully.
Medications Overview 1. Cetirizine Hydrochloride: This is an antihistamine that can help with allergy symptoms and nasal congestion. It can be helpful if her symptoms are allergy-related. 2. Caffeine Tablets: Caffeine can sometimes be included in medications to enhance the effect of pain relievers, but it’s not typically a standalone treatment for respiratory issues. 3. Prednisolone: This is a corticosteroid that can reduce inflammation. It may be appropriate for her symptoms, especially if there’s significant inflammation in the airways. 4. Amoxicillin (ALMOX - 250): This is an antibiotic used to treat bacterial infections. It should only be given if a bacterial infection is suspected or confirmed.
Recommendations - Consult a Doctor: Before starting these medications, it’s best to consult with a healthcare professional, especially since your sister is experiencing difficulty breathing. They can confirm whether these medications are appropriate for her current condition. - Monitor Symptoms: If her breathing difficulty worsens, or if she experiences any severe symptoms (like wheezing, chest tightness, or significant distress), seek medical attention immediately.
Bottom Line While the medications suggested may be appropriate in some cases, it’s crucial to have a healthcare provider evaluate her condition to ensure the right treatment. If you have any doubts, it’s always safer to consult a doctor before administering new medications.
Yes for now you can give but monitor her symptoms regularly.
Thank you and get well soon
Hello Chanchal, thank you for sharing your concern. The medicine store person is not qualified and knowledgeable enough to prescribe you medicines. And such advise might do more harm than benefit. My advise would be to visit the same doctor again (if he/she is a certified doctor), and tell him/her that there is not relief, they will guide you further. Give Cetirizine. But don’t give prednisolone and Amoxicillin without a certified doctor’s advice.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Your sister’s symptoms — recurrent throat pain, headache, breathing discomfort, long-standing nasal blockage with mucus, and phlegmy cough — most likely point to a chronic upper respiratory condition such as allergic rhinitis with sinusitis or post-nasal drip, possibly with airway irritation. The temporary relief after nebulization supports this.
However, the medicines given by the medical store should NOT be started blindly.
About the medicines given:
Cetirizine + caffeine: Cetirizine is okay for allergy, but caffeine is unnecessary and can worsen anxiety, palpitations, or headache.
Prednisolone (steroid): Should NOT be started without a doctor’s prescription. Steroids can suppress immunity and worsen infections if used incorrectly.
Amoxicillin 250 mg: Antibiotics should only be used if a bacterial infection is confirmed. Long mucus/cough is often allergic or viral, where antibiotics will not help.
Because she has difficulty breathing, you should not start these medicines without a doctor’s review—especially prednisolone (steroid) and antibiotics, which should never be given based only on a pharmacy suggestion. Amoxicillin 250 mg twice daily may be under-dosed, steroids can mask serious infection, and cetirizine+caffeine won’t address a possible sinus/chest infection or asthma-like relapse; mixing all three without diagnosis isn’t safe. What to do now: if breathing feels tight, wheezy, or worsening, go to emergency care immediately; otherwise see a physician/ENT or pulmonologist urgently (in-person) to reassess lungs/sinuses and prescribe the correct treatment.
Hello dear See as per clinical history it seems purulent bronchitis along with suppurative infection. I am in support of all the medication since the child requires Antibiotic Anti allergic Anti-inflammatory medication However for prednisolone please get exact dose recommendation from concerned physician only. In addition avoid Curd Ice cream Fast food Hopefully you recover soon Regards
