<s>[INST] My 5 year old daughter had fever for last 3 days , I was giving her meftal syrup and cepodem 100 for her cough. Today, though she doesn't have fever, the cough seems worse and she is not able to sleep with the constant coughing. In fact she puked twice and took out a lot of phlegm. She also has a runny nose. Please advice what can I give her for the cough , will sinerest help? [/INST] hello, Has she ever had wheezing earlier? I think with the upper respiratory tract infection still laryngeal oedema and other upper airway oedema has not settled. That is why she is having severe cough. Only having antibiotic is not enough. She needs bed rest, an antihistamine like loratidine, small amout of bronchodilater like terbutaline,  and a steroid likw dexamethazone. plenty of warm water and gargling throat using pinch of salt added warm water will also help releving cough quickly.     If your daughter is a wheezing better to nebulize once and give child the loratidine, terbutaline and a steroids.also. It is ok to give sinerest to releieve nasal congestion. Hope tthi s helps. thank you. </s>