What could cause sudden shivering without a fever in a 54-year-old woman who recently took Combiflam, and how should it be treated?
Combiflam, which contains ibuprofen and paracetamol, works to lower body temperature. If taken for pain without an active fever, it can cause a temporary cooling effect, leading to shivering as the body adjusts. It is also possible the medication is suppressing an oncoming fever. To help her feel better, wrap her in warm blankets and offer warm liquids. Please monitor her closely. If she develops a rash, facial swelling, breathing difficulties, or if the shivering doesn't stop, please seek medical attention right away.