How soon can I give my 4 year old ibuprofen after giving delsym cold and cough?

Follow guidelines

Cough
this has an antihistamine and decongestant in the formula. Not knowing the weight of your child I would wait at least an hour. If the child is asleep let them sleep if not then give the ibuprofin according to the package directions for children and see/call your pediatrician ASAP. Rest and fluids with meds as needed; more is not better stay with in the guidelines for safety.
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Safety Sleep Dextromethorphan Delsym Ibuprofen Phenylephrine Cough Antihistamine Children Formula