Cold

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Let's get something for this cold.
Pharmacist

There is no cure for the common cold.
What you can do is:

  • take care of the symptoms with over-the-counter medications

  • reduce it's ability to limit your daily activities

  • reduce the duration of the cold

  • prevent any complications.


Lady with cold symptoms

The most common symptoms of a cold are listed below. Choose what you are experiencing and see what we recommend.
















Pharmacist
You will need a decongestant for this stuffy nose.
Pharmacist
Selection requires an antihistamine.
Pharmacist
Need a pain reliever to take care of this.
Pharmacist
Need to quiet the cough and relieve anychest congestion.
Pharmacist
You will need an antihistamine and a decongestant.
Pharmacist
Selection require an antihistamine and a pain reliever.
Pharmacist
Symptoms require an antihistamine and a Cough relief medication.
Pharmacist
Symptoms require an antihistamine, decongestant, Cough relief relief medications.
Pharmacist
Symptoms will require an antihistamine, decongestant and pain reliever.
Pharmacist
Symptoms require an antihistamine, cough and pain relievers.
Pharmacist
You must have this cold really bad.
Pharmacist

Your best bet would be to visit the nearest urgent care clinic. If you don't think so, here is what we recommend to use over-the-counter.


Selections require a decongestant and pain relief medications
Pharmacist
Will need a decongestant and something for cough/congestion relief.
Pharmacist
You will need a decongestant, pain and Cough relief medications.
Pharmacist
Symptoms require a Cough relief and pain relief medication.
Pharmacist
Looking for something to prevent or boost your resistance to the cold?
Pharmacist

Preventive measures


Definitely:

Hand washing

  • Wash the hands often.
  • Use alcohol-based hand sanitizers if water is not available.
  • If your school-age child sneezes, have him or her wash hands immediately. Don't be lazy about this. Just one quick sneeze is enough to make everybody sick.

Over-The-Counter Medicines:

We strongly recommend the cold prevention medicines comparison feature of this app. (See link below).

 

All the symptoms?
You must have this cold really bad.
Pharmacist

Your best bet would be to visit the nearest urgent care clinic. If you don't think so, here is what we recommend to use over-the-counter.

Talk about Antihistamine, cough, decongestant and pain relief


None of these?
We must have left something out.
Pharmacist

If you think you have a cold:

Please go back and choose the symptom(s) that you feel closely relate to what you have or might have had and let me recommend something for you.

Remember, there is no cure for the common cold. All we can do is manage the symptoms if you have one.

 

Decongestants

Start with a decongestant nasal spray.lady using nasal spray

Choose a nasal spray with oxymetazoline. Effects can last for up to 12 hours. Nasal sprays containing phenylephrine need to be used every 4 to 6 hours.

After 3 days, if you are still congested, switch to pseudoephedrine tablets.

Continuing the spray will lead to a cycle of rebounding nasal congestion. Don't be tempted to use the nasal spray for more than 3 days.

Take this seriously or you will be in for a nasal congestion ride of your life. How do you know if you are in the rebound phase? If a decongestant nasal spray that used to give you relief for 12 hrs, became 10 hrs and now it is 8hrs. Stop.

We do not recommend phenylephrine tablets. Don't waste your money. If you want to breathe, go to the pharmacy counter and ask for pseudoephedrine tablets. Take a government issued ID with you. If the pharmacy is closed, get a decongestant nasal spray.

If you can't take pseudoephedrine tablets as in high blood pressure or the congestion is not so bad, use  saline nasal spray.

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Antihistamine

First generation antihistamines like chlorpheniramine, brompheniramine or diphenhydramine work well for cold symptoms. However, they will make you sleepy.

Do not use non-sedating antihistamines like Claritin®, Allegra® or Zyrtec® for cold. They are only useful in allergy situations.

If you have other symptoms, look for multisymptom medications that contain chlorpheniramine, brompheniramine, diphenhydramine or doxylamine.

Use the product comparison feature of this app to compare multi-symptom cold medicines.

 

 

Pain / Fever reducer

Prefer acetaminophen if what you are experiencing is mainly headache along with other cold symptoms like runny nose and nasal congestion.

lady with fever

Prefer ibuprofen or naproxen if muscle ache and pain, sinus pain or sinus pressure due to inflamed sinuses.
These have anti-inflammatory properties that acetaminophen does not have.

 

 

Cough Relief

Suppressing the cough

Use a cough suppressant if:

  • This cough is keeping you up at night 
  • This is a dry cough with no mucus being produced. 
  • This cough is giving you chest pain.

Lady coughing

If none of these, stay away from a cough suppressant.

Postnasal drip (mucus dripping to the back of the throat) is causing most of the coughing by triggering the cough reflex. This is the body's attempt to clear the air passages and prevent mucus from getting to the lungs. If you take a cough suppressant, this preventive mechanism is suppressed leading to a higher potential for secondary upper respiratory tract infections.

Dextromethorphan is the cough suppressant available. Menthol in cough drops will also suppress cough. There are different formulations, so use the product comparison part of this app to choose the right dextromethorphan for you.

Expectorant

With time, mucus accumulate in the sinuses and nasal passages. This can become dry and thick reducing the flow of mucus.

Mucus in the body should be thin and flow easily as it moistens the lining of the sinuses, respiratory tract and remove bacteria, viruses, dust, pollen and other foreign substances.

Thick mucus is bad because it traps bacteria, viruses and dirt and does not flow easily and quickly enough for the body to get rid of it either by swallowing or coughing it up and out.

An expectorant will break up, loosen and thin the mucus making it flow easily for you to expectorate (bring it up and out).

Man drinking water

Must drink a lot of water for an expectorant to work effectively.

Guaifenesin is the most common expectorant.

 

Combination or not?

Get a combination (Guaifenesin + DM) if you have chest congestion and the cough is getting violent or giving you chest pain.

You will experience violent cough during the last stage of cold because the mucus has dried up. This triggers the cough reflex and because it is harder to clear, it leads to coughing spells.

Guaifenesin with drinking a lot of water will loosen dried mucus and get the mucus flowing again while dextromethorphan will help control the coughing spells until the mucus stops triggering this cough reflex.

 

 

Multi-Symptom

Choosing a multi-symptoms cold medicine:

The best thing to do is to use the comparison feature of this app. (See link below).

What to look out for:

  • Make sure other medicine you are taking does not contain acetaminophen. Most will contain acetaminophen.

  • Don't expect them to relieve nasal congestion even if it says so on the box. Except you buy the ones kept behind the pharmacy counter.

  • We don't really recommend multisymptom medicines because cold comes in different stages. You have to treat the symptom at that stage or you are wasting your money. For instance, the last stage is usually cough and chest congestion. Buying a multisymptom with cough suppressants or expectorants earlier, is a waste of money.

 

 

Worth doing

Invest in a humidifier

Dry air dries up the nasal passages and need to be moisturized. Moreover, if you have nasal congestion, you will be breathing through your mouth at one point or another while asleep. This will make your throat dry and can lead to sore throat. A humidifier will at least help prevent dry passages.

We recommend cool mist.

Warm mist is too dangerous especially if you have children in the house. Moreover, by the time the moisture gets from the air to your nasal passages, it is already cold. Plus it is more expensive! Don't waste your money.

If you really need a warm mist, put your head over a bowl of hot water to inhale the vapors.

Or better yet, take a hot shower.

 

High vitamin and mineral concentrations

Take any of the high vitamin and mineral containing tablets or packets that you dissolve in water before drinking. Examples include Airborne® or Emergency C®.
They work 50% of the time to reduce the severity of cold symptoms.

But stay away from the ones you spray in your mouth. Some taste like ****. The taste of zinc can be hard to mask.

 

Drink plenty of water

man drinking water

More so if you have chest congestion. You need to thin the mucus so it will keep moving.

 

 

Last updated by pharmacist on 08/25/2018 at 08:21:pm

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Know this about the safe and effective use of this recommendation.
Pharmacist

Our disclaimer

  • Recommendation is the opinion of a registered US Pharmacist currently practicing as a community pharmacist.
  • Recommendation is not an attempt to discuss all possible self care or treatment approach to this health challenge.
  • The responsibility of the recommending pharmacist is limited to this question:
    "If a patient presents with these symptoms, what will you recommend and why?"
    It is not an attempt to publish an article on the treatment of any condition. Just what would you tell a patient who present with so and so in the usual course of your practice.
  • The pharmacist image presented in this article may or may not be the actual image of the authoring pharmacist.
    Because we insist on using articles written by currently practicing community pharmacists, these pharmacists may choose to remain anonymous especially if they are employed by an employer to avoid being pressured to recommend a particular product to drive sales.
  • Please read the policies and terms of use for self-care OTC, selfcarepharmacist.com and it's affiliates by clicking on the button below.

 

 

 

 

What if you are currently experiencing the conditions listed below?

Or if you have a question for the pharmacist?
Pharmacist


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If the authoring pharmacist cannot reply within 24 hours, the system will push your email to the rest of the team. Any available pharmacist will answer your question as soon as possible.

If you have a comment and not a question, please post it in the comments section for all to read.

What can't be done:

No replies to vulgar, disrespectful emails.
The system is programmed to look for certain words that are disrespectful and will automatically delete such emails. They don't get to the pharmacist. This will blacklist your email address automatically.

Email addresses or questions are not saved.
They are deleted once answered and not stored in a database. Should you need to follow up, copy the previous question(s) along with the new message for quick reference.

The pharmacist does not reply to emails that are not relevant to the topic he or she authored. They are forwarded to the author of the topic and are under no obligation to reply.

We encourage pharmacists to respond to questions but are under no obligations to answer questions.

 

 

 

 

 

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