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Common Cold quick look
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This chart rates treatment options according to general effectiveness, ease of use,
side effects and safety.
Anti-inflammatory Drugs
(Motrin or Advil/ibuprofen, Aleve/naproxen, others)
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Good
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Safe, except for those with stomach problems. Effective in reducing sore throat and achiness that often accompany colds. Common side effects - stomach irritation. Easy to use and inexpensive.
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Anti-inflammatory Drugs
Anti-inflammatory drugs are very effective at reducing the pain of a sore throat.
To minimize the chance of stomach irritation, they can be taken with milk or food. Speak with your physician if stomach irritation occurs.
Note that aspirin, which is a type of anti-inflammatory) is not recommended, especially in children (see below).
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Decongestants
(Neo-synephrine/phenylephrine, Sudafed/pseudoephedrine, more)
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Fair
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Moderately effective for relief of nasal stuffiness. Not safe in those with high blood pressure, heart disease, or prostate problems. Because of the potential for abuse with one of the ingredients (sudafed) in some of the combination drugs, these drugs require a signature at the pharmacy even though they do not require a prescription.
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Decongestants
Decongestants are medications that are used to relieve nasal stuffiness (congestion).
Studies suggest that decongestants are effective for the short-term relief of nasal stuffiness.
Decongestants can increase blood pressure in those who already have high blood pressure. There is some (weak) evidence to suggest that the use of a decongestant called phenypropanolamine may increase the chance of stroke in susceptible people.
Many over-the-counter cold medicines combine decongestants and antihistamines (medications that relieve runny nose and sneezing).
One of the ingredients of over-the-counter combination drugs, pseudoephedrine/sudafed, is used to manufacture an illegal substance called "crystal amphetamine" and therefore requires a signature at the pharmacy during purchase.
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Antihistamines
(acrivastine, azatadine, brompheniramine, carbinoxamine, chlorpheniramine, clemastine, dexbrompheniramine, diphenhydramine, loratadine, pheniramine)
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Poor
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Modestly effective at reducing runny nose and sneezing.
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Antihistamines
Antihistamines are medications that are used to relieve runny nose and sneezing. Studies show modest effectiveness at reducing these symptoms during the first few days of a common cold.
Side effects include drowsiness and a dry mouth.
Many over-the-counter cold medicines combine decongestants (medications that relieve congestion) and antihistamines.
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Antibiotics
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Very poor
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Not effective. Does not cure the common cold or improve symptoms. Some evidence suggesting that antibiotics shorten the recovery time for certain types of sore throats ("strep" throats, which are diagnosed by a throat swab/culture).
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Antibiotics
Studies confirm that the use of antibiotics does not result in cure of the common cold or in symptom improvement.
Overuse of antibiotics can cause harm by creating hard-to-treat bacteria, which can result in future bacterial infections that are difficult to cure.
Physicians only tend to prescribe an antibiotic if he/she feels that there is evidence that a common cold has progressed to another type of infection that is caused by a bacteria rather than a virus.
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Aspirin
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Very poor
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Not recommended for children younger than age 16. Can increase the chance of developing a serious liver condition called Reye's syndrome.
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Aspirin
Acetaminophen (Tylenol, more) is the preferred alternative for relief of pain and fever.
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Decongestants and Antihistamines in Young Children
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Very poor
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Not recommended for young children. Not effective. Frequent side effects.
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Decongestants and Antihistamines in Young Children
Decongestants and antihistamines are not effective for young children with the common cold and may cause side effects.
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Vitamin C
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Very poor
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No evidence that vitamin C is beneficial
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Vitamin C
Studies suggest that the use of vitamin C provides little or no benefit for people with the common cold.
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Echinacea
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Not available
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Not effective for treatment of the common cold in both adults and children. Insufficient data about prevention.
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Echinacea
Several randomized controlled trials have failed to show that echinacea results in improvement of symptoms of the common cold or speeds the time for symptoms to resolve.
One factor that make Echinacea difficult to study is that there are many different preparations available (over 200), which are made using different extraction methods, from different parts of the plant (roots, leafs, whole plant, etc).
Rare cases of serious allergies (anaphylactic reactions) have been reported with Echinacea.
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Steam Inhalation
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Not available
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Inconclusive study results. Further investigation necessary.
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Steam Inhalation
Studies that have evaluated the effectiveness of steam inhalation as a treatment for symptoms of the common cold have generated conflicting results.
Most of the studies performed to date have serious problems in the way that they were designed. Further investigation is necessary.
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Zinc Lozenges and Intranasal Gel
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Not available
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Inconclusive data about effectiveness of zinc for the treatment of the common cold.
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Zinc Lozenges and Intranasal Gel
Two groups of scientists evaluated available study results related to the effectiveness of zinc lozenges. Two other groups evaluated the studies related to Zinc intranasal gel.
Of the 2 groups evaluating the lozenge studies, one concluded that the lozenges were effective; the other concluded that they were not.
Similarly, of the 2 groups looking at Zinc intranasal gel, one group concluded that Zinc was effective; the other concluded that it was not.
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NOTE: Just because a drug or combination of drugs can cause a
symptom does not mean it is actually causing your symptom. Symptoms can be caused by
medical conditions as well. Make sure that your physician is aware of any symptoms you
are experiencing so he/she can work with you to determine the cause. Please DO NOT STOP
MEDICATIONS without first consulting a physician since doing so could be hazardous to
your health.
DISCLAIMER: Please note that the information DoubleCheckMD.com provides is intended
to help individuals to work with their medical professionals and is for educational purposes
only. It does not constitute medical or healthcare advice and serves to supplement, not
substitute for, the expertise and judgment of a healthcare professional. In all cases
individuals should consult with a physician before taking any action based on DoubleCheckMD
feedback including, but not limited to ceasing taking any drug, changing diet or commencing or
discontinuing any course of treatment. The information provided by DoubleCheckMD.com is not
intended to cover all possible uses, directions, precautions, drug interactions or adverse
effects, nor should it be construed to indicate that the use of a particular drug is safe,
appropriate or effective.