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Self-Care Treatment of a Common Cold
Symptoms
Cold symptoms are usually self-limiting and last 7-14 days. |
• Sore throat (mild-moderate pain) • Congestion, runny noise, sneeezing • Non-productive cough • Low-grade fever, chills, headache, malaise, muscle pain |
Exclusions to Self-Treatment
Oral fever >100.4°F |
Chest pain |
Shortness of breath |
Worsening of symptoms |
Development of new symptoms during self-treatment |
Concurrent chronic cardiopulmonary diseases |
AIDS |
Chronic immunosuppressant therapy |
Frail patients of advanced age |
Infants younger than 3 months of age |
Hypersensitivity to recommended OTC meds |
Special Populations
Pregnancy/Lactation |
• Avoid extra-strength, long-acting, or combination products. • Avoid systemic decongestants during the first trimester. • Oxymetazoline (Afrin) nasal spray is preferred during pregnancy. • Most products are safe for breastfeeding, but decongestants may reduce milk supply. |
Geriatrics |
• May have more adverse effects to drugs • May have other health conditions that may affect treatment choices |
Pediatrics |
• Lack of clinical evidence for safety and efficacy for <2 y/o • FDA requires product-specific dosing devices • Manufacturers may voluntarily label products with "Do not use in children under 4 years of age." |
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Treatment Goals
Treatment is targeted at individual symptoms. |
(1) Reduce bothersome symptoms (2) Prevent transmission |
Treatment Options
Nonpharmacological = mainstay of treatment |
Increased fluid intake Adequate rest Nutritious diet Increased humidification Saline nasal sprays/drops Salt gargles Hot teas with lemon & honey |
Chicken soup or other broth soups Breathe Right nasal strips Aromatic oils (camphor, menthol, eucalyptus) Sleeping upright Nasal aspirators Alcohol-based hand sanitizers Lysol and Kleenex Anti-Viral tissues |
Pharmacological |
Decongestants |
(for ≥4 y/o) Systemic: pseudoephedrine Intranasal: phenylephrine, oxymetazoline, xylometazoline |
Antihistamines |
Azelastine nasal spray (for ≥6 y/o) |
Local Anesthetics |
Cepacol (for ≥2 y/o) Sucrets |
Systemic Analgesics |
Aspirin (for adults) acetaminophen ibuprofen naproxen |
Protussives |
Guaifenesin |
Complementary Therapy |
Zinc Vitamin C Vitamin D |
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