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Treatment of a Common Cold Cheat Sheet by

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."
 

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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