About all

Cold ibuprofen. Cold Relief: Effective Remedies for Stuffy Nose, Cough, and Sore Throat

How can you find relief from common cold symptoms. What are the most effective treatments for stuffy nose, cough, and sore throat. Which medications and home remedies actually work for colds.

Содержание

Understanding the Common Cold: Causes and Prevalence

The common cold is a viral infection that affects millions of people worldwide each year. Adults typically experience 2 to 4 colds annually, while children may have up to 6 to 8 episodes. The high frequency of colds is attributed to the vast number of viruses capable of causing this illness. Immunity to one virus does not protect against others, making recurrent infections common.

Colds are self-limiting conditions that usually resolve within one to two weeks without specific treatment. While symptoms can be bothersome, they generally don’t require medication. It’s important to note that no current treatments can shorten the duration of a cold.

Why are colds so common?

The prevalence of colds can be attributed to several factors:

  • Numerous virus types capable of causing colds
  • Ease of transmission through respiratory droplets
  • Lack of cross-immunity between different cold viruses
  • Seasonal variations affecting virus survival and transmission

Over-the-Counter Pain Relievers: Alleviating Cold Symptoms

While there’s no cure for the common cold, over-the-counter pain relievers can provide significant symptom relief. These medications can help manage headaches, earaches, joint pain, and fever associated with colds.

Which pain relievers are most effective for colds?

The following pain relievers have shown efficacy in managing cold symptoms:

  1. Acetaminophen (paracetamol)
  2. Ibuprofen
  3. Acetylsalicylic acid (ASA)

It’s crucial to note that these medications do not alleviate cough or nasal congestion. For children, acetaminophen is generally preferred due to its better tolerability. ASA should be avoided in children and teenagers with fever due to the risk of Reye’s syndrome, a rare but serious condition.

Nasal Decongestants: Clearing Stuffy Noses

Nasal congestion is a common and often frustrating symptom of colds. Decongestant nasal sprays and drops can provide quick relief by reducing swelling in the nasal passages, making breathing easier.

Are nasal decongestants safe for prolonged use?

While effective, nasal decongestants should not be used for more than a week. Prolonged use can lead to rebound congestion, a condition where the nasal passages become more congested when the medication wears off. This can create a cycle of dependency on the medication.

Side effects of nasal decongestants may include:

  • Dry nose
  • Allergic reactions
  • Headaches

The Role of Vitamins in Cold Prevention and Treatment

Vitamins, particularly C and D, are often promoted as cold-fighting supplements. However, the scientific evidence supporting their effectiveness is mixed.

Can vitamin C prevent or treat colds?

Despite popular belief, research has shown that vitamin C supplementation does not prevent colds in the general population. It may, however, slightly reduce the duration of cold symptoms if taken regularly. Starting vitamin C supplementation after cold onset does not appear to be beneficial.

Does vitamin D help with colds?

Vitamin D supplementation may help prevent colds, but this effect is primarily observed in individuals with vitamin D deficiency. For those with adequate vitamin D levels, supplementation is unlikely to provide additional protection against colds.

Herbal Remedies and Natural Treatments for Colds

Various herbal products and natural remedies are marketed for cold relief. While some may offer mild benefits, scientific evidence supporting their effectiveness is often limited.

Which herbal remedies show promise for cold relief?

Some herbal extracts have shown potential in alleviating cold symptoms, particularly cough:

  • Ivy
  • Eucalyptus
  • Primrose
  • Pelargonium (umckaloabo)
  • Thyme

Honey has also demonstrated some efficacy in relieving cough symptoms in children when taken before bedtime. However, it’s important to note that honey should not be given to infants under one year of age due to the risk of botulism.

Is echinacea effective for treating colds?

Echinacea products are often promoted for their immune-boosting properties and potential to treat colds. However, research on echinacea’s effectiveness has yielded inconclusive results. While some studies suggest a modest benefit, others have found no significant effect on cold duration or severity.

Home Remedies: Steam Inhalation and Hydration

Many people turn to home remedies like steam inhalation and increased fluid intake when battling a cold. While these methods may provide comfort, their scientific basis is limited.

Does steam inhalation help with cold symptoms?

Inhaling steam, with or without added essential oils like chamomile or peppermint, can provide temporary relief by soothing irritated nasal passages. The warm, moist air may help loosen mucus and ease congestion. However, there’s no clear evidence that steam inhalation significantly impacts overall cold symptoms or duration.

Is increased fluid intake necessary during a cold?

While staying hydrated is generally beneficial for overall health, there’s no scientific proof that drinking extra fluids during a cold speeds recovery or alleviates symptoms. It’s best to drink according to your thirst. Many people find warm beverages like herbal tea or hot milk soothing, which may contribute to a sense of comfort during illness.

Antibiotics and the Common Cold: Dispelling Myths

A common misconception is that antibiotics can treat all types of infections, including colds. However, this is not the case, and inappropriate antibiotic use can lead to serious consequences.

Why aren’t antibiotics effective against colds?

Antibiotics are designed to combat bacterial infections, not viral infections like the common cold. Using antibiotics for viral illnesses is not only ineffective but can contribute to antibiotic resistance, a growing global health concern.

Appropriate use of antibiotics in the context of colds includes:

  • Treating secondary bacterial infections that may develop as complications of a cold
  • Addressing bacterial sinusitis or ear infections that sometimes occur following a viral cold

It’s crucial to consult a healthcare provider before using antibiotics, as they can determine whether a bacterial infection is present and if antibiotic treatment is necessary.

Preventive Measures: Reducing the Risk of Catching a Cold

While it’s impossible to completely avoid colds, certain preventive measures can help reduce the risk of infection and transmission.

How can you minimize your chances of catching a cold?

Implementing the following strategies can help protect against cold viruses:

  1. Practice good hand hygiene by washing hands frequently with soap and water
  2. Avoid touching your face, especially the nose, mouth, and eyes
  3. Maintain a healthy lifestyle with adequate sleep, regular exercise, and a balanced diet
  4. Avoid close contact with individuals who have active cold symptoms
  5. Clean and disinfect frequently touched surfaces, especially during cold and flu season

While these measures can reduce the risk of catching a cold, it’s important to remember that complete prevention is not always possible due to the ubiquitous nature of cold viruses.

Can masks help prevent cold transmission?

Wearing masks, particularly in crowded or indoor settings, may help reduce the spread of respiratory viruses, including those that cause colds. This practice has gained widespread adoption during the COVID-19 pandemic and may continue to play a role in reducing the transmission of various respiratory illnesses.

In conclusion, while the common cold remains a prevalent and often unavoidable illness, understanding effective treatments and preventive measures can help manage symptoms and reduce the frequency of infections. By combining evidence-based treatments with sensible lifestyle choices, individuals can navigate cold season with greater comfort and resilience.

Common colds: Relief for a stuffy nose, cough and sore throat – InformedHealth.org

Last Update: October 8, 2020; Next update: 2023.

There are no treatments that fight cold viruses directly. But nasal sprays and painkillers like ibuprofen and acetaminophen (paracetamol) can provide some relief from cold symptoms. Many other treatments have either not been studied well enough or have no proven benefit.

Colds are very common: On average, adults come down with a cold 2 to 4 times a year, and children have as many as 6 to 8 colds a year. The reason that colds are so common is that they can be caused by very many different kinds of viruses. So having had one virus doesn’t make you immune to other cold viruses.

Colds usually go away on their own after about one to two weeks. Although the symptoms – such as a runny or stuffy nose, cough and headache – can be bothersome, you don’t need to take medication. None of the currently available treatments can shorten the length of a cold. Antibiotics only fight bacteria so they don’t help in the treatment of simple common colds that are caused by viruses. They can have side effects too, so they should only be used if a bacterial infection develops as a complication of the cold.

Painkillers

Painkillers like acetylsalicylic acid (ASA – the drug in medicines such as Aspirin), ibuprofen and acetaminophen (paracetamol) can relieve cold-related symptoms such as headache, earache and joint pain. These painkillers can also lower a fever. They don’t help to relieve a cough or stuffy nose.

Acetaminophen is the painkiller of choice for children in particular because it is tolerated better than painkillers like ASA and ibuprofen. ASA shouldn’t be used in children and teenagers who have a fever anyway. This is because it can cause a rare but dangerous side effect (Reye’s syndrome).

Nasal sprays

Decongestant nasal sprays or drops can help relieve a runny or stuffy nose and make it easier to breathe. But it’s not advisable to use these sprays or drops for longer than a week at a time because then they could have the opposite effect, known as rebound congestion (a permanently stuffy nose). When that happens, just a few hours after using the medication the membranes lining the nose swell up again. The more often the medication is used, the stronger this effect is.

There are various types of decongestants with different active ingredients. They may cause side effects such as a dry nose, allergic reactions or headaches.

Vitamin supplements

Vitamin C and D are essential for good health. Most people tend to get enough vitamin C in their usual diet. And enough vitamin D is produced by the body itself using sunlight.

But there are still commercials promoting the additional use of vitamin C and vitamin D products. Studies have shown that taking extra vitamin C does not protect you from getting a cold, though.

Vitamin C products can only make the symptoms of the cold go away a little faster. But they don’t have this effect if you only take the vitamin C once the cold has already started.

Things are similar with vitamin D. Products that contain vitamin D probably only prevent colds if you have a vitamin D deficiency.

Herbal products and honey

A number of herbal products are claimed to help relieve cold symptoms. But there’s a lack of reliable studies on the benefits of these products. Some studies have shown that certain extracts of ivy, eucalyptus, primrose, pelargonium (umckaloabo) and thyme can at best slightly relieve a cough.

The situation with honey is similar: Honey can probably relieve the symptoms of a cough somewhat in children if they take it either pure or dissolved in water in the evening before going to bed (and before brushing their teeth).

Products made from echinacea extracts are also commonly recommended for the treatment of colds. They are claimed to strengthen the body’s immune system. But the research on these products has not led to clear conclusions.

Inhaling steam and drinking a lot of fluids

Many people find it pleasant to breathe in (inhale) steam with or without adding things like chamomile or peppermint oil, because the warmth and moisture can have a short-term soothing effect on the mucous membranes lining the nose. But this kind of inhalation doesn’t have a clear effect on cold symptoms.

Drinking a lot of fluids is also often recommended if you have a cold. There’s no scientific proof that this will help, though, so there’s no need to force yourself to drink more fluids than you feel like drinking when you have a cold. Still, people often find that hot tea or warm milk have a soothing and warming effect.

Antibiotics

Many people think that antibiotics will help to fight any kind of infection. But antibiotics are actually only effective against bacterial infections. They don’t fight viruses so they can’t help in the treatment of colds.

Studies confirm that antibiotics can’t shorten the length of time someone is ill with a simple cold. And antibiotics often have side effects: About 1 out of 10 people have side effects such as diarrhea, nausea, vomiting, headaches and skin rashes. In women, antibiotics can upset the balance of things in the vagina and increase the risk of thrush.

Things are different if, as a result of a cold, bacteria spread within the airways or to the middle ear and cause an infection there. Then treatment with antibiotics may be considered.

The following symptoms may be signs of a bacterial infection, especially if they occur together with a fever:

  • Green nasal mucus (snot) or green sputum (coughed-up phlegm) lasting several days

  • Persistent severe sore throat and pus on tonsils

  • Stuffy nose that won’t go away, and severe headache around the forehead

  • Severe earache and poor hearing

  • Chest pain and trouble breathing

You should see a doctor if you have these kinds of symptoms. If you have a mild bacterial infection, your doctor can also write a prescription for antibiotics in case your symptoms don’t improve over the next few days. Then you can keep the prescription on hand and see if the symptoms go away on their own.

Sources

  • Choi IK, Lee HK, Ji YJ, Hwang IH, Kim SY. A Comparison of the Efficacy and Safety of Non-Steroidal Anti-Inflammatory Drugs versus Acetaminophen in Symptom Relief for the Common Cold: A Meta-Analysis of Randomized Controlled Trial Studies. Korean J Fam Med 2013; 34(4): 241-249. [PMC free article: PMC3726791] [PubMed: 23904953]

  • David S, Cunningham R. Echinacea for the prevention and treatment of upper respiratory tract infections: A systematic review and meta-analysis. Complement Ther Med 2019; 44: 18-26. [PubMed: 31126553]

  • De Sutter AI, van Driel ML, Kumar AA, Lesslar O, Skrt A. Oral antihistamine-decongestant-analgesic combinations for the common cold. Cochrane Database Syst Rev 2012; (2): CD004976. [PubMed: 22336807]

  • Deckx L, De Sutter AIM, Guo L, Mir NA, van Driel ML. Nasal decongestants in monotherapy for the common cold. Cochrane Database Syst Rev 2016; (10): CD009612. [PMC free article: PMC6461189] [PubMed: 27748955]

  • Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM). Akuter Husten. DEGAM-Leitlinie Nr. 11. AWMF-Registernr.: 053-013. February 2014.

  • Gómez E, Quidel S, Bravo-Soto G, Ortigoza A. Does vitamin C prevent the common cold? Medwave 2018; 18(4): e7235. [PubMed: 30113569]

  • Guppy MP, Mickan SM, Del Mar CB, Thorning S, Rack A. Advising patients to increase fluid intake for treating acute respiratory infections. Cochrane Database Syst Rev 2011; (2): CD004419. [PMC free article: PMC7197045] [PubMed: 21328268]

  • Hemilä H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev 2013; (1): CD000980. [PMC free article: PMC8078152] [PubMed: 23440782]

  • Karsch-Völk M, Barrett B, Kiefer D, Bauer R, Ardjomand-Woelkart K, Linde K. Echinacea for preventing and treating the common cold. Cochrane Database Syst Rev 2014; (2): CD000530. [PMC free article: PMC4068831] [PubMed: 24554461]

  • Kenealy T, Arroll B. Antibiotics for the common cold and acute purulent rhinitis. Cochrane Database Syst Rev 2013; (6): CD000247. [PMC free article: PMC7044720] [PubMed: 23733381]

  • Kim SY, Chang Y-J, Cho HM, Hwang Y-W, Moon YS. Non-steroidal anti-inflammatory drugs for the common cold. Cochrane Database Syst Rev 2015; (9): CD006362. [PMC free article: PMC10040208] [PubMed: 26387658]

  • Li S, Yue J, Dong BR, Yang M, Lin X, Wu T. Acetaminophen (paracetamol) for the common cold in adults. Cochrane Database Syst Rev 2013; (7): CD008800. [PMC free article: PMC7389565] [PubMed: 23818046]

  • Little P, Moore M, Kelly J, Williamson I, Leydon G, McDermott L et al. Ibuprofen, paracetamol, and steam for patients with respiratory tract infections in primary care: pragmatic randomised factorial trial. BMJ 2013; 347: f6041. [PMC free article: PMC3808081] [PubMed: 24162940]

  • Martineau AR, Jolliffe DA, Greenberg L, Aloia JF, Bergman P, Dubnov-Raz G et al. Vitamin D supplementation to prevent acute respiratory infections: individual participant data meta-analysis. Health Technol Assess 2019; 23(2): 1-44. [PMC free article: PMC6369419] [PubMed: 30675873]

  • Oduwole O, Udoh EE, Oyo-Ita A, Meremikwu MM. Honey for acute cough in children. Cochrane Database Syst Rev 2018; (4): CD007094. [PMC free article: PMC6513626] [PubMed: 29633783]

  • Ran L, Zhao W, Wang J, Wang H, Zhao Y, Tseng Y et al. Extra Dose of Vitamin C Based on a Daily Supplementation Shortens the Common Cold: A Meta-Analysis of 9 Randomized Controlled Trials. Biomed Res Int 2018; 2018: 1837634. [PMC free article: PMC6057395] [PubMed: 30069463]

  • Singh M, Singh M. Heated, humidified air for the common cold. Cochrane Database Syst Rev 2013; (6): CD001728. [PubMed: 23733382]

  • Singh M, Singh M, Jaiswal N, Chauhan A. Heated, humidified air for the common cold. Cochrane Database Syst Rev 2017; (8): CD001728. [PMC free article: PMC6483632] [PubMed: 28849871]

  • Spurling GK, Del Mar CB, Dooley L, Foxlee R, Farley R. Delayed antibiotic prescriptions for respiratory infections. Cochrane Database Syst Rev 2017; (9): CD004417. [PMC free article: PMC6372405] [PubMed: 28881007]

  • Timmer A, Günther J, Motschall E, Rücker G, Antes G, Kern WV. Pelargonium sidoides extract for treating acute respiratory tract infections. Cochrane Database Syst Rev 2013; (10): CD006323. [PubMed: 24146345]

  • Vorilhon P, Arpajou B, Vaillant Roussel H, Merlin E, Pereira B, Cabaillot A. Efficacy of vitamin C for the prevention and treatment of upper respiratory tract infection. A meta-analysis in children. Eur J Clin Pharmacol 2019; 75(3): 303-311. [PubMed: 30465062]

  • IQWiG health information is written with the aim of helping
    people understand the advantages and disadvantages of the main treatment options and health
    care services.

    Because IQWiG is a German institute, some of the information provided here is specific to the
    German health care system. The suitability of any of the described options in an individual
    case can be determined by talking to a doctor. We do not offer individual consultations.

    Our information is based on the results of good-quality studies. It is written by a
    team of
    health care professionals, scientists and editors, and reviewed by external experts. You can
    find a detailed description of how our health information is produced and updated in
    our methods.

Common colds: Relief for a stuffy nose, cough and sore throat – InformedHealth.org

Last Update: October 8, 2020; Next update: 2023.

There are no treatments that fight cold viruses directly. But nasal sprays and painkillers like ibuprofen and acetaminophen (paracetamol) can provide some relief from cold symptoms. Many other treatments have either not been studied well enough or have no proven benefit.

Colds are very common: On average, adults come down with a cold 2 to 4 times a year, and children have as many as 6 to 8 colds a year. The reason that colds are so common is that they can be caused by very many different kinds of viruses. So having had one virus doesn’t make you immune to other cold viruses.

Colds usually go away on their own after about one to two weeks. Although the symptoms – such as a runny or stuffy nose, cough and headache – can be bothersome, you don’t need to take medication. None of the currently available treatments can shorten the length of a cold. Antibiotics only fight bacteria so they don’t help in the treatment of simple common colds that are caused by viruses. They can have side effects too, so they should only be used if a bacterial infection develops as a complication of the cold.

Painkillers

Painkillers like acetylsalicylic acid (ASA – the drug in medicines such as Aspirin), ibuprofen and acetaminophen (paracetamol) can relieve cold-related symptoms such as headache, earache and joint pain. These painkillers can also lower a fever. They don’t help to relieve a cough or stuffy nose.

Acetaminophen is the painkiller of choice for children in particular because it is tolerated better than painkillers like ASA and ibuprofen. ASA shouldn’t be used in children and teenagers who have a fever anyway. This is because it can cause a rare but dangerous side effect (Reye’s syndrome).

Nasal sprays

Decongestant nasal sprays or drops can help relieve a runny or stuffy nose and make it easier to breathe. But it’s not advisable to use these sprays or drops for longer than a week at a time because then they could have the opposite effect, known as rebound congestion (a permanently stuffy nose). When that happens, just a few hours after using the medication the membranes lining the nose swell up again. The more often the medication is used, the stronger this effect is.

There are various types of decongestants with different active ingredients. They may cause side effects such as a dry nose, allergic reactions or headaches.

Vitamin supplements

Vitamin C and D are essential for good health. Most people tend to get enough vitamin C in their usual diet. And enough vitamin D is produced by the body itself using sunlight.

But there are still commercials promoting the additional use of vitamin C and vitamin D products. Studies have shown that taking extra vitamin C does not protect you from getting a cold, though.

Vitamin C products can only make the symptoms of the cold go away a little faster. But they don’t have this effect if you only take the vitamin C once the cold has already started.

Things are similar with vitamin D. Products that contain vitamin D probably only prevent colds if you have a vitamin D deficiency.

Herbal products and honey

A number of herbal products are claimed to help relieve cold symptoms. But there’s a lack of reliable studies on the benefits of these products. Some studies have shown that certain extracts of ivy, eucalyptus, primrose, pelargonium (umckaloabo) and thyme can at best slightly relieve a cough.

The situation with honey is similar: Honey can probably relieve the symptoms of a cough somewhat in children if they take it either pure or dissolved in water in the evening before going to bed (and before brushing their teeth).

Products made from echinacea extracts are also commonly recommended for the treatment of colds. They are claimed to strengthen the body’s immune system. But the research on these products has not led to clear conclusions.

Inhaling steam and drinking a lot of fluids

Many people find it pleasant to breathe in (inhale) steam with or without adding things like chamomile or peppermint oil, because the warmth and moisture can have a short-term soothing effect on the mucous membranes lining the nose. But this kind of inhalation doesn’t have a clear effect on cold symptoms.

Drinking a lot of fluids is also often recommended if you have a cold. There’s no scientific proof that this will help, though, so there’s no need to force yourself to drink more fluids than you feel like drinking when you have a cold. Still, people often find that hot tea or warm milk have a soothing and warming effect.

Antibiotics

Many people think that antibiotics will help to fight any kind of infection. But antibiotics are actually only effective against bacterial infections. They don’t fight viruses so they can’t help in the treatment of colds.

Studies confirm that antibiotics can’t shorten the length of time someone is ill with a simple cold. And antibiotics often have side effects: About 1 out of 10 people have side effects such as diarrhea, nausea, vomiting, headaches and skin rashes. In women, antibiotics can upset the balance of things in the vagina and increase the risk of thrush.

Things are different if, as a result of a cold, bacteria spread within the airways or to the middle ear and cause an infection there. Then treatment with antibiotics may be considered.

The following symptoms may be signs of a bacterial infection, especially if they occur together with a fever:

  • Green nasal mucus (snot) or green sputum (coughed-up phlegm) lasting several days

  • Persistent severe sore throat and pus on tonsils

  • Stuffy nose that won’t go away, and severe headache around the forehead

  • Severe earache and poor hearing

  • Chest pain and trouble breathing

You should see a doctor if you have these kinds of symptoms. If you have a mild bacterial infection, your doctor can also write a prescription for antibiotics in case your symptoms don’t improve over the next few days. Then you can keep the prescription on hand and see if the symptoms go away on their own.

Sources

  • Choi IK, Lee HK, Ji YJ, Hwang IH, Kim SY. A Comparison of the Efficacy and Safety of Non-Steroidal Anti-Inflammatory Drugs versus Acetaminophen in Symptom Relief for the Common Cold: A Meta-Analysis of Randomized Controlled Trial Studies. Korean J Fam Med 2013; 34(4): 241-249. [PMC free article: PMC3726791] [PubMed: 23904953]

  • David S, Cunningham R. Echinacea for the prevention and treatment of upper respiratory tract infections: A systematic review and meta-analysis. Complement Ther Med 2019; 44: 18-26. [PubMed: 31126553]

  • De Sutter AI, van Driel ML, Kumar AA, Lesslar O, Skrt A. Oral antihistamine-decongestant-analgesic combinations for the common cold. Cochrane Database Syst Rev 2012; (2): CD004976. [PubMed: 22336807]

  • Deckx L, De Sutter AIM, Guo L, Mir NA, van Driel ML. Nasal decongestants in monotherapy for the common cold. Cochrane Database Syst Rev 2016; (10): CD009612. [PMC free article: PMC6461189] [PubMed: 27748955]

  • Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM). Akuter Husten. DEGAM-Leitlinie Nr. 11. AWMF-Registernr.: 053-013. February 2014.

  • Gómez E, Quidel S, Bravo-Soto G, Ortigoza A. Does vitamin C prevent the common cold? Medwave 2018; 18(4): e7235. [PubMed: 30113569]

  • Guppy MP, Mickan SM, Del Mar CB, Thorning S, Rack A. Advising patients to increase fluid intake for treating acute respiratory infections. Cochrane Database Syst Rev 2011; (2): CD004419. [PMC free article: PMC7197045] [PubMed: 21328268]

  • Hemilä H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev 2013; (1): CD000980. [PMC free article: PMC8078152] [PubMed: 23440782]

  • Karsch-Völk M, Barrett B, Kiefer D, Bauer R, Ardjomand-Woelkart K, Linde K. Echinacea for preventing and treating the common cold. Cochrane Database Syst Rev 2014; (2): CD000530. [PMC free article: PMC4068831] [PubMed: 24554461]

  • Kenealy T, Arroll B. Antibiotics for the common cold and acute purulent rhinitis. Cochrane Database Syst Rev 2013; (6): CD000247. [PMC free article: PMC7044720] [PubMed: 23733381]

  • Kim SY, Chang Y-J, Cho HM, Hwang Y-W, Moon YS. Non-steroidal anti-inflammatory drugs for the common cold. Cochrane Database Syst Rev 2015; (9): CD006362. [PMC free article: PMC10040208] [PubMed: 26387658]

  • Li S, Yue J, Dong BR, Yang M, Lin X, Wu T. Acetaminophen (paracetamol) for the common cold in adults. Cochrane Database Syst Rev 2013; (7): CD008800. [PMC free article: PMC7389565] [PubMed: 23818046]

  • Little P, Moore M, Kelly J, Williamson I, Leydon G, McDermott L et al. Ibuprofen, paracetamol, and steam for patients with respiratory tract infections in primary care: pragmatic randomised factorial trial. BMJ 2013; 347: f6041. [PMC free article: PMC3808081] [PubMed: 24162940]

  • Martineau AR, Jolliffe DA, Greenberg L, Aloia JF, Bergman P, Dubnov-Raz G et al. Vitamin D supplementation to prevent acute respiratory infections: individual participant data meta-analysis. Health Technol Assess 2019; 23(2): 1-44. [PMC free article: PMC6369419] [PubMed: 30675873]

  • Oduwole O, Udoh EE, Oyo-Ita A, Meremikwu MM. Honey for acute cough in children. Cochrane Database Syst Rev 2018; (4): CD007094. [PMC free article: PMC6513626] [PubMed: 29633783]

  • Ran L, Zhao W, Wang J, Wang H, Zhao Y, Tseng Y et al. Extra Dose of Vitamin C Based on a Daily Supplementation Shortens the Common Cold: A Meta-Analysis of 9 Randomized Controlled Trials. Biomed Res Int 2018; 2018: 1837634. [PMC free article: PMC6057395] [PubMed: 30069463]

  • Singh M, Singh M. Heated, humidified air for the common cold. Cochrane Database Syst Rev 2013; (6): CD001728. [PubMed: 23733382]

  • Singh M, Singh M, Jaiswal N, Chauhan A. Heated, humidified air for the common cold. Cochrane Database Syst Rev 2017; (8): CD001728. [PMC free article: PMC6483632] [PubMed: 28849871]

  • Spurling GK, Del Mar CB, Dooley L, Foxlee R, Farley R. Delayed antibiotic prescriptions for respiratory infections. Cochrane Database Syst Rev 2017; (9): CD004417. [PMC free article: PMC6372405] [PubMed: 28881007]

  • Timmer A, Günther J, Motschall E, Rücker G, Antes G, Kern WV. Pelargonium sidoides extract for treating acute respiratory tract infections. Cochrane Database Syst Rev 2013; (10): CD006323. [PubMed: 24146345]

  • Vorilhon P, Arpajou B, Vaillant Roussel H, Merlin E, Pereira B, Cabaillot A. Efficacy of vitamin C for the prevention and treatment of upper respiratory tract infection. A meta-analysis in children. Eur J Clin Pharmacol 2019; 75(3): 303-311. [PubMed: 30465062]

  • IQWiG health information is written with the aim of helping
    people understand the advantages and disadvantages of the main treatment options and health
    care services.

    Because IQWiG is a German institute, some of the information provided here is specific to the
    German health care system. The suitability of any of the described options in an individual
    case can be determined by talking to a doctor. We do not offer individual consultations.

    Our information is based on the results of good-quality studies. It is written by a
    team of
    health care professionals, scientists and editors, and reviewed by external experts. You can
    find a detailed description of how our health information is produced and updated in
    our methods.

When not to give a child painkillers and antipyretics

Does something hurt? Forehead hot? Candles, syrups, pills for fever and pain are in every home first aid kit. The means are familiar and popular, but are they always harmless?

Readers of the online project Letidor.ru Shcherbakova Alla Anatolyevna , pediatrician, candidate of medical sciences, doctor of the clinic “Mother and Child – Savelovskaya”, told about how not to harm children’s health.

Maybe we can handle it ourselves

The first and most important recommendation when it comes to a high temperature and acute pain in a child: it is always better to take the baby to the doctor than self-medicate. Parents can miss something, not notice, hear the wrong advice from other parents. This can lead to serious consequences. If in doubt or feel that you can’t cope, go see a pediatrician or call an ambulance!

Isn’t it time to shoot down?

The most common cause of high fever in children is SARS. Remember: the temperature up to 38.5⁰ can not be knocked down. This is a protective reaction of the body that fights the disease. The temperature above must always be brought down. Fever threatens the development of febrile seizures in babies and complications on the central nervous system in older children. Antipyretics for children are usually given in the form of syrups or rectal suppositories.

90% of antipyretics are taken without medical supervision. It’s wrong, but that’s the reality.

Preparations are divided into several groups according to the main active ingredient: those containing paracetamol, ibuprofen, analgin and steroid group.

The principle of admission is as follows: first we give the child a drug from one group, we wait from forty minutes to an hour. If there is no dynamics, the temperature does not decrease, we give the drug of the next group. Again we wait forty minutes. If there are no changes, then we give a new group. But this situation already indicates that the mother cannot cope and it is better to consult a doctor or go to the hospital.

Before use, carefully read the instructions, calculate the dose based on the age and weight of the child. Do not panic ahead of time and let the medicine work.

Carefully study the section “Overdose”. I have not come across it in my practice, but even in the instructions themselves they write that antipyretics can cause neutropenia (a disease characterized by a decrease in the level of neutrophilic leukocytes in the blood).

There are rare cases when certain drugs do not work on a child. This is found out by experience. If you have any such suspicions, be sure to tell your doctor. He will select alternative methods, including physical ones (rubbing, applying cold to the body, etc.).

Some parents report allergies (skin rashes, irritation) to drugs. Most often, they are caused not by the active substance, but by preservatives, fragrances, dyes and flavor enhancers – everything that makes the medicine pleasant for the tongue and nose.

You should definitely tell the doctor about this and find alternatives with him.

What will help with pain

Nonsteroidal drugs (paracetamol, analgin, ibuprofen) have four effects: anti-inflammatory, antipyretic, decongestant, analgesic. It is not necessary to give the child antipyretics and additional pain medication. Medicines work in two directions at once.

Never give a child pain medication if he complains of abdominal pain.

If the child has a medical condition that requires surgery, medication can blur the picture. If the baby has a headache or a toothache, then painkillers can be given. But the principle is as follows: we give the drug, and if after an hour there is no noticeable dynamics, then we turn to the doctor. It is the dynamics that are important, that the condition has improved, it hurts less.

If there is no speaker at all, then call an ambulance!

In case of recurrent pain in a child, we make an appointment for a consultation and an additional examination.

A whole list of diseases can be manifested by persistent headaches, and therefore they should be excluded. But there are emotional, labile children who, with complaints of pain or temperature, attract the attention of their parents.

In my practice, such children met. If this is your case, take time for the baby, take care of him. For example, one of the mothers of my patients coped with the situation as follows: she poured lingonberry syrup into a medicine bottle, and the temperature went away.

The doctor told what to do with overheating and heat stroke | Media portal

The doctor told what to do in case of overheating and heat stroke

Subject:
Clinic news

Publication date: 07/09/2020

The therapist of the KFU University Clinic shared her advice.

Hot weather is a real test even for an absolutely healthy person. How to behave in the heat and what measures should be taken if the body is overheated, explained the head of the Therapy Department No. 1 of the University Clinic of Kazan Federal University Ilsiyar Shafigullina.

At the beginning of the conversation, the doctor said that heat stroke is a painful condition of the body that occurs when you stay under the influence of high temperature for a long time. Causes of malaise can be: heat, heavy physical exertion, lack of water in the body.

“Heat stroke does not happen all at once. First, there is a thermal exhaustion of the body, which is evidenced by: pale skin, heavy sweating, rapid pulse, weakness, headache, nausea, dizziness. Seizures may occur. The next stage is the stage of heat stroke, it is characterized by: an increase in body temperature up to 40 degrees, difficulty breathing, vomiting, fainting, a serious heart rhythm disorder, clouding of consciousness,” Ilsiyar Adipovna said and warned that if a heat stroke is suspected, an ambulance should be called.

Therapist at KFU Uniclinic noted that people with chronic diseases of the cardiovascular system, overweight, diabetes, as well as the elderly and children are at risk. They need to be especially careful and try not to leave the house in hot weather from 11 am to 4 pm.

“If you feel unwell in the heat, then you need to find a shade or go into a cool room, remove excess clothing. Place a towel dampened with cold water or an ice pack wrapped in cloth on your forehead. To compensate for the loss of moisture in the body, you need to drink 2-4 glasses of non-carbonated water, juice or fruit drink every hour. If there is a suspicion that it may be a heat stroke, you need to put cold compresses not only on the forehead, but also on the wrists, ankles, and also in the neck area for 30-60 minutes. In no case should you put a cold compress on the chest area, as you can get severe hypothermia!”, the doctor of the highest category instructed.

She also advised against using painkillers, antihistamines, diuretics, and antidepressants during the heat.

“Headache when overheating is associated with dehydration, so taking analgesics or paracetamol is not recommended. It is better to take a cool shower, while the water temperature should be at least 20 degrees. To restore the water-salt balance of the body, you can drink Regidron or just salted water. The proportion is as follows: for 100 milliliters – a quarter of a teaspoon of salt,” said Ilsiyar Shafigullina.