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Treatments and drugs
By Mayo Clinic staffThere's no cure for the common cold. Antibiotics are of no use against cold viruses. Over-the-counter (OTC) cold preparations won't cure a common cold or make it go away any sooner, and most have side effects. Here's a look at the pros and cons of some common cold remedies.
- Pain relievers. For fever, sore throat and headache, many people turn to acetaminophen (Tylenol, others) or other mild pain relievers. Keep in mind that acetaminophen can cause liver damage, especially if taken frequently or in larger than recommended doses. Don't give acetaminophen to children under 3 months of age, and be especially careful when giving acetaminophen to older babies and children because the dosing guidelines can be confusing. For instance, the infant-drop formulation is much more concentrated than the syrup commonly used in older children. Never give aspirin to children. It has been associated with Reye's syndrome — a rare but potentially fatal illness.
- Decongestant nasal sprays. Adults shouldn't use decongestant drops or sprays for more than a few days because prolonged use can cause chronic rebound inflammation of mucous membranes. And children shouldn't use decongestant drops or sprays at all. There's little evidence that they work in young children, and they may cause side effects.
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Cough syrups. The Food and Drug Administration (FDA) and the American Academy of Pediatrics strongly recommend against giving OTC cough and cold medicines to children younger than age 2. Over-the-counter cough and cold medicines don't effectively treat the underlying cause of a child's cold, and won't cure a child's cold or make it go away any sooner. These medications also have potential side effects, including rapid heart rate and convulsions.
In June 2008, the Consumer Healthcare Products Association voluntarily modified consumer product labels on OTC cough and cold medicines to state "do not use" in children under 4 years of age, and many companies have stopped manufacturing these products for young children.
FDA experts are studying the safety of cough and cold medicines for children older than age 2. In the meantime, remember that cough and cold medicines won't make a cold go away any sooner — and side effects are still possible. If you give cough or cold medicines to an older child, carefully follow the label directions. Don't give your child two medicines with the same active ingredient, such as an antihistamine, decongestant or pain reliever. Too much of a single ingredient could lead to an accidental overdose.
- Turner RB. The common cold. In: Mandell GL, et al. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 76th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2009. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-443-06839-3..00053-9&uniq=212417556&isbn=978-0-443-06839-3&sid=1032726390. Accessed Aug. 3, 2010.
- Friedman ND, et al. The common cold in adults: Diagnosis and clinical features. http://www.uptodate.com/home/index.html. Accessed Aug. 3, 2010.
- Pappas DE, et al. The common cold in children. http://www.uptodate.com/home/index.html. Accessed Aug. 3, 2010.
- Overview of common cold. Centers for Disease Control and Prevention. http://www.cdc.gov/getsmart/antibiotic-use/URI/colds.html. Accessed Aug. 3, 2010.
- Symptom relief. Centers for Disease Control and Prevention. http://www.cdc.gov/getsmart/antibiotic-use/symptom-relief.html. Accessed Aug. 3, 2010.
- Public health advisory: FDA recommends that over-the-counter (OTC) cough and cold products not be used for infants and children under 2 years of age. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/PublicHealthAdvisories/ucm051137.html. Accessed Aug. 3, 2010.
- Friedman ND, et al. The common cold in adults: Treatment and prevention. http://www.uptodate.com/home/index.html. Accessed Aug. 3, 2010.
- Ross SM. An integrative approach to rhinosinusitis in children. Holistic Nursing Practice. 2009;23:302.
- Cough suppressant and pharmacologic protussive therapy: ACCP evidence-based clinical practice guidelines. Northbrook, Ill.: The American College of Chest Physicians (ACCP). http://www.guideline.gov/summary/summary.aspx?doc_id=8675&nbr=4840&ss=6&xl=999.
- Bukutu C, et al. Complementary, holistic, and integrative medicine: The common cold. Pediatrics in Review. 2008;29:e66.
- What to do in a medical emergency: Fever. American College of Emergency Physicians. http://www.emergencycareforyou.org/EmergencyManual/WhatToDoInMedicalEmergency/Default.aspx?id=242&terms=fever. Accessed Aug. 3, 2010.
- Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 8, 2010.
- Bauer BA (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 13, 2010.
- Singh M, et al. Zinc for the common cold. Cochrane Database of Systematic Reviews. 2011:CD001364.
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