this post was submitted on 30 Nov 2023
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When you stroll down the cold and flu aisle in a drugstore, it's easy to get lost in the dizzying array of products promising to clear sinus pressure, dry up sniffles and stop plaguing coughs. Some concoctions even offer it all in one magical pill.

But doctors say the science behind some of those claims is lackluster.

"There's just not much that's very effective for treating the common cold," said Dr. Lauren Eggert, clinical assistant professor in the Pulmonary Allergy and Critical Care Division at Stanford University.

"Most of the things out there — antihistamines, decongestants, cough medicines — none of them have a lot of evidence that they're super effective at improving cough or common cold symptoms."

Headlines blasted that message in September when advisers to the FDA found oral phenylephrine, which is an active ingredient in some Sudafed, Mucinex, and Dayquil products, is simply not effective. The review was prompted by inquiries dating back nearly a decade.

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[–] DessertStorms@kbin.social 24 points 2 years ago

A decongestant might not cure the cold, but it sure as hell makes life easier to be able to breath lol

*To be fair I'm talking about things like vicks/olbas/tiger balm type things that help clear the gunk out of your sinuses, I don't know if that's what they mean too, but those are my go-to's if I'm bunged up.

[–] ladicius@lemmy.world 19 points 2 years ago

German proverb: A flu lasts seven days with medicine and a week without.

[–] EatYouWell@lemmy.world 14 points 2 years ago (1 children)

Just a reminder that phenylephrine, the replacement for Sudafed in OTC decongestants, isn't any more effective than a placebo.

If you want a decongestant, use a nasal spray (very sparingly because rebound effect)

[–] CrayonRosary@lemmy.world 4 points 2 years ago* (last edited 2 years ago) (1 children)

Seriously, just don't use nasal spray ever. I was addicted to it in high school. By addicted I mean I couldn't breathe through my nose at all without it. The bottle says only use it every 4 hours, but it never lasts more than 1.

[–] EatYouWell@lemmy.world 1 points 2 years ago

Yeah, the only time you should use it is to fall asleep.

[–] KISSmyOS@lemmy.world 13 points 2 years ago (3 children)

There's cough syrup which will reduce that tickling feeling in your throat for a while.
But tea with honey works, too. There's painkillers and pills against fever but they should be used only if absolutely necessary.
There's nothing that can make a cold go away faster.
My pro-tipp is to chill at home and get a slight buzz going.

[–] Rocketpoweredgorilla@lemmy.ca 11 points 2 years ago

chill at home and get a slight buzz going

Way ahead of you there. And I don't even have a cold.

[–] amio@kbin.social 5 points 2 years ago

There’s painkillers and pills against fever but they should be used only if absolutely necessary.

They're fine, at least if your pain or fever bothers you. If you're thinking about "fever as natural defense", it's been shown IIRC that treating the fever with over the counter drugs does not harm you or prolong the course of the illness.

[–] z3rOR0ne@lemmy.ml 2 points 2 years ago (1 children)

Sadly, that buzz may not be all that helpful, depending on what you're imbibing, though it certainly can help distract you a bit depending on the severity of the cold and the level of buzz.

Best thing is water, sleep, healthy food, maybe a doctor's visit, and definitely just time for it to pass.

[–] EatYouWell@lemmy.world 10 points 2 years ago

I wouldn't recommend seeing a doctor unless you've been sick for over a week, have symptoms of a bacterial infection (like strep throat), are running a high fever that's resistant to nsaids, or any severe symptoms like difficulty breathing.

Otherwise you're just paying to be told to get rest and drink plenty of fluids, and potentially infecting people at the clinic. Or they just throw unnecessary antibiotics at you which increase your risk of a c-diff infection (would not recommend).

If your doctor is cool, you can probably call and talk to the nurse on staff and they'll tell you to come in or not.

[–] DAMunzy@lemmy.dbzer0.com 10 points 2 years ago (1 children)

All the medicine is about masking the symptoms. The best results for "cures" reduced cold length from 5 days to 4.5 days.

[–] jol@discuss.tchncs.de 4 points 2 years ago

In my experience medication also helps with overlasting coughing after the cold passes. But yeah, you're about right.

[–] ares35@kbin.social 7 points 2 years ago (1 children)

the real sudafed (pseudoephedrine) which is at least partially-controlled now most places. you have to ask for it, the sale is logged, etc.. and it's expensive af these days.

[–] SuiXi3D@kbin.social 4 points 2 years ago (1 children)

…and if you have high blood pressure, you can’t take it.

[–] HeyThisIsntTheYMCA@lemmy.world 2 points 2 years ago (1 children)

This is news to me. Drug Interactions or something else?

[–] SuiXi3D@kbin.social 3 points 2 years ago (1 children)

It raises blood pressure, so if you already have high blood pressure it can cause you to have a heart attack.

[–] HeyThisIsntTheYMCA@lemmy.world 2 points 2 years ago (1 children)

ohhh so if the blood pressure is controlled it's okay?

[–] SuiXi3D@kbin.social 3 points 2 years ago (1 children)

As far as I’m aware, yes. Ask a pharmacist for more info next time you’re grabbing some.

[–] HeyThisIsntTheYMCA@lemmy.world 2 points 2 years ago

I'll just treat it with crystal meth but yeah

[–] Spacebar@lemmy.world 7 points 2 years ago

Sleep is the best medicine

[–] Buddahriffic@lemmy.world 6 points 2 years ago

The best way to take care of a cold is to have taken care of your body before you got the cold.

[–] Hagdos@lemmy.world 4 points 2 years ago

Taking rest, and letting your body handle it is what works. Not going out and infecting others helps a bunch too.

Most other things help against the symptoms, like opening up your nose. Nice to haves, but not cures

[–] SteefLem@lemmy.world 4 points 2 years ago (2 children)

Chicken soup, a good chicken broth/soup. Is the only thing to, help, a little. And is tasty.

[–] Lemminary@lemmy.world 1 points 2 years ago

Yes, it helps my taste buds quite a bit.

[–] KSPAtlas@sopuli.xyz 1 points 2 years ago

Especially when baked instead of just boiled

[–] CrayonRosary@lemmy.world 2 points 2 years ago

My n=1 study says that real Sudafed (pseudoephedrine HCl) is a life saver when I have sinus pain. The modern, over-the-counter, fake shit does absolutely nothing.

[–] Fredselfish@lemmy.world 1 points 2 years ago (1 children)

Now makes since. I get colds all the time and nothing helps.

[–] PutangInaMo@lemmy.world 1 points 2 years ago (2 children)

It's kind of pseudoscience but have you tried zinc? I feel like it helps I get over stuff faster than others in my household and I'm the only one that takes it when sick.

[–] thanksforallthefish@literature.cafe 2 points 2 years ago (1 children)

Shortages of certain vitamins and minerals cause your immune system to be weaker. Low zinc is one but vitamin d, k, b12 and (less than made out by marketing but not zero) C deficiencies make you more susceptible

[–] Buddahriffic@lemmy.world 2 points 2 years ago

This is the main thing with supplements in general. If you're deficient and the supplement is in a bioavailable form then it will help you (though not necessarily with the specific issue you want to resolve, and with illness it's better to be prepared ahead of time rather than try to catch up once you're sick). If you aren't deficient, you're just giving your kidneys more work for no benefit.

And this is just speculation, but viruses and bacteria also use vitamins and minerals to replicate, so it's possible that certain supplements could benefit the infection. That said, your cells vastly outnumber infection cells unless you're doing very badly already, so odds are your body still gets more benefit from not being out of something, even if the virus needs it.

[–] OrteilGenou@lemmy.world 1 points 2 years ago

NyQuil at bedtime, honey lemon tea, sleep

[–] ByteWizard@lemm.ee -4 points 2 years ago

Oh look honey, the latest state propaganda just dropped!

Suddenly cold medicines don't work! (But homeopathic remedies are just fine)