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Should You Choose Medication or Home Remedies to Treat Your Cold?

Are you sniffling and sneezing yet? If not, chances are that you soon will be. Cold season is upon us!

Experts estimate that adults will average two to four colds this year. Kids often get six to ten URIs (upper respiratory infections) in a year.

Interestingly, senior citizens seem less susceptible, averaging less than one cold annually. That’s presumably because they have had so many over a lifetime that they have built up natural immunity by the time they reach their 60s.

According to the government, there will be more than one billion colds in the U.S. this year. That adds up to a lot of suffering. And modern medicine doesn’t have a thing it can offer to help you overcome the infection. Ask your doctor for a drug to speed recovery and he will shrug in frustration.

Infectious disease experts usually offer the same old advice year in and year out: wash your hands! If you do come down with a cold, “get plenty of rest and drink fluids.”

There’s not a lot of scientific evidence that such recommendations make much difference. A randomized trial of hand disinfection with an alcohol hand sanitizer demonstrated dismal results (Clinical Infectious Diseases, May 15, 2012). One group of volunteers applied the alcohol lotion every three hours throughout the day. The control group followed their normal hand-washing routine. All subjects kept a diary of common cold symptoms. Nasal lavage specimens were analyzed for rhinovirus (RV).

Sadly, the investigators discovered “virucidal hand treatment had no significant impact on the incidence of RV infection or RV-associated illness.” Even though the regular use of alcohol-containing hand sanitizer effectively eradicates cold viruses from the hands, regular use did not reduce the likelihood of catching a cold.

So what should you do if you do come down with a URI this winter? We do not recommend most drugstore cold treatments. The pain relievers that are frequently found in such remedies (ibuprofen and acetaminophen) may actually dampen the immune response and increase nasal symptoms (Journal of Infectious Diseases, Dec., 1990).

Oral decongestants can ease stuffiness, but they may lead to insomnia. Getting a good night’s sleep is important to allow the immune system to fight off cold viruses.

For symptom relief, grandmothers around the world have relied on home remedies for generations. Chicken soup, hot toddies, ginger tea, garlic and cod liver oil (with vitamin D) all have enthusiastic supporters.

There are details about these remedies and about antiviral Chinese herbs such as andrographis and astragalus in our Guide to Colds, Coughs & the Flu.  This brochure also contains a range of cough remedies for coughs that are safer for children than drugstore cough syrup. They include such choices as thyme tea, honey, dark chocolate and grape juice. Unlike dextromethorphan, most of them taste pleasant and none have serious side effects. Honey should be reserved for youngsters over one year old, though, as it could in rare cases cause botulism in babies.

If you do catch a cold in the coming weeks, remember that the best thing you can do is stay home, rest and avoid spreading it to others.

 

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About the Author
Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies..
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