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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[–] [email protected] 27 points 1 year 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.

[–] [email protected] 22 points 1 year ago

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

[–] [email protected] 16 points 1 year 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)

[–] [email protected] 5 points 1 year ago* (last edited 1 year 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.

[–] [email protected] 1 points 1 year ago

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

[–] [email protected] 11 points 1 year 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.

[–] [email protected] 4 points 1 year ago

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

[–] [email protected] 9 points 1 year 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.

[–] [email protected] 5 points 1 year ago (1 children)

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

[–] [email protected] 2 points 1 year ago (1 children)

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

[–] [email protected] 4 points 1 year ago (1 children)

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

[–] [email protected] 2 points 1 year ago (1 children)

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

[–] [email protected] 3 points 1 year ago (1 children)

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

[–] [email protected] 2 points 1 year ago

I'll just treat it with crystal meth but yeah

[–] [email protected] 9 points 1 year ago

Sleep is the best medicine

[–] [email protected] 7 points 1 year ago

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

[–] [email protected] 5 points 1 year ago (2 children)

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

[–] [email protected] 1 points 1 year ago

Yes, it helps my taste buds quite a bit.

[–] [email protected] 1 points 1 year ago

Especially when baked instead of just boiled

[–] [email protected] 4 points 1 year 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

[–] [email protected] 2 points 1 year ago (1 children)

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

[–] [email protected] 1 points 1 year 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.

[–] [email protected] 2 points 1 year 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

[–] [email protected] 2 points 1 year 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.

[–] [email protected] 1 points 1 year ago

You are probably just lucky, or your body just happens to deal with it better than your family.

[–] [email protected] 2 points 1 year 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.

[–] rarely 1 points 1 year ago

Yeah, nothing’s ever worked for a cold. You have to let that shit pass. And absolutely not take antibiotics.

[–] [email protected] 1 points 1 year ago

NyQuil at bedtime, honey lemon tea, sleep