As you’re recovering, there are many cold treatment options that can help ease symptoms and make your cold more tolerable. Steam, warm liquids, home remedies, and complementary and alternative therapies can make you more comfortable. While prescription therapies are not commonly used, over-the-counter medication (e.g., decongestants, expectorants, cough suppressants, pain relievers, and more), can help treat cough, congestion, and/or runny nose.
If you are treating a child, it’s important to know that not all cold treatments are appropriate for them. Check with your healthcare provider if you aren’t sure what is causing your/your child’s illness or how to treat it.
Home Remedies and Lifestyle
The U.S. Food and Drug Administration (FDA) advises staying hydrated when you have a cold, by drinking enough fluids and avoiding alcohol and caffeinated products. Getting rest is also recommended.
Avoid smoking or secondhand smoke, which may make you feel worse.
Home remedies can help with specific symptoms.
Sore Throat and Cough
Sucking on lozenges or gargling with warm salt water can help soothe a sore throat. Do not give lozenges to children under age 4, due to the risk of choking.
Honey has some evidence of being a cough remedy and might decrease nighttime coughing in children. A warm mug of herbal tea with honey and lemon can be soothing. However, you should never give honey to infants under the age of 1 year due to the risk of infant botulism.
Congestion
Hot liquids, in general, might help loosen congestion. A warm bowl of chicken noodle soup can be comforting.
Using a clean humidifier might help with congestion. And steam from running the shower or breathing over a hot bowl of water may be useful.
Saline nasal irrigation is a home remedy often recommended to relieve sinus congestion from the common cold. Be sure to only use distilled, sterile, or previously boiled water to make the saline solution. Nasal irrigation can be done with a neti pot, squeeze bottle, or bulb.
Over-the-Counter (OTC) Therapies
There are many OTC products that can help ease the symptoms of a cold.
Many of these products contain more than one active ingredient, each directed to treating a different symptom. It is recommended that you only treat the symptoms that you have, rather than taking a product that has unneeded ingredients.
Read the package carefully or ask your pharmacist to figure out if an OTC product is what you are looking for.
Also, be aware that many cold medications have ingredients in common. Taking more than one at the same time can pose the risk of accidental overdosing.
Antihistamines
Antihistamines help relieve itchy, watery eyes, a runny nose, and a scratchy throat.
Benadryl (diphenhydramine) is a common choice, and it can make you sleepy. Non-drowsy alternatives include Claritan (loratadine), Allegra (fexofenadine), Zyrtec (cetirizine), and Xyzal (levocetirizine).
For a runny nose, you may also use Flonase (fluticasone), which is a nasal steroid.
Decongestants
Decongestants alleviate sinus headaches and stuffy noses. Sudafed (pseudoephedrine) is a typical choice, but it can produce insomnia. It is now sold behind the counter in many places and in limited quantities to prevent its use in making illegal drugs.
Phenylephrine is a decongestant that is not under such control. In multi-symptom formulas, the use of “D” in the name often indicates it includes a decongestant.
Expectorants
Expectorants help thin out and loosen mucus so it won’t collect in your airways. This can help you blow your nose more easily. Guaifenesin is the expectorant ingredient approved by the FDA, and it can be found in OTC products like Robitussin, Mucinex, and multi-symptom formulas.
Cough Suppressants
Cough suppressants (antitussives) may help relieve cough. Coughing performs an essential function: It clears your lungs, helping get rid of infectious organisms, so it’s best to use them only when your cough has become uncomfortable.
Dextromethorphan is the most common OTC cough suppressant ingredient. It should not be given to children under age 4, and you should consult your healthcare provider before giving it to a child between ages 4 to 11.
Combination products that include an antihistamine and decongestant also have a cough suppressant function. These can help dry up postnasal drip and relieve a cough.
Pain Relievers
Pain relievers such as Tylenol (acetaminophen) and Advil (ibuprofen) can reduce fever and help relieve headaches or minor body aches you may have from your cold.
Aspirin is not recommended for treating a cold, and should never be given to children due to the risk of developing Reye’s syndrome. Acetaminophen is the only pain reliever that may be given to children younger than 6 months; older children can take either acetaminophen or ibuprofen.
Prescriptions
While the typical cold does not need treatment with prescription drugs, you should see your healthcare provider if the symptoms are severe or last more than 10 days. If you have asthma, a cold can trigger an attack and you may need your asthma medications adjusted.
Prescription therapies may treat the following symptoms:
Prescription cough suppressants may contain opiates such as codeine. These medications can have significant side effects and there’s little evidence that they work. For a runny nose that won’t stop, Nasonex (mometasone) is a prescription nasal steroid.
While many people request antibiotics when they have a cold, these drugs have no effect on the cold virus. Overprescription can lead to antibiotic-resistant bacteria.
Complementary and Alternative Medicine (CAM)
Many dietary supplements, herbal remedies, and holistic health practices have been studied to see if they reduce the length of colds. None have reached the level of being a cure, but some studies show that they may have beneficial effects.
Zinc
Studies are ongoing using zinc to reduce the duration of cold symptoms in healthy people. While the data isn’t conclusive, zinc lozenges, syrup, or tablets of up to 75 milligrams(mg) per day, when used throughout your cold, may shorten its duration.
These lozenges can produce side effects, including nausea and a bad taste in your mouth.
Avoid intranasal zinc (in a swab, gel, or spray), as that has been linked to the loss of the sense of smell.
American Ginseng
There’s some evidence that American ginseng (Panax quinquefolius) may shorten the duration of a cold. The studies that showed this were in people who took ginseng for eight to 16 weeks to prevent colds. Although they didn’t have significantly fewer colds, their colds were shorter.
Asian ginseng (Panax ginseng) doesn’t seem to be beneficial.
Note that ginseng can decrease the effect of the common blood thinner Coumadin (warfarin), so you should talk to your healthcare provider before using it if you are on any medications.
Vitamin C
Many people swear by taking extra vitamin C for a cold. Findings as to whether it works or not are inconsistent.
People who live in cold climates and people who regularly participate in strenuous exercise, such as distance runners, typically have low levels of vitamin C. Taking a vitamin C supplement could prevent them from getting colds. But unless you have this deficiency, it will probably do nothing to prevent or cure a cold.
It may be tempting to give yourself a high dose of vitamin C when you feel cold symptoms coming on, but more isn’t better. In fact, taking more than 500 mg of vitamin C is basically useless. Your body cannot fully absorb it, and it gets flushed out through urination.
Echinacea
Echinacea is another common herbal remedy touted for preventing or treating colds. A 2014 review comparing many studies found only weak evidence that the herb might have such effects, and only to a minor degree.
A problem with comparing studies is that echinacea products come from more than one species and different parts of the plant.
Other CAM remedies that are under research include garlic (appears not to be effective), meditation and exercise (one study found some effects), and probiotics.
A Word From Verywell
When you have symptoms of a cold or are caring for your child or a family member who has one, remember to practice good hygiene habits to keep it from spreading. Wash your hands often. Cover your mouth and nose when you sneeze or cough, and avoid touching your eyes, nose, and mouth.
Gargling with salt water to ease a scratchy throatA neti pot to help clear stuffy nasal passagesA humidifier or cool-mist vaporizer to help ease congestionSipping warm broth or tea to loosen congestionHoney to help ease sore throat pain
These include:
Antihistamines like Benadryl (diphenhydramine)Decongestants containing phenylephrine or pseudoephedrineCough suppressants containing dextromethorphanExpectorants containing guaifenesinPain relievers like Tylenol (acetaminophen) or Advil (ibuprofen)
Always check labels so you won’t double up on medications if you use more than one product.
Symptoms that last more than 10 days without improvementFever that lasts for more than four daysSymptoms that initially improve but then get worseDifficulty breathing or fast breathingSigns of dehydrationWorsening of any chronic medical condition
