Unlocking the Truth About Over-the-Counter Cold Remedies This Season

In this Vox article, Keren Landman, MD, explores common misconceptions about the effectiveness of over-the-counter (OTC) cold medications as the cold season begins. She highlights the recent FDA recommendation against phenylephrine, a widely used decongestant that has been proven ineffective when taken orally. Many OTC products fail to alleviate cold symptoms significantly, yet a few treatments, both pharmaceutical and non-pharmaceutical, can provide some relief. Effective options include pain relievers, specific decongestants like pseudoephedrine, and certain nasal sprays. Additionally, safety precautions against illness, as well as home remedies like honey and staying well-hydrated, can help manage cold symptoms. The article stresses the importance of monitoring symptoms and consulting a healthcare provider when conditions worsen or differ from typical cold presentations.

Key Points:

• Many OTC cold medications are ineffective; phenylephrine specifically has been discredited.
• Effective treatments include pain relievers (like Tylenol and ibuprofen) and pseudoephedrine for nasal congestion.
• Cough medicines are generally not recommended due to minimal evidence of effectiveness and potential risks for children.
• Home remedies such as honey for cough relief and strategies like adequate hydration and rest may improve symptoms.
• Preventive measures include handwashing, ventilation, masking, and avoiding sick individuals.
• Seek medical attention for severe or prolonged symptoms that deviate from typical cold presentations.
  Link to Article