Am Fam Physician. 2012;86(2):online
See related article on treatment of the common cold in children and adults.
What do I do if I have a cold?
Most colds don't cause serious illness and will get better over time. Cold symptoms in adults can be treated with some over-the-counter medicines. Talk to your doctor about what is best for you.
What over-the-counter treatments are helpful in adults?
Choosing an over-the-counter medicine that contains an antihistamine and a decongestant may help you cough less and breath better through your nose. Cough medicines such as dextromethorphan (one brand: Robitussin) and guaifenesin (one brand: Mucinex) may help some people.
If you have a headache or body aches, pain medicines such as ibuprofen (one brand: Advil) can help. The pain medicine naproxen (one brand: Aleve) also may be used for cough.
Herbal products, such as Echinacea purpurea, Pelargonium sidoides (geranium) extract (one brand: Umcka Coldcare), and Andrographis paniculata (one brand: Kalmcold), may reduce cold symptoms.
Zinc taken in the first 24 hours of cold symptoms may reduce how many days you have a cold, and you may also get fewer symptoms. You can take one lozenge every two hours while awake for as long as you have cold symptoms. But, they may give you a bad taste in your mouth or upset your stomach. Zinc nose sprays should not be used.
What treatments are not helpful in adults?
Antibiotics
Antihistamines without decongestants
Codeine
Echinacea angustifolia
Saline nasal spray
Vitamin C