Antihistamines & Decongestants for Colds: Effectiveness & Relief

The common cold is a viral infection (rhinovirus, coronavirus, parainfluenza) causing runny nose, congestion, sore throat, cough, sneezing, fatigue.

Medications

  • Antihistamines: Block histamine → reduce inflammation/swelling from allergies/cold.
  • Decongestants: Constrict nasal blood vessels → reduce swelling/congestion.

Evidence

  • Antihistamines reduce symptom severity (JAMA Internal Medicine).
  • Decongestants reduce congestion (Cochrane Review).

Limitations

They relieve symptoms but do not cure the cold. Side effects: drowsiness, headaches, stomach upset. Consult doctor before use.

Additional Tips

  • Rest
  • Fluids
  • Humidifier
  • Saltwater gargle
  • OTC pain relievers for fever/aches

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