Decoding Cold Relief: Over-the-Counter vs Prescribed Medications

Visual Representation | Credits: Getty Images
Visual Representation | Credits: Getty Images

Washington: Experiencing a cold, cough, or other flu-like symptoms has become commonplace in society, but the primary concern revolves around the optimal methods for treating these viruses. Medical experts assert that the crux lies in understanding the options available to alleviate symptoms and discerning the significant differences.

In an interview with Fox News Digital, Dr Elaena Quattrocchi, a pharmacist and associate professor in the Division of Pharmacy Practice at Long Island University in Brooklyn, emphasized, “A prescription medication necessitates authorization from a healthcare provider, while an over-the-counter medication enables self-treatment for conditions like colds, allergies, headaches, and joint pain.”

Dr. Quattrocchi noted that over-the-counter medications are accessible not only in pharmacies but also in supermarkets and other retail outlets. She emphasized the importance of taking prescription medications only under the guidance of a healthcare professional, highlighting that certain medications are available both over-the-counter and through prescription, contingent on dosage and duration.

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Addressing the efficacy of medications for colds and flu, Dr. Quattrocchi stated during the Fox News Digital interview, “Prescription medications are more effective in treating the flu due to the availability of prescribed antiviral agents. However, timing is crucial for their effectiveness.”

Quattrocchi further explained that evidence supporting the efficacy of many drugs for colds and flu is lacking. If symptoms persist or worsen after initial improvement, it may indicate an underlying infection requiring medical attention.

What do other experts say?

According to reports from Fox News Digital, Dr. Aaron E. Glatt, Chair of the Department of Medicine and Chief of Infectious Disease at Mount Sinai South Nassau in Long Island, New York, emphasized, “The only proven treatments for influenza are FDA-approved antivirals. While not perfect, they should be used appropriately under a physician’s guidance.”

Dr. Frederick Davis, Associate Chair of Emergency Medicine at Northwell Health Long Island Jewish Medical Center in New Hyde Park, New York, highlighted that most medications for viral infections primarily focus on symptom control.

“Some prescription medications may target specific viruses, like Paxlovid for COVID or Tamiflu for flu. These drugs could potentially reduce symptom severity or duration,” he added.

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Exploring potential side effects

Experts, including Davis and Glatt, cautioned the public about the side effects of over-the-counter medications. They emphasized that just because a drug is available without a prescription does not mean it is suitable for everyone.

Davis specifically highlighted the potential side effects of Pseudoephedrine, a common ingredient in over-the-counter medications, including difficulty sleeping, dizziness, and nervousness. It can also elevate blood pressure, posing concerns for those with existing hypertension.

In addition, experts mentioned potential side effects of nasal decongestant sprays, such as Afrin, warning of rebound congestion if used for more than three days.

Over-the-counter medications for children

Experts and pharmacists stressed that it is unsafe to administer over-the-counter medications to children without consulting pediatricians. Dr Quattrocchi emphasized, “The FDA does not recommend over-the-counter medications for cough and cold symptoms in children under two years old due to potential serious side effects.”

Quattrocchi also underscored that adult medications should not be given to children, advising against using aspirin-containing products for fever treatment in children and cautioning against the use of honey in children under 12 months old due to the risk of botulism, as reported by Fox News Digital.