Patient Educational Information

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Making Sense of Over-The-Counter

Cold/Sinus/Allergy Medications

 

People are often confused about which over-the-counter products might be helpful for colds, flu, sinus symptoms, allergies, and related problems.  This sheet does not list every product or every type of medication, but it may help you sort out things to look for and things to avoid.

With any medication, whether prescription or over-the-counter, it is important to follow the instructions exactly.  Please read the instructions on the box, and pay special attention to any warnings about when NOT to take the medication.

All medicines have two (or more) names: a generic name and one or more brand names.  Knowing how to recognize these and understanding what they do in the body can help you choose the most appropriate over-the-counter product.

 

Generic name

Brand name(s)

Purpose

Other notes

acetaminophen

Tylenol, store brands

Relieves pain, reduces fever

 

chlorpheniramine maleate

Chlor-Trimeton, combo products, store brands

Antihistamine; controls sneeze, itch, runny nose

Makes some people very sleepy; only lasts 4-6 hours

dextromethorphan

In Robitussin-DM, Mucinex-DM, DexAlone, others

Suppresses cough

 

diphenhydramine

Benadryl, store brands

Antihistamine; controls sneeze, itch, runny nose

Makes some people very sleepy; only lasts 4-6 hours

guaifenisin

Mucinex, Mucinex DM, combo products

Thins and loosens mucus and secretions

Take with lots of clear fluids for best effect

ibuprofen

Motrin, Aleve, store brands

Relieves pain, reduces fever

Can be hard on the stomach.  Avoid if sensitive/allergic to aspirin.

naproxen sodium

Aleve Cold & Sinus, others

Pain reliever

 

pheniramine maleate

TheraFlu, combo products

Antihistamine; controls sneeze, itch, runny nose

Makes some people very sleepy; only lasts 4-6 hours

phenylephrine

TheraFlu, Duraphen II, combo products

Decreases nasal congestion

May raise blood pressure, so use cautiously.  Can dry mucus and make it harder to clear.

pseudephedrine

Sudafed; ingredient in many combo products, store brands

Decreases nasal congestion

May raise blood pressure, so use cautiously.  Can dry mucus and make it harder to clear.

 

FOR EXAMPLE, the back of an over-the-counter product might show a box like this:  

acetaminophen _ _ _ _ _ _ _ _ _

Relieves pain and reduces fever

pseudephedrine _ _ _ _ _ _ _ _ _

Decreases nasal congestion

dextromethorphan _ _ _ _ _ _ _ _

Suppresses cough

This combination might be a good choice for someone who felt achy and had a stuffy nose and cough (and no blood pressure problems).  But if sneezing and a runny nose were primary complaints, the person might want to look for a product containing an antihistamine.  In some cases, it will be easiest to tailor therapy to the specific problem by buying products separately; for instance, have Tylenol (acetaminophen) for use when achiness is troublesome, and Benadryl (diphenhydramine) for use when the sneezing and runny nose are the worst.  This can allow for greater control over what you or your family receive.

The William Storms Allergy Clinic

Julia G. Mesnikoff, NP-BC

11/05

 

1625 Medical Center Point, Suite 190     Colorado Springs, CO 80907    719.955.6000   Fax: 719.955.9595     www.StormsAllergy.com

   

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