Over the counter remedies for cold, flu and COVID symptoms.

As the cold, flu, and COVID season approaches, I’d like to share some fundamental recommendations for those experiencing mild to moderate symptoms, including cough, congestion, sinus pressure, and increased drainage. These suggestions may vary based on individual circumstances. 

I often recommend Mucinex, which contains guaifenesin, a mucolytic that helps break down and thin the mucus, which ultimately helps to decongest the sinuses. The typical dosage is 600 mg twice a day for 7 to 10 days to optimize mucus flow. It’s important to stay well-hydrated, as water enhances the effectiveness of Mucinex. 

Mucinex is available in several formulations: 

Mucinex DM: This combines guaifenesin with dextromethorphan, the “DM” stands for Dextromethorphan, an ingredient that helps suppress coughing. This can be a good option if you’re dealing with both sinus drainage and cough.  

Mucinex D: This formulation combines guaifenesin with pseudoephedrine, the “D” indicates this ingredient, a vasoconstrictor that tightens blood vessels and reduces sinus drainage. It’s especially useful for managing a wet, runny nose.  

Important Note: Both Mucinex D and DM can elevate heart rate and blood pressure, so they should only be used for a short duration and should be avoided if you have hypertension or heart disease. If symptoms worsen or persist, it may indicate a more significant viral illness, such as RSV or COVID, or even a bacterial infection like acute or chronic sinusitis, which may require different treatment and likely necessitate a visit with your doctor. 

I also recommend Flonase nasal spray, an over-the-counter topical steroid nasal spray. A short course of use of 7 to 10 days at twice daily in each nostril, can help reduce inflammation and improve nasal airflow. Prolonged use is not recommended, as it can lead to paradoxical inflammation of the sinuses. 

For additional symptom relief and to help dry up nasal passages, I prefer antihistamines such as Zyrtec, 10 mg once daily for 5 to 10 days. Like other medications, be mindful of potential side effects, as it can also increase heart rate and blood pressure. 

These recommendations provide a foundation for managing cold, flu, and COVID symptoms. It’s essential to listen to your body and consult with a healthcare professional if symptoms persist or worsen. Stay safe and take care! 

~ Dr. Edward Espinosa