Cold, Flu, & Cough Health Center

How to Short-Circuit a Cold -- Maybe

Does Echinacea Fight Colds? continued...

One study of 120 people with cold-like symptoms took 20 drops of echinacea every two hours for 10 days and reported a shortening of cold duration.

Although some practitioners do not use echinacea for colds, Stengler does. "Oh, absolutely," he says. "I combine it with goldenseal, astralagus (a Chinese herb targeting the respiratory system), and lomatium (an herb championed by Native Americans in Nevada)."

The problem with these studies (and with many herb studies), Stengler says, is the differences in strengths and preparations used.

Echinacea can cause rashes in some people, particularly children, so be advised. People with automimmune diseases also should not take it. Usually echinacea is only used for a short time, not every day.

Is There a Role for Zinc?

"To me the most promising [cold medicine] is zinc," Larson says. "There seems to be a good biological basis for how it fights infection."

Zinc seems to play an important role in immunity.

"The thing to remember about zinc," says Stengler, who doesn't prescribe it much, "is that only certain forms are effective. These are zinc gluconate and zinc acetate. This comes in lozenge form."

Zinc lozenges can cause nausea and mouth irritation. Prolonged use (greater than six to eight weeks) has been associated with copper deficiency.

According to the National Center for Complementary and Alternative Medicine, homeopathic treatment involves giving extremely small doses of substances that produce characteristic symptoms of illness in healthy people when given in larger doses. This approach is called "like cures like."

"Homeopathy does not work for infections, though," points out Larson.

Approaches Worth Trying

It seems everyone has a cold remedy. These might be worth a try (and will at least get your mind off feeling lousy):

• Garlic. Stengler saw a study that shows garlic pills can ward off colds as well as vampires.
• Multivitamins for seniors. According to Stengler, a study showed that older people who take one a day have fewer colds.
• Chicken soup. A study showed that chicken soup had a mild anti-inflammatory effect. "I think the thing about chicken soup is the feeling that someone is doing something for you," Larson says. Also, you need proper nourishment when sick to help your body fight off the bad guys.
• Honey and lemon. Tea with honey and lemon is a cold staple (rum or bourbon optional). Lemon is a mild astringent, and acid and honey has an antibacterial effect.
• Nasal washes. There are saline solutions out there now that you sniff up your nose and spit out to wash out bugs. Both doctors say this is reasonable.
• Hand washing. Larson says this will probably do more good that washing your sinuses.

What Some Doctors Do

The studies are mixed; the juries are not in. Does this mean there is nothing the doctor would do, personally if, let's say, he was to be married in three days and had started sneezing?

• Larson says he would take Tylenol and pseudoephedrine (Sudafed), 60 milligrams (not for those with high blood pressure). He also would take an antihistamine. "And I would drink lots and lots of liquids. There is evidence this dilutes mucus and makes it easier to get out."
• Stengler says he would take echinacea and lomatium and rinse his sinuses. He says he would also cut back on sugar because it could affect your immunity.