Are you all stuffed up and sneezing away because of a cold? Decongestants and antihistamines can help. They come in different forms, and they're often mixed into combination drugs that you can buy without a prescription.
It pays to do a little homework to make sure you're picking the right medicine for your symptoms.
How Do Decongestants Work?
They help reduce swelling in the passageways of your nose, which relieves the feeling of pressure and improves the flow of air. You'll be able to breathe a whole lot better.
Decongestants come in pill form or nasal sprays. Don't use the sprays for more than 3 days, or you may get more stuffed up.
How Do Antihistamines Work?
They block a chemical your body makes called histamine that makes the tissues in your nose itch and swell.
Are Decongestants and Antihistamines Safe?
A decongestant called phenylpropanolamine (PPA) was used for years as an ingredient in many cold drugs to clear up a stuffy nose. In 2000, researchers found it was linked to an increased risk of stroke, especially in women ages 18 to 49. The FDA then banned it from use in all prescription and over-the-counter medications.
Today's medicines don’t have PPA, but make sure you don't have any old cold meds in your house that might contain the ingredient.
What Are the Side Effects?
The main one for antihistamines is drowsiness, so it can be tough to take during the day. That's why they're often included in nighttime cold medicines.
Decongestants may keep you awake and are usually taken during the day. Nasal sprays are less likely to have that side effect and may be helpful at night for congestion.
Decongestants can also raise blood pressure. So if your BP is high already, or you've got heart disease, check with your doctor before you use them. They may be able to suggest cold medicines that don't have decongestants in them.
What Are Some Common Decongestants and Antihistamines for Colds?
There are many over-the-counter decongestants and antihistamines that can help treat your symptoms. They're sold separately or as part of a combo with other cold and pain drugs.
If you choose a combination medicine, make sure you know everything that's in it. Check to see if it has acetaminophen. If so, follow the directions on the label carefully, and don't take acetaminophen along with it, because it could cause serious liver damage.
These over-the-counter antihistamines and decongestants treat cold and allergy symptoms.
Type of Decongestant or Antihistamine Cold Medicine
Possible Side Effects
|Antihistamine (tablets, caplets, or liquid)||Benadryl|
|Itchy, runny nose and eyes; sneezing; itchy throat||Drowsiness or grogginess, upset stomach, dry mouth, poor coordination and judgment, urinary retention, loss of appetite, excitability (in children)|
|Decongestant (tablets or caplets)||Sudafed||Congestion and pressure in the head, nose, and ears||Lightheadedness, wakefulness, nervousness, restlessness (jittery and shaky), increased blood pressure and heart rate; irregular heartbeat|
(tablets, caplets, or liquid)
|Advil Cold and Sinus|
|Itchy, runny nose and eyes; sneezing; congestion; headache||Possible antihistamine and/or decongestant side effects|
|Decongestant nose spray||Afrin|
|Nasal stuffiness||Might lead to "rebound" congestion from dependence on the medicine if used for more than 3 days|
|Antihistamine eye drops||Itchy, watery eyes; eye redness||Temporary stinging in the eyes or blurred vision; "rebound" redness of the eyes if overused|