Cold and Flu Advice

           The normal duration for a cold is 3-7conditions. If someone wants to megadose safely
days, with symptoms occurring up to 10 days (1). Forwith vitamin A, they should consider using the much
influenza infection, the duration and symptoms aresafer beta-carotene instead, since it is converted to
much more variable, duration lasting 7-14 days andvitamin A in the intestines as needed. Heavy smokers
symptoms lasting up to four weeks. If cold or fluand drinkers should notify their physician before
symptoms last longer than the above times, a personmegadosing with beta-carotene.
may have contracted an opportunistic bacterial            There is not consistent evidence
infection, and should notify their physician. There arethat supplementing with vitamin C significantly
over 200 viral strains that can cause colds andreduces the incidence of the common cold (9). There
influenza (1), so vaccines have not been veryare, however, isolated studies that do find some
successful, since they can often only target onereduction in cold incidence. When study subjects took
strain at a time. If you have a fever, or your mucus0.6-1 gram of vitamin C every day, there was a
is dark yellow, green or brown, notify your physician.considerable reduction in common cold incidence (10).
Everyone with a cold or flu infection should drinkBetween 1971 and 1994, 21 different studies were
plenty of spring water, at least six glasses (48 oz.)performed that attempted to determine if vitamin C
per day.helped fight off colds or not. All 21 studies showed
            Influenza and pneumonia togetherthat vitamin C supplementation reduced the duration
have been the in the top 10 killers of Americans forof the common cold, and its severity was reduced
at least the last 100 years. Around 20,000 people dieby an average of 23% (11). However, there was no
either directly or indirectly from the influenza virus.reduction in the incidence of the common cold with
There is a lot of hype about the Swine flu virusvitamin C supplementation.
lately, but as of this writing, the deaths caused in            Zinc gluconate, ascorbate,
America by this particular strain of virus are moreglycinate, and acetate are much more effective
than 100 times less than the average influenza deathagainst colds and flu than zinc citrate or tartrate (12).
rate for all strains combined. Sometimes viruses crossIt appears that zinc gluconate lozenges that are
the species barrier and infect other species that theyunflavored, with no additional additives (ex. citrate),
normally cannot infect: this is true for the Humanmay be more effective against the common cold
Immunodeficiency Virus (HIV), which once onlythan flavored zinc lozenges (13). One of the side
infected monkeys as the Simian Immunodeficiencyeffects of zinc overdose may be loss of taste and
Virus (SIV). Fortunately, unlike HIV, the Swine Fluor smell, so do not supplement with more than 80
virus and similar viral strains infect humans too quicklymg/day of zinc for more than a week at a time, and
to keep any infection momentum, and will burnno more than 50 mg/day of zinc between cold or flu
themselves out before long.infections. As you have read, there are many
            For the common cold, there are adifferent natural remedies for cold and flu infections.
number of different treatments. Antihistamines areHowever, the key is to help prevent cold and flu
effective in reducing symptoms, but have sideviruses from gaining a foothold in your respiratory
effects such as drowsiness. One study found thatsystem, by exercising, eating healthy, minimizing
driving after taking the first-generation antihistaminestress, and taking the proper immune-boosting
Diphenhydramine (Benadryl) can cause impairmentsupplements.
equivalent to driving drunk (2). Anticholinergics (ex.References:
nasal sprays) can also help cold symptoms, and the1. Balch, P. Prescription for Nutritional Healing, 3rd Ed.
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agonists (stimulants) are powerful decongestants, but2. Litin, S., ed. Mayo Clinic Family Health Book, 3rd Ed.
their constant use can lead to drug tolerance, whereNew York, NY: HarperCollins Books, 2003.
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worse congestion. Tylenol, aspirin, and non-steroidal& Wecker, MT. (1996). Effectiveness and safety
anti-inflammatories (NSAIDS) such as Ibuprofen canof intranasal ipratropium bromide in common colds: a
actually worsen common cold symptoms (4).randomized, double-blind, placebo-controlled trial.
            The reason why hot chicken soupAnnals of Internal Medicine, 125: 89-97.
may be helpful for colds is because it helps mucus4. Graham, NMH, Burrel, CJ, Douglas, RM, Debelle, P,
flow out of the sinus and respiratory system& Davies, L. (1990). Adverse effects of aspirin,
(5). Some people use cayenne pepper toacetaminophen, and ibuprofen on immune function,
help clear their sinuses. Small amounts should be fineviral shedding, and clinical status in rhinovirus-infected
for this use, as long as someone is not allergic to thevolunteers. J Infect Dis, 162: 1277-1282.
peppers. Steam inhalation to reduce cold symptoms5. Feinstein, A. Healing with vitamins. Emmaus, PA:
gives inconsistent results (6). However, drinkingRodale Books, Inc., 1996.
plenty of water is always a good idea when6. Forstall, GJ, MacKnin, ML, Yen-Lieberman, B, &
someone has a cold or the flu. Adequate hydrationMedendorp, SV. (1994). Effect of inhaling heated
thins out the mucus and helps clear the virus fromvapor on symptoms of the common cold. JAMA, 271:
the sinuses. There is some evidence that bovine1109-1111.
colostrum reduces the incidence of upper respiratory7. Brinkworth, G., & Buckley, J. (2003).
tract infections, such as the cold and flu (7). BovineConcentrated bovine colostrums protein
colostrum is the pre-milk produced from a cow thatsupplementation reduces the incidence of
has just given birth. Pregnant and nursing womenself-reported symptoms of upper respiratory tract
should not take this supplement, nor should anyoneinfection in adult males. European Journal of Nutrition,
with cancer or with a high risk of developing cancer.Vol. 42(4): 228-232.
            There are a few different8. Mainous III, AG, Hueston, WJ, & Clark, JR.
medications now to reduce the duration and severity(1996). Antibiotics and upper respiratory infection: do
of influenza. However, these drugs have side effects,some folks think there is a cure for the common
including difficulty concentrating, insomnia, andcold? J Fam Pract, 42: 357-361.
dizziness (2). If someone decides to get a flu shot,9. Reavley, N. The New Encyclopedia of Vitamins,
they should demand information about whether theMinerals, Supplements, and Herbs. New York, NY: M.
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vaccine preservative that contains 50% mercury.10. Hemila, H., (1996). Vitamin C and common cold
Mercury is a well-known neurotoxin, among otherincidence; a review of studies with subjects under
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viruses. And yet 60% of patients with common cold11. Hemila, H. (1994). Does vitamin C alleviate the
symptoms received an antibiotic at the clinic anywaysymptoms of the common cold?---A review of
(8). current evidence. Scandinavian Journal of Infectious
            Vitamin C and Zinc are highlyDiseases, 26(1): 1-6.
recommended to help prevent colds and flu. There is12. Mossad, SB, MacKnin, ML, Medendorp, SV, &
more mixed evidence about whether these twoMason, P. (1996). Zinc gluconate lozenges for treating
supplements actually decrease the duration andthe common cold. A randomized, double-blind,
severity of colds and flu. Some practitionersplacebo-controlled study. Annals of Internal Medicine,
recommend megadosing with vitamin A, often125(2): 81-88.
50,000-100,000 IU/day, but this amount can be toxic13. Eby, G. (1998). Where’s the bias? Annals of
to some people, especially if they have any liverInternal Medicine, 128(1): 75.