21/11/2024
You know I got you here with the fresh Elderberry!!!
Cold and flu season is upon us! Here is our observation on what has been going around the past couple of weeks, how to keep yourself and your family healthy, signs that you might want to see your doctor, and what OTC medications and supplements might be best for your symptoms!
The majority of circulating respiratory viruses the past couple of weeks in Brazoria and Galveston counties, based upon Respiratory Pathogen Panel (RPP) results, have been influenza A, parainfluenza, rhinovirus, non-COVID coronavirus, and human metapneumovirus. All can cause lingering flu-like illness up to 10 days’ duration. Characteristics may include headache, body aches, sore throat, clear runny nose, loss of voice, progressing to non-productive/dry cough. If nasal discharge turns yellow/green, or cough becomes progressively productive of yellow, green, or brown sputum, it is probably time to consult with your P*P for addition of an antibiotic, as several of these viruses are immunosuppressive and can lead to bacterial superinfection with strep or H. Flu, causing sinusitis, bronchitis, or even pneumonia.
A GI virus, presumably norovirus, is also making its rounds; symptoms include headache, lethargy, nausea/vomiting, and diarrhea. Luckily this bug is only lasting 36-48 hours for most.
Here is a list of our favorite immune-boosting supplements:
-Elderberry syrup: available at many retailers, and home-brewed by several people locally, including Elderberry Lady. Please comment below if you offer this locally!
-Oscillococcinum
-EmergenC (or other vitamin C supplement)
-Airborne
-Zicam
-Vitamin D
-Honey and teas with honey
-Pho and bone broth (yes, seriously!) Lisa Lisa is our favorite local dealer.
Here is a list of cold symptoms, and the OTC cough and cold medications that best treat them:
Copious clear nasal discharge, but “can breathe through nose” after you blow it: consider Allegra, Claritin, Xyzal, Flonase, brompheniramine, chlorpheniramine, diphenhydramine (Benadryl), phenylephrine, pseudoephedrine.
Nasal stuffiness (cannot breathe through nose), with very little nasal discharge, and sinus pressure: this is due to boggy swelling and inflammation inside the nasal passage, and not due to “snot”: phenylephrine, pseudoephedrine, doxylamine (sedating), diphenhydramine (Benadryl, sedating), brompheniramine, chlorpheniramine. Afrin nasal spray relieves pressure in minutes due to its potent vasoconstrictive effects, quickly reducing swelling, but can only be used twice/day, and should be limited to short-term use, due to potential for dependence.
Thick/sticky nasal discharge, or thick sputum that is difficult to cough up and out: guaifenesin (Mucinex), which helps liquify secretions to aid in eliminating them. Humidifiers are helpful; and if you have a home nebulizer, nebulizing saline can help break up sticky secretions.
Cough: unfortunately, the only OTC option is dextromethorphan. Prescription options include Tessalon (benzonatate), promethazine with dextromethorphan, or promethazine with codeine, among others.
Here are some of our favorite OTC cough and cold combination products:
Sore throat: Boiron ThroatCalm; Nature's Way Cold + Flu Relief FastActives Umcka (both available on Amazon)
Cough and cold: Alka-Seltzer Plus Powermax Gels Day/Night formula, Thera-Flu Combo Day/Night, Dayquil/Nyquil Day/Night
Sinus Congestion/headache: Alka-Seltzer Plus Sinus Congestion Day and Night; Mucinex Sinus Max and Sinex severe—both of these are more appropriate with thick nasal discharge.
**There are many generic, money-saving options** to the above recommendations! Please see generic ingredients recommended by symptom above, and check the labels of considered products to “make a match”! Have questions? Ask below and we will help you select the best fit for your symptoms! 💗