Self-Care for Pain, Cold, Flu, COVID

Fever, Body Aches, Headache, Pain | Cough | Congestion | Dehydration | Nausea | Sore Throat 

Sample Dosing

 Things to consider before taking over the counter medications: 

1. Interactions with chronic medications: If you take a daily medication, before taking any over-the-counter medications, please check for interactions. 
2. Active Ingredients: Check labels for active ingredients: Medications can be sold under many different brand names but contain the same generic drugs or multiple generic drugs. Read labels carefully to avoid taking more than one medication containing the same drug. For example, phenylephrine is contained in Dayquil, Sudafed PE, Mucinex Sinus Max, and Advil Sinus Congestion and Pain.  
3. Underlying health conditions, medication allergies: If you have underlying health conditions or medication allergies and have questions about what is and is not safe to take please contact Health Services for help with symptom management.
4. If these medications are ineffective or if you have questions, please contact our office. 

SYMPTOMS & OVER-THE-COUNTER MEDICATIONS AND SUPPORTIVE MANAGEMENT 

Fever, Body Aches, Headache, Pain

To start take EITHER:

Acetaminophen (Tylenol), take 650 (two 325mg tablets) to 1000mg (two 500mg tablets) every 8 hours as needed (up to 3 times a day). Do not take more than 3,000mg of Acetaminophen in a 24-hour period. Many cold and sinus medications contain acetaminophen so make sure to factor this into your total daily dose.

OR

An NSAID medication like Ibuprofen (Advil, Motrin) 400mg every 6 hours as needed OR Naproxen (Aleve) 220mg 2 tabs every 12 hours as needed (Do not take both Naproxen and Ibuprofen in the same day).

If your fever/pain returns prior to the time when your next dose is due, you can alternate dosing of Acetaminophen and Ibuprofen (or Naproxen) - see below for example.

Cough

• Honey alone (about 1 teaspoon) or in tea.
• Hot tea
• Voice rest
• Guaifenesin is an expectorant that helps to loosen mucous (whether in chest, sinuses, throat, etc); follow package instructions
• Dextromethorphan is a cough suppressant; follow package instructions.
• Dextromethorphan can interact with medications used for anxiety and/or depression. If you are on one of these medications, contact health center for guidance with cough suppression.

Congestion

• Nasal Saline Spray (salt water spray for the nose for nasal congestion)
• Steam inhalation (ex: hot shower)
• Decongestant (ex: phenylephrine - follow package instructions)

Dehydration

• Stay hydrated! Drink 2-3 liters of water a day.
• Waiting until you are thirsty is a signal that you are behind on fluids. Hydration is especially important if you have fevers and sweats.

Nausea

• Sip small amounts of liquid (1 tablespoon or 15ml) every 15 minutes (choose water or ½ strength sports drinks)
• Begin to eat bland foods (saltines, white bread, rice, mashed potatoes, cereal, applesauce) after 8 hours
• Resume regular diet 24-48 hours after nausea stops
• Consider a pregnancy test

Sore Throat

• Suck on hard candy or cough drops
• Swallow 1 tsp of honey in tea or by itself
• Gargle with warm salt water 4 times a day.  (Use 1/2tsp salt in 8 oz water)
• Stay hydrated; around 8 cups of water a day
• Use a humidifier (dry air makes sore throat pain worse)
• See ‘Pain’ recommendations above

 

Sample Dosing schedule for fever management: (all suggested doses are as needed.) 

9 am: Acetaminophen (325mg) 2 tablets

1pm: Ibuprofen (200mg) 2 tablets

5pm: Acetaminophen (325mg) 2 tablets

9pm: Ibuprofen (200mg) 2 tablets 

1am (if awake): Acetaminophen (325mg) 2 tablets 

5am (if awake): Ibuprofen (200) mg 2 tablets