From the Guidelines
Acute viral cough can be managed with over-the-counter preparations, home remedies, and simple lifestyle changes.
Available Treatments
- Home remedies: Honey and lemon can provide relief from acute viral cough, as recommended by 1 and 1.
- Over-the-counter preparations: Cough remedies containing dextromethorphan may be effective, as suggested by 1.
- Pain relief: Paracetamol can help alleviate symptoms, as recommended by 1.
- Menthol products: Menthol lozenges or vapour may help soothe the cough, as mentioned by 1.
- First-generation antihistamine/decongestant (A/D) preparations: Brompheniramine and sustained-release pseudoephedrine can be used to treat acute cough associated with the common cold, as recommended by 1.
- Non-steroidal anti-inflammatory drugs (NSAIDs): Naproxen can help decrease cough, as well as other symptoms like headache, malaise, and myalgia, as shown by 1 and 1.
Important Considerations
- Antibiotics are not recommended for acute viral cough, as they are ineffective against viral infections, as stated by 1.
- Opiate antitussives have a significant adverse side effect profile and are not recommended, as noted by 1.
- Simple voluntary suppression of cough may be sufficient to reduce cough frequency, as suggested by 1.
- Lifestyle changes: Quitting smoking and practicing good hygiene, such as using a handkerchief and washing hands, can help prevent the spread of disease, as recommended by 1.
From the Research
Available Treatments for Acute Viral Cough
- Herbal compounds, such as honey, Pelargonium sidoides, and multicomponent products (containing Plantagolanceolata, Grindelia robusta, Helichrysum italicum) are effective for symptom relief 2, 3, 4
- Antitussive drugs, such as dextromethorphan and levodropropizine, can be used to manage acute post-viral cough 2, 5
- Non-pharmacological remedies, including topical application of vapor rubs and nasal saline irrigation, may also be effective in relieving cough symptoms 6, 4
- Antibiotics are not recommended for treating acute viral cough due to the risk of resistance development 2
Treatment Considerations for Children
- Honey is a safe and effective treatment for acute post-viral cough in children over one year old 3, 6, 4
- Levodropropizine is an effective and safe peripheral antitussive drug for children and adolescents with acute post-viral cough 5
- Over-the-counter cold medications should not be used in children under four years old, and caution should be exercised when using any medication in children 4