| Coughs and Colds Twas
not the cough that carried im off, but the coffin they carried im off in. English
epigram
By Patricia Lush
A little coughing is normal and necessary, but how do you get rid of that annoying
cough?
First, drink lots of liquids, especially water, to help thin and loosen mucus and make
a cough more productive. A home-made remedy of lemon juice, honey, hot water and cayenne
pepper is also effective. Hot showers or using a humidifier or vaporizer can also loosen
congestion.
Suck on hard candy or cough drops, or drink juices or tea sweetened with honey to ease
a sore, dry throat.
Over-the-counter cough medicines can make a cough more productive or quiet a disruptive
cough, but they need to be used with caution.
Expectorants loosen mucus in the airways; suppressants dull the brain-controlled urge
to cough. If a cough brings up mucus, its better not to suppress it.
Avoid taking two drugs designed to treat the same symptoms. Be aware of how the
ingredients may interact with other medications youre taking, or with a health
condition or with alcohol.
Watch out for cold, cough and allergy products that contain phenylpropanolamine,
sometimes called PPA. Last November, after a Yale University study showed it increases the
risk of hemorrhagic stroke, most Canadian drug companies and drug stores removed drugs
with PPA from their shelves. Medication that contains "phenylpropanolamine",
"phenylpropanolamine hydrochloride", or "phenylpropanolamine
bitartrate" should not be used.
Other precautions on anti-cold and cough medicines:
Antihistamines can cause drowsiness and increase the effects of alcohol and other
medicines, including anti-anxiety medications and prescription pain relievers.
Antihistamines also cause drying and could aggravate glaucoma, asthma and some prostate
problems.
Decongestants constrict blood vessels, so people with high blood pressure need to be
wary.
Suppressants that contain narcotics (codeine, dihydrocodeine, hydrocodone,
hydromorphone) add to the effects of alcohol and other medicines that slow your nervous
system.
Check your other medicines to see if any contain analgesics, including the salicylates
diflunisal or bismuth subsalicylate.
Some products contain alcohol or are too strong for children under two years.
Dont give a medicine containing aspirin or other salicylates to a child or teen
with a fever or symptoms of a viral infection, especially flu or chickenpox. Salicylates
may cause Reyes syndrome, a serious and often life-threatening condition.
Finally, remember what your mother said: Cover your mouth when you cough and wash your
hands frequently, and with soap.
Sources: Health Canada, USFDA, About.com, Shoppers Drug Mart and
Pharmaprix, Canadian Pharmacists Association, Drug Trading Co. Ltd., SmithKline Beecham,
the Mayo Clinic

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