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What cold medicine can you take with diabetes?

Medically reviewed by Philip Thornton, DipPharm. Last updated on Aug 14, 2024.

Official Answer by Drugs.com

If you have diabetes and you catch a cold or flu, there are over-the-counter (OTC) medicines that are safe for you to take to help alleviate your symptoms.

If you catch a cold or flu and have diabetes:

  • Talk to your pharmacist or doctor about which cold and flu medicines would be best for you. Remember to read and follow the instructions that come with your cold and flu medicine.
  • Look for cold and flu medicines that are less likely to affect your blood sugar (glucose) levels, including sugar-free and alcohol-free options.
  • Avoid or use with caution any cold and flu medicines that may worsen complications of diabetes, such as kidney disease and high blood pressure (hypertension).
  • Check your blood sugars regularly because they can be harder to manage when you’re ill. The hormones your body releases to help fight infection can increase your blood sugar levels, causing high blood sugars. However, if you’re not eating and drinking as normal then your blood sugar levels may drop.

There are a wide variety of cold and flu medicines available. Some contain only one ‘active’ ingredient that treats your symptoms, such as Tylenol (acetaminophen) which helps with pain and fever. Others have multiple ingredients that work in different ways to treat a range of symptoms, such as Diabetic Tussin Nighttime Cold and Flu (containing acetaminophen, dextromethorphan and diphenhydramine), which helps with pain and fever, a cough, runny nose and sneezing.

Cold and flu medicines come in many different forms including tablets and capsules, lozenges, chewable tablets, melts, syrups, nasal sprays and more.

Check out our suggestions below for OTC medicines to help relieve your cold and flu symptoms.

What to take for pain and fever, including body aches, sore throats and headaches

Try an analgesic (painkiller) and antipyretic (fever reducer).

Look for products containing:

*Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, are not suitable for everyone who has diabetes. They should be avoided or used with caution in people with kidney disease. They may also increase blood pressure. Talk to your doctor before taking an NSAID if you have diabetes.

A salt water gargle is a natural remedy that may also help to relieve a sore throat and can be used on its own or alongside your OTC medicine. Try mixing ½ to ¾ of a teaspoon of salt in one cup of warm water. Gargle the mixture as required for 10-15 seconds at a time before spitting it out. A salt water gargle can help to reduce throat inflammation and clear away mucus.

What to take for a dry cough

Try an antitussive or cough suppressant to help reduce a dry, hacking cough.

Look for products containing:

What to take for a chesty, productive cough

Try a mucolytic and expectorant to help thin and loosen phlegm and mucus. This makes it easier to clear from your airways when you cough.

Look for products containing:

Drinking plenty of water, including warm water, can also help thin mucus and relieve congestion.
What to take for general cold symptoms

Related questions

What to take for general cold symptoms

Try antihistamines, which are commonly used for allergies. While there is little evidence to support the use of antihistamine for colds and flu, they are commonly used and included in nighttime cold and flu preparations, where they may help to dry up your cold and aid sleep.

An antihistamine may also be especially helpful if you have allergies and a cold at the same time.

Antihistamines may help to reduce the severity of overall cold symptoms for 1-2 days, according to the results of a large review.

Look for products containing:

*Older, first-generation antihistamines can make you sleepy and are best taken before bedtime.

What to take if you have a runny nose or a stuffy, blocked nose

Try a decongestant to help open up your airways and relieve congestion.

People with diabetes are generally recommended to avoid taking products that contain phenylephrine and pseudoephedrine, which are popular decongestants. They narrow blood vessels and reduce swelling to reduce the fluid and secretions in your nose. However, they can increase blood pressure and also raise blood sugar levels. If you have diabetes, check with your doctor before taking products containing phenylephrine and pseudoephedrine to see if they are suitable for you.

Natural remedies and non-medicated options can also help if you have a congested or runny nose. Try:

If you have diabetes, take steps to avoid colds and flu

People with diabetes are at increased risk of developing complications from the flu. Get a flu shot every year, to help protect yourself from the flu. It will reduce your chances of catching the flu and may help you avoid serious complications and a hospital stay.

If you have diabetes, you’re also recommended to get a pneumococcal vaccination. Pneumococcal disease can cause pneumonia, sinus infections, ear infections and more.

You can also take preventative actions everyday to help you avoid colds and flu, such as:

The American Diabetes Association also recommends that you have a plan in place and prepare for sick days. Talk to your team of healthcare professionals to put a plan in place before you get sick.

References

 

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