Mixing cold, catarrh drugs unsafe, physicians warn

Physicians have issued strong warnings against the prevalent practice of mixing Procold and Piriton for the treatment of common colds, indicating that this combination can result in a hazardous overdose that may lead to impaired consciousness, dizziness, and various other side effects.

The experts clarified that Procold already includes Piriton as one of its three active ingredients, which also consist of paracetamol and phenylephrine. Therefore, adding extra Piriton tablets effectively results in a double dosage of the sedating antihistamine component.

In separate interviews, the physicians emphasized that while Procold and similar over-the-counter medications are effective for treating viral infections and allergic rhinitis when used independently, the inclusion of Piriton enhances the sedative effects and presents considerable health risks, especially for individuals who drive or operate machinery.

They recommended that Nigerians seek appropriate medical assessment for persistent cold symptoms that last longer than three days, as this could indicate more serious underlying conditions such as sinusitis, nasal polyps, or even cancer.

The doctors' warnings follow a recent discussion on X, previously known as Twitter, regarding the combination of Piriton and Procold in treating the common cold.

Some users on social media shared their experiences concerning the side effects they encountered after taking either medication or the combination thereof.

In response to the issue, Dr. Ebenezer Popoola, an Internal Medicine Physician, explained that the common cold is mainly caused by viral infections, although individuals with allergies to dust or hay fever may develop rhinitis with similar symptoms.

He pointed out that Procold, which can be easily purchased at pharmacies without a prescription, contains three active ingredients: paracetamol, Piriton, and phenylephrine.

Popoola remarked, "Utilizing the medication can be effective for a common cold resulting from a viral infection. Paracetamol can alleviate headaches that may arise from nasal congestion. Additionally, Piriton, a sedative antihistamine, induces sleep. Phenylephrine serves as a decongestant, assisting with nasal blockage."

The physician cautioned that risks emerge when individuals supplement Procold, which already contains Piriton, with additional Piriton.

He stated, "The danger arises when individuals combine Procold, which I previously mentioned contains Piriton, paracetamol, and phenylephrine. When they add extra Piriton, it is akin to adding excessive salt to a dish. This is where it becomes hazardous and potentially toxic."

Popoola elaborated that the primary issue with this combination is that it can induce feelings of sluggishness, fatigue, and dizziness, particularly impacting those who operate vehicles.

He explained, "The specific risk associated with this combination is based on the fact that Procold already contains Piriton. By adding Piriton as a separate component to the existing medication, the individual is effectively creating an overdose of Piriton."

The internal medicine specialist detailed the consequences of a Piriton overdose, indicating that it may result in impaired consciousness, reduced alertness, dizziness, blurred vision, dry mouth, and urinary retention.

He warned, "If an individual consumes alcohol alongside this medication, it can exacerbate the effects of alcohol in their system. Therefore, it is not something we advocate."

Regarding the management of common colds, Popoola indicated that the condition can be addressed in three ways: through medical treatment, home remedies, or allowing it to resolve naturally.

He advised, "Let it be, ensure adequate hydration, get sufficient rest, consume fruits, particularly oranges, and take vitamin C. It will resolve without the need for medication."

For home remedies, the physician suggested steam inhalation, especially for those with.

He remarked, "Inhalation can work wonders for certain individuals, particularly when they are experiencing significant nasal congestion. Some individuals may also add a small amount of eucalyptus oil to the hot water they intend to inhale, which can enhance the experience."

Popoola further recommended consuming warm liquids such as warm water, tea, custard, and hot milk.

The physician additionally pointed out that contemporary medical practices prefer non-sedative antihistamines like loratadine, which are taken once a day and do not induce drowsiness.

He also recognized that many Nigerians continue to use sedative antihistamines such as Procold due to their widespread availability and extensive advertising.

The doctor warned that persistent cold symptoms lasting more than three days necessitate medical assessment, as this condition may signify more severe issues.

He stated, "A patient may present with symptoms resembling a common cold. However, the patient could actually be suffering from a type of cancer in their nasal area. They might have what we refer to as nasal polyps. There are numerous other conditions that can present similarly, such as sinusitis, which is the inflammation of the sinus."

Popoola urged Nigerians to avoid self-medication and to seek care at hospitals or primary healthcare facilities.

Additionally, Dr. Olusina Ajidahun, a specialist in Internal Medicine, criticized the misuse of medications among Nigerians.

He clarified that although Procold and Piriton are distinct medications, both contain chlorpheniramine, which constitutes an overdose and could result in serious side effects.

The doctor emphasized that the common cold is a viral infection that, in most instances, does not necessitate the typical medications for colds.

"The appropriate treatment for a cold is tailored to the individual. Often, common colds are viral infections that generally do not require medication. It is important to eat healthily, stay hydrated, and engage in practices that support the immune system; this is how we manage the common cold. We do not routinely prescribe medications for the common cold unless symptoms are present or there is a high fever," Ajidahun stated.