cold-and-fluHappy 2018 and Beware of Influenza – an acute respiratory illness caused by influenza A or B viruses that occurs in outbreaks and epidemics worldwide, mainly during the winter season, (Dolin, Hirsch & Thorner, 2017). When indicated antiviral therapy for the flu should be initiated as soon as possible since antiviral therapy is most likely to provide benefit when initiated within the first 48 hours of illness. Treatment should not be delayed while awaiting the results of diagnostic testing, nor should it be withheld in patients with indications for therapy who present >48 hours after the onset of symptoms, particularly among patients requiring hospitalization. Furthermore, patients who have a negative rapid antigen test for influenza but in whom the clinical suspicion for influenza infection is high should be treated with antivirals since the sensitivity of these tests may be low, (Zachary, Hirsch & Thorner, 2017).


Do not ignore – the classic symptoms of influenza virus infection which includes an abrupt onset of one of the following: fever, headache, myalgia (muscle pain), and malaise (general body weakness), accompanied by manifestations of respiratory-tract illness, such as cough, sore throat, and rhinitis (stuffy nose). Guidelines recommend an antiviral therapy for outpatients who present within 48 hours of symptom onset with confirmed or suspected influenza infection and who are at increased risk for complications. 

One of the recommended daily dose medication for influenza is the antiviral for treatment and/or prophylaxis of adults – United States.

Treatment, influenza A and B 75 mg twice daily for five days
Supplements  to fight a cold – some would suggest the following…
Echinacea Capsules; Echinacea is a *Herbal Supplement and is suggested to boost the Immune System.
Zinc tablets; Zinc is a metallic trace element an essential part of many enzymes, and plays an important role in protein synthesis and in cell division. Zinc may work by preventing the *rhinovirus from multiplying. It may also stop the rhinovirus from lodging in the mucous membranes of the throat and nose.

Vitamin C chewable wafer; Vitamin C is an important antioxidant that helps protect the body against environmental pollutants and deficiencies in the daily diet. I particularly like this brand.
Medical Disclaimer
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this web site is for general information purposes only. Before you take any of the products mentioned above be sure to talk with your doctor especially if you take medications, have chronic health problems, or are pregnant or breast-feeding.


Antiviral Treatment of

Influenza: The Latest Guidelines

While clinical judgment based on the patient’s disease severity and progression, age, underlying medical conditions, likelihood of influenza, and time since symptom onset is important to consider when making antiviral treatment decisions — the body of evidence available at this time has led CDC to recommend that, for the 2010-2011 influenza season, empiric antiviral treatment with the neuraminidase inhibitors oseltamivir (Tamiflu®) and zanamivir (Relenza®), be considered for a patient who:

  • Has severe, complicated, or progressive illness;
  • Is hospitalized; or
  • Is at higher risk for influenza complications, including pregnant women and people with certain underlying medical conditions.

When clinically indicated, influenza antiviral medications should be used to treat these most vulnerable patients as soon as possible, ideally (but not limited to) within 48 hours of symptom onset. Treatment should not wait for laboratory confirmation of influenza. Antiviral treatment can also be considered for any previously healthy, non-high-risk, symptomatic outpatient with confirmed or suspected influenza based upon clinical judgment, if treatment can be initiated within 48 hours of illness onset.

Influenza vaccination is used to prevent influenza infection and prompt antiviral therapy to treat influenza infection; of which are the 2 most important medical countermeasures against the influenza viruses. Their correct application by healthcare professionals can provide life-saving benefits to patients.

For additional information about antiviral drug recommendations for the 2010-2011 influenza season, please visit

For additional information, please visit the Emerging Infections Programs Web site. Thank you.


Alicia M. Fry, MD, MPH

Authors and Disclosures

Posted: 01/18/2011

Web Resources

CDC Seasonal Influenza