Treating Cold Symptoms at Home
in Children 0-4 Years Old
When sick it, is always good to increase fluids and rest.
Symptom control is the primary treatment of viral upper respiratory infection (colds), but appropriate treatment at home may differ depending on the age of your child and what symptoms are present.
Over-the-counter medications, such as cough suppressants, lozenges, and decongestants, should be avoided in children under 4, as they are considered potentially unsafe, ineffective, or both.
Congestion/runny nose/cough
- 0-3 months old
Nasal saline drops with suction, cool mist humidifier. - 3-12 months
Nasal saline drops or spray followed by suction, cool mist
humidifier. Sitting next to a steaming shower to breathe in
the warm, steamy air. - 12-24 months
The same 3-12 months, but you may also use ½ teaspoon of
honey to help with cough. (honey should never be given to
children under 12 months of age due to the risk of botulism). - 24-48 months
Mentholated rubs (Vapor rub), in addition to nasal saline/suction,
humidifier, sitting next to steamy showers, and honey.
Fever/fussiness/pain
- 0-3 months old
At this age, a fever is a potential emergency, and you should seek medical care immediately for a fever of 100.4 or greater. - 3-6 months
Acetaminophen (Tylenol) only along with close follow-up
with your pediatrician. - 6+ months
Acetaminophen (Tylenol) or Ibuprofen (Motrin/Advil) for
6-12 months.
Ibuprofen should not be given if upset stomach, vomiting, or signs of dehydration are present.
