11 Best OTC Cold Medicines: Liquids, Tablets, Sprays, and More
To help you choose the best OTC cold medicine, we spoke with three experts, including two pharmacists and a quadruple board-certified physician, to get their insights on what to look for and their top picks. Here are the products we recommend.
Our Top Picks for Best OTC Cold Medicine
- Best Daytime: Robitussin Cough Plus Chest Congestion DM Max
- Best Nighttime: Mucinex Nightshift Cold & Flu
- Best Liquid: Mucinex FastMax DM Cold & Flu
- Best Tablet: Sudafed Sinus Congestion Relief Maximum Strength Decongestant Tablets
- Best for Stuffy Nose: Afrin No Drip Severe Congestion Nasal Spray
- Best for Cough: Delsym Adult Cough Suppressant Liquid
- Best for Sore Throat: Chloraseptic Max Strength Sore Throat Spray
- Best for Aches and Pain: Tylenol Extra Strength Rapid Release Gels
- Best Homeopathic: Sambucol Cold & Flu Relief
- Best for People With High Blood Pressure: Coricidin HBP Maximum Strength Multi-Symptom Flu Tablets
- Best Sore Throat Lozenge: Cepacol Extra Strength
When to Consult Your Doctor?
In most cases, a cold can be treated at home and will go away within a few days, says Dylan Huber, PharmD, the clinical pharmacy coordinator at Saint Anthony Hospital Pharmacy in Chicago. However, he says you should contact your doctor if your symptoms are severe or last longer than expected, as this could be a sign of a more serious infection.
Other times you should contact your doctor, according to Dr. Huber, include:
- If symptoms do not improve or worsen (usually after 10 days)
- You're experiencing shortness of breath, trouble breathing, or chest pain
- Your fever lasts more than three days
- You have a severe sore throat, headache, or sinus pain

Best Daytime
Robitussin Cough Plus Chest Congestion DM Max
Pros
- Nondrowsy formula
- Easy to measure with provided dosing cup
- Contains an expectorant to help loosen mucus
- Widely available at most drugstores and online
Cons
- May cause mild side effects like upset stomach
- Contains artificial colors and flavors
- Active Ingredients: Dextromethorphan HBr (20 mg), guaifenesin (400 mg)
- Form: Liquid
- Recommended Age: Adults and children 12 years and older
- Symptoms Treated: Cough, chest congestion
The main draw of Robitussin Cough Plus Chest Congestion DM Max is its ability to relieve mucus or phlegm-related symptoms, like chest congestion, a productive cough, and mucus buildup in the airways. This daytime formula helps ease symptoms without making you tired. While the Robitussin brand may be best known for its cough syrup, this product pairs its signature cough relief with added chest congestion and mucus relief.
This medicine comes in liquid form, which can potentially work faster than pills or tablets because the body absorbs it more easily. However, Jennifer Bourgeois, PharmD, an integrative health pharmacist and SingleCare's pharmacy expert, says the difference is often minimal.
It's a great option for those dealing with multiple symptoms, but it comes with a few potential risks. People taking prescription monoamine oxidase inhibitors (MAOIs) or who have high blood pressure or diabetes should consult their doctor before taking this medicine. Mild side effects like upset stomach, nausea, or dizziness may occur.

Best Nighttime
Mucinex Nightshift Cold & Flu
Pros
- Relieves nighttime symptoms
- Contains medication with sedative effect
- Available in liquid or fast-release caplet form
- Trusted ingredients for multisymptom relief
Cons
- Should not be combined with additional Tylenol
- Cannot be used in situations where you must remain alert
- Active Ingredients: Acetaminophen (650 mg), dextromethorphan HBr (20 mg), triprolidine HCL (2.5 mg)
- Form: Fast-release caplets
- Recommended Age: Adults and children 12 years and older
- Symptoms Treated: Fever, headache, runny nose, sneezing, itchy throat, sore throat, body aches, nasal congestions, cough
When cold symptoms keep you up at night, we recommend Mucinex Nightshift Cold & Flu. It's available in fast-release caplets or liquid form, depending on your preferences. The formula contains three active ingredients: acetaminophen, which is a pain and fever reducer to help ease body aches; dextromethorphan, a cough suppressant to help reduce the frequency and intensity of your cough; and triprolidine, an antihistamine to help with sneezing, runny nose, cough, runny nose, and watery eyes.

Best Liquid
Mucinex FastMax DM
Pros
- Treats multiple symptoms
- Fast-acting liquid form
- Also available in extended-release tablets
- Does not cause drowsiness or hinder sleep
Cons
- Flavor may not be to everyone’s taste
- Harder to find in stores than other Mucinex products
- Active Ingredients: Dextromethorphan HBr (20 mg), guaifenesin (400 mg)
- Form: Liquid
- Recommended Age: Adults and children 12 years and older
- Symptoms Treated: Cough, chest congestion
Some cold medicines take an hour or more, but Mucinex FastMax DM Cold & Flu offers fast-acting relief from your chest congestion and lingering cough within as little as 30 minutes. Its active ingredient, dextromethorphan HBr, works by suppressing the cough reflex in the brain. It also contains an expectorant to help loosen and thin mucus in the chest.
Many people often prefer liquid medicines when they are sick because some cold medicine pills are quite large, and also because their sore, swollen throat makes swallowing pills more difficult. It’s sweetened with sucralose, so is suitable for those who need to monitor sugar consumption. You can opt for extended-release tablets if you prefer to avoid the often unpleasant taste of liquid cold medicines.
This daytime formula is nondrowsy and also does not contain any antihistamines that may interfere with your ability to fall asleep or stay asleep. Make sure to consult your doctor before taking this medicine if you have any underlying health issues.
Best Tablet
Sudafed Sinus Congestion Relief Maximum Strength Decongestant Tablets
Pros
- Single-ingredient product
- Reduces sinus pressure and nasal congestion
- Tablets easy to take on the go
- Nondrowsy
Cons
- Only available behind the pharmacy counter
- May cause sleeplessness if taken too close to bedtime
- Active Ingredients: Pseudoephedrine HCl (30 mg)
- Form: Tablet
- Recommended Age: Adults and children 6 years and older
- Symptoms Treated: Sinus pressure, nasal congestion
While some people prefer liquid cold medicine over swallowing pills when they have a sore throat or congestion, others prefer pills to avoid the taste or added sugar of liquid medicine. Sudafed Sinus Congestion Relief Maximum Strength Decongestant Tablets provide nondrowsy relief from two of the most common cold symptoms: sinus pressure and nasal congestion. The tablets are smaller than most competing capsules, so they're easier to swallow if you have trouble taking pills. It’s suitable for adults and children ages 6 and up.
Each tablet contains 30 milligrams (mg) of pseudoephedrine HCl, a nasal decongestant that helps reduce nasal swelling and inflammation by narrowing the blood vessels in the nasal passages. While these tablets are available without a prescription, they can only be purchased in-store from behind the pharmacy counter. One drawback is that this medication may cause restlessness, so to help prevent trouble sleeping, it’s best to take your last dose of pseudoephedrine several hours before bedtime.

Best for Stuffy Nose
Afrin No Drip Severe Congestion Nasal Spray
Pros
- Lasts up to 12 hours
- Easy to find in most drugstores
- Effective nasal decongestant
- Convenient for travel
Cons
- May cause sleep difficulties
- May cause temporary nasal discomfort
- Active Ingredients: Oxymetazoline hydrochloride (0.05 percent)
- Form: Nasal spray
- Recommended Age: Adults and children 6 years and older
- Symptoms Treated: Nasal congestion, sinus pressure
There's nothing worse than trying to stay productive when dealing with a stuffy nose. Whether you’re dealing with a cold or allergies, Afrin No Drip Severe Congestion Nasal Spray goes to work in seconds to ease your nasal congestion and sinus pressure. One dose of this nondrowsy nasal spray lasts up to 12 hours. It can be used by adults and children ages 6 and up. This formula also includes menthol and eucalyptol to really open things up.

Best for Cough
Delsym Adult Cough Suppressant Liquid
Pros
- Alcohol-free
- Relieves cough for up to 12 hours
- Comes in a pleasant orange flavor
Cons
- May cause mild nausea
- Can contribute to dizziness
- Not recommended for those taking MAOIs
- Active Ingredients: Dextromethorphan polistirex extended release (30 mg)
- Form: Liquid
- Recommended Age: Adults and children 4 years and older
- Symptoms Treated: Cough
No one enjoys the constant annoyance and discomfort of a cough, especially when it seems like nothing helps. Delsym Adult Cough Suppressant Liquid is an effective option for a persistent cough due to a temporary respiratory illness like the common cold.
The active ingredient, dextromethorphan HBr, can suppress your cough reflex for up to 12 hours. The alcohol-free, orange-flavored liquid may be a more pleasant option if you have trouble swallowing pills or don't like the taste of traditional cough syrups.

Best for Sore Throat
Chloraseptic Max Strength Sore Throat Spray
Pros
- Sugar-free
- Begins working on contact
- Numbs pain effectively for up to 2 hours
- Available in several flavors
Cons
- Requires repeated applications
- Doesn't treat any other cold symptoms
- Not recommended for children under 3 years old
- Active Ingredients: Phenol (1.5%), glycerin (33%)
- Form: Spray
- Recommended Age: Adults and children 3 years and older
- Symptoms Treated: Sore throat
Dr. Bourgeois says to opt for a single-ingredient medication if you only have one primary symptom, as multisymptom formulas may include ingredients you don’t need. Chloraseptic Max Strength Sore Throat Spray can provide fast relief when a sore throat is your primary concern.
The spray is available in wild berry, cherry, citrus, honey lemon, and menthol flavors. It's not recommended for children under 3 years old, and it's important to follow the recommended dose of no more than one spray in the back of your throat every two hours. Swish the spray around your mouth for 15 seconds before spitting it out.

Best for Aches and Pain
Tylenol Extra Strength Rapid Release Gels
Pros
- Single-ingredient product
- Doesn't cause drowsiness
- Potentially faster onset compared with traditional tablets
- Widely available at most drugstores and online
Cons
- Can cause an upset stomach if not taken with food
- Only relieves pain, not congestion or other nasal symptoms
- Active Ingredients: Acetaminophen (500 mg)
- Form: Gel caps
- Recommended Age: Adults and children 12 years and older
- Symptoms Treated: Fever, body aches and pains, headache
Taking single-ingredient products like this can ensure you’re not overmedicating, treating symptoms you don’t have, taking too much of a certain type of medication (like antihistamines), or risking additional side effects. It also ensures that if you have a reaction, you know exactly what ingredient caused it. You can add a cough suppressant or decongestant to your OTC medication regimen as needed — just be sure it doesn’t also contain acetaminophen.

Best Homeopathic
Sambucol Cold & Flu Relief
Pros
- Gluten-free
- Tablets dissolve within minutes
- Made with natural elderberry extract and zinc
- Contains less than 1 g of sugar
Cons
- May not work as effectively as traditional medications for severe symptoms
- Not recommended to use more than 2 consecutive days
- Can cause gastrointestinal discomfort in some
- Active Ingredients: Bryonia (6X), gelsemium sempervirens (6X) (12X) (30X), sambucus nigra (3X) (6X), sulphur (12X), zincum gluconicum (2X) (6X)
- Form: Quick-dissolve tablets
- Recommended Age: Adults and children 4 years and older
- Symptoms Treated: Body aches, headache, dry throat, cough, sneezing, nasal congestion, fatigue

Best for People With High Blood Pressure
Coricidin HBP Maximum Strength Multi-Symptom Flu Tablets
Pros
- Formulated for those with high blood pressure
- Contains acetaminophen for pain and general discomfort
- Tablets are smaller than some competitors
- Widely available at most drugstores and online
Cons
- May cause dizziness or drowsiness
- Not recommended for those taking MAOIs
- Can't be combined with other medications containing acetaminophen
- Active Ingredients: Acetaminophen (325 mg), chlorpheniramine maleate (2 mg), dextromethorphan hydrobromide (10 mg)
- Form: Tablets
- Recommended Age: Adults and children 12 years and older
- Symptoms Treated: Fever, body aches, cough, runny nose, sneezing, watery eyes
If you have high blood pressure, it's important to be cautious when taking over-the-counter medications. Some active ingredients in cold medicines, such as phenylephrine, can cause a spike in blood pressure. Coricidin HBP Maximum Strength Multi-Symptom Flu Tablets are formulated specifically for those with high blood pressure.
This option contains acetaminophen to reduce pain and discomfort, as well as dextromethorphan for cough. It's decongestant-free to minimize the risk of increasing your blood pressure. Instead, these tablets contain an antihistamine that helps with sneezing, runny nose, and itchy eyes. The tablets are smaller than many competitors, so may be easier to swallow.

Best Sore Throat Lozenge
Cepacol Extra Strength Lozenges
Pros
- Contains 2 numbing agents
- Provides temporary relief from sore throat pain
- Available in several flavor options
- Highly portable
Cons
- Can't take if you're allergic to local anesthetics
- Small risk of a rare blood disorder
- Active Ingredients: Benzocaine (15 mg), menthol (3.6 mg)
- Form: Lozenge
- Recommended Age: Adults and children 5 years and older
- Symptoms Treated: Sore throat
Cepacol Extra Strength Sore Throat Lozenges contain two numbing agents, benzocaine and menthol, which can temporarily relieve sore or scratchy throat.
They dissolve in around 15 minutes and continue working for up to two hours. There are a variety of flavors to choose from, including cherry, honey lemon, and mixed berry. Plus, the lozenges are great for taking with you and are convenient for mild throat irritation when you prefer not to take unnecessary multisymptom medication.
Comparison Table
Other Notable Products We Considered
We also considered other well-known products but ultimately did not include them in our top picks. While these products can help alleviate common cold symptoms, our top recommendations have more targeted ingredients, fewer side effects, or are more suitable for preexisting conditions like high blood pressure or diabetes.
- Theraflu Severe Cold Relief This powder mix contains acetaminophen (fever reducer and pain reliever) and dextromethorphan (cough suppressant). However, the price per serving is higher than that of liquid and tablet forms, and the powder form may be inconvenient for some.
- Zicam Zinc Cold Remedy While zinc is proven to help reduce the duration and severity of cold symptoms, many people don't realize that taking too much zinc or taking it for too long can lead to adverse effects like nausea, headache, and upset stomach.
What to Look for When Buying OTC Cold Medicine
Raj Dasgupta, MD, a quadruple board-certified physician and the chief medical advisor for Fortune Recommends, advises matching your symptoms with the active ingredients and avoiding unnecessary ones. For example, “If you have a fever or body aches, look for something with acetaminophen or ibuprofen,” he says. “For a cough, try something with dextromethorphan.” Some other key considerations include:
- Active Ingredients Reading the label is the only way to know exactly what you're taking. Look for active ingredients that only target your specific symptoms.
- Form Consider your preferences and limitations when choosing the form of medication, whether it's tablets, capsules, liquid, or sprays. If swallowing pills is difficult, opt for a liquid or dissolvable option.
- Potential Side Effects The most common side effects to watch out for with OTC cold medicine include drowsiness, upset stomach, and dry mouth. However, some medications may have more serious side effects, so talk to your doctor about the best option if you have any preexisting conditions or are taking other medications.
- Potential Interactions Many OTC cold medicines warn about possible interactions with other medications. One example is avoiding medications that contain a decongestant if you are taking an MAOI, as taking them together can cause a dangerous spike in blood pressure.
- Health Conditions “If you have conditions like high blood pressure, diabetes, or glaucoma, be careful with adding certain cold medications,” says Dr. Dasgupta. “Some decongestants can raise blood pressure, and some medications might not be appropriate for those with liver, kidney, and heart issues.”
When Should You Not Take Cold Medicine?
It's important to read the label and consult a healthcare professional before taking any OTC cold medicine. You should also avoid taking cold medication if you're pregnant or breastfeeding, as some of the active ingredients in these medications may not be safe for the baby.
People with heart, kidney, or liver problems should always consult with a doctor before taking any cold medicine, as some ingredients can increase the risk of serious complications or interfere with other treatments or medications you may be taking.
Those with breathing problems like asthma, severe allergies, or chronic obstructive pulmonary disease (COPD) should also check with their doctor before taking any cold medicine, as some ingredients may worsen these conditions.
Most cold medicines aren't safe for people under age 6, and many aren't meant for children under 12. Always check with your child's pediatrician and a pharmacist before giving them any medication.
How Much Cold Medicine Can I Take in a Day?
Follow the recommended dosage guidelines on the packaging or as directed by your doctor. Every medication may have different recommended dosages based on age, weight, and other factors. Some can provide relief for up to 12 hours, while others require a repeat dose every four to six hours.
“You don't want to take too much or too often as there are risks with taking too much,” says Huber. Consult with a healthcare professional if you're unsure about the appropriate dosage. Additionally, be cautious when taking multiple medications that contain similar active ingredients, as this can also result in serious side effects.
Many combination cold products may contain ibuprofen and acetaminophen as an ingredient, so always look at the active ingredients before taking any kind of pain reliever, Huber adds. “Taking more than the recommended amount of acetaminophen has a risk of causing damage to your liver, and taking too much ibuprofen has a risk of causing damage to your kidneys and stomach,” he says.
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Lindsay Modglin
Author
Lindsay Modglin is a former nurse and health writer who specializes in covering chronic illness, women's health, oncology, and wellness products that help empower readers to take control of their health and well-being. Her byline has been featured in many digital publications, including Healthline, Verywell Health, Parents, Forbes, Yahoo, AOL, Insider, and more. Her print work has been published in oncology magazines like Cancer Today and Cure.
Prior to becoming a writer, Lindsay started working in healthcare in 2012 as an optician while she was pursuing her nursing license before working as a registered nurse in a clinical healthcare setting. This experience gave her firsthand knowledge of the challenges and complexities that patients face when managing chronic illnesses and navigating the healthcare system.
Today, when Lindsay is not writing, she enjoys camping and traveling across the United States with her husband and three children. She also volunteers as a creative writer for a non-profit organization that supports children with life-threatening illnesses and as a soccer coach for her children's teams.

Jessica Lee, MD
Medical Reviewer
Her practice centers on first addressing the lifestyle causes of disease and chronic illness, with the understanding and ability to use medical and surgical care for more acute concerns. She is also the co-founder and director of the Keto Hope Foundation, a nonprofit dedicated to helping families use the ketogenic diet as medical treatment for epilepsy
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