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Flu in Adults (cont.)

What Foods Should You Eat When You Have the Flu?

  • Although no particular foods have been shown to decrease the length of the illness, it is recommended to drink plenty of fluids, including water and juices to avoid dehydration, and eat food even though the appetite may be decreased.
  • Eat foods with protein, such as meats, beans, and nuts and those that may soothe, such as warm soup or cold juice pops.

What Medications Treat Flu in Adults?

Some medications can be used to decrease the severity and duration of a flu attack. These are referred to as antiviral drugs. Antiviral medications are often given to those who are very sick, such as those in the hospital and others who are at higher risk of complications.

Those include children under 2 years of age (although 2- to 4-year-olds are also at increased risk but not as much as those under 2 years of age) or adults over 65 years of age. Also at higher risk of complications are children or adults with chronic illness such as asthma, chronic lung disease, congestive heart failure, diabetes, obesity, or HIV, as well as those under 19 years of age on chronic aspirin therapy. American Indians, Alaska natives, people who are morbidly obese (with BMI greater than 40), and residents of chronic-care facilities like nursing homes are also considered to be at higher risk for complications of the flu.

  • Zanamivir (Relenza), oseltamivir (Tamiflu), and peramivir (Rapivab) are the only antiviral drugs currently recommended to treat seasonal flu. They are active against both influenza A and B although resistance may develop in some strains of influenza A.
    • Zanamivir and oseltamivir are most effective when given within 48 hours of the onset of illness. They can decrease the duration of the disease by one day if used within this early time period. They may also be able to reduce the incidence of complications from the flu. The drugs are usually given for a period of about five to seven days.
    • These antiviral drugs are safe for children and pregnant women.
    • Side effects may include nervousness, poor concentration, nausea, and vomiting. Serious effects such as worsening of asthma may occur if one has a history of asthma. Discuss side effects with a doctor.
    • Peramivir is given as a single dose intravenously and is currently U.S. FDA approved and recommended for adults 18 years and older.
    • Antiviral drugs are not a substitute for the flu vaccine. Getting the annual seasonal flu vaccine is still the best way to prevent the flu.

When the lungs get infected, causing pneumonia, other antiviral drugs such as ribavirin (Copegus, Rebetol) and sometimes antibiotics may be needed.

  • For nasal congestion, a doctor may suggest the use of over-the-counter decongestants. Anyone with high blood pressure, heart disease, diabetes, thyroid disease, or glaucoma (high pressure inside the eye) should not use these decongestants without a doctor's advice.
  • Phenylephrine (Neo-Synephrine) and oxymetazoline hydrochloride (Neo-Synephrine 12 Hour, Afrin) are available as nasal sprays or drops. Use two to three sprays in each nostril as indicated on the label. Only use these nasal sprays or drops for up to three days. If they are used for more than that, the medication can actually worsen the congestion. These medications are not recommended for children.
  • Pseudoephedrine tablets (Sudafed) tablets may help congestion.

Flu in Adults Follow-up

Generally, no follow-up is needed for most flu cases unless fever or cough returns along with other new symptoms, which could signal a complication.

Medically Reviewed by a Doctor on 11/30/2015
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