How Do I Care for Myself and Protect Others With the Flu?
- Avoid contact with others: If you have a fever, stay home until it is gone for more than 24 hours. Avoid other household members and visitors by staying alone in your room as much as possible. Consider a mask if you need to leave your room or go out of the house, or at least cover your face with the inner side of your elbow or a tissue when you cough or sneeze.
- Wash your hands: You should wash your hands with alcohol hand sanitizer (e.g. Purell or generic versions) or soap and water after you touch your face to cover a sneeze or a cough. Other household members should wash their hands frequently too.
- Rest: Get a lot of rest. Don’t exercise until you are feeling much better and your muscle aches have stopped.
- Consume plenty of fluids: Keep up on your fluids like water, soup and juice (limit sugary beverages if you’re a diabetic). The fever associated with flu can increase water loss from the skin.
- Manage symptoms: In adolescents and adults, acetaminophen 325 mg two pills every six hours or ibuprofen 200 mg two to three pills every six hours can help with fever, muscle aches and headache. Cough medicines are available over-the-counter, but it is not clear how well they work. Adding honey in your tea may be effective for a cough. (If you are diabetic, be mindful of possibly increasing your blood sugar with cough medicines and honey.) For younger children, consult their primary care provider.
- Take antiviral drugs where appropriate: Antibiotics and antiviral medicines do not work for colds. The vast majority of persons with the flu recover completely without antiviral drug treatment. However, your physician may prescribe an antiviral medication such as Tamiflu or Relenza. These drugs are often used in flu patients with shortness of breath, pneumonia or certain high-risk medical conditions such as pregnancy, asthma, COPD, diabetes and heart disease. They may also help to shorten the course of illness by 1 to 2 days in healthy persons who have the flu. Tamiflu causes nausea and vomiting in 10 to 15 percent of persons. Relenza should not be used in patients with asthma, COPD or wheezing.
- Seek care if your symptoms worsen: Seek immediate medical care if you develop worrisome symptoms such as trouble breathing, persistent vomiting or confusion. Also, call your medical provider if you get better but then your symptoms start up again.
- Take caution if breastfeeding: If you are sick with the flu, consider wearing a mask while breastfeeding. If you do not have a mask, cover your face with your elbow or a tissue when you cough or sneeze. Wash your hands after using a tissue or touching your face. At the very least, point your face away from the baby if you have to cough or sneeze. If you are too sick to breastfeed, pump your breasts and have a well family member give your milk to the baby by bottle. Acetaminophen, ibuprofen and (to the best of our knowledge) antiviral drugs approved for treating flu are safe for women to take when breastfeeding. If your infant is six months or older, make sure they get the flu vaccine.
- If pregnant, talk to your doctor: Many experts would treat pregnant women who have suspected or confirmed flu with an antiviral drug like Tamiflu or Relenza. This is especially true for women in the second and third trimesters where risk from flu is the greatest. Information to date suggests that the antiviral medications Tamiflu and Relenza are safe in pregnancy. Acetaminophen can be taken during pregnancy but not NSAID drugs like ibuprofen or alcohol-containing medicines like many cough syrups.
Back to top
