Are max strength cold and flu pills worth the money?
Summary
The article says branded max-strength cold and flu remedies often cost much more than basic painkillers, while sharing key ingredients such as paracetamol. It reports that evidence for some added ingredients, including tablet-form phenylephrine, is limited or mixed, and that caffeine may offer only a modest boost to paracetamol’s effect.Key Facts
- A 16-tablet pack of Lemsip All-In-One Max Strength costs £7.30, compared with as little as £0.35 for supermarket paracetamol pills.
- Both products contain 500mg of paracetamol, which relieves pain and can reduce fever but does not treat the infection.
- Many combined cold and flu products also contain phenylephrine, a decongestant intended to reduce nasal swelling.
- A University of Manchester pharmacy professor cited little evidence that phenylephrine works as a tablet because the body breaks much of it down before it reaches the bloodstream.
- In 2024, the U.S. drug regulator proposed removing phenylephrine from cold and flu pills, saying it was not effective; the proposal has not been finalised.
- Evidence for guaifenesin, an ingredient intended to loosen mucus, is mixed, with some studies finding benefits and others finding little or none.
- Some max-strength remedies contain up to 65mg of caffeine per pill; research suggests it may modestly strengthen or speed paracetamol's effect.
- The article says large brands and premium products often receive more prominent in-store placement than cheaper alternatives.
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