URIs ==== þ For viral URIs, antihistamines and expectorants do nothing. [Hendeles L. Efficacy and safety of antihistamines and expectorants in nonprescription cough and cold preparations. Pharmacotherapy 1993;13(2):154. [Naclerio RM. The role of histamine in allergic rhinitis. J Allergy Clin Immunol 1990;86:628-32.] þ Sympathomimetics vs. BP - Sympathomimetics (such as pseudoephedrine) should be avoided in patients who may have obstructive uropathy, as they can cause constriction of the bladder neck leading to urinary retention. Reference: Tintinalli 3rd ed. p 387 þ Codeine is useless for the cough of a URI. [Eccles R. Lack of effect of codeine in the treatment of cough associated with acute upper respiratory tract infection. J Clin Pharm Ther 1993;17(3):175.] þ For viral URI, acetaminophen (e.g., Tylenol) or aspirin (but not ibuprofen) will: - increase nasal stuffiness - decrease the subsequent immune response (and presumably resistance to re-infection with same virus) - probably lengthen the period of viral shedding. [Graham NMH, Burrell CJ, Douglas RM, Debelle P, Davies L. Adverse effects of aspirin, acetaminophen, and ibuprofen on immune function, viral shedding, and clinical status in rhinovirus-infected volunteers. J Infect Dis 1990;162:1277-82.]