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Antibiotics for colds — the evidence

The common cold is viral, and antibiotics do nothing to viruses. They add side effects and drive resistance. The only time antibiotics belong in the picture is a bacterial complication — an ear infection, sinusitis that has gone on for weeks, or pneumonia — and that is a clinician's call.

What the evidence says

Verdict: Harmful. The common cold is viral, and antibiotics do nothing to viruses. They add side effects and drive resistance. The only time antibiotics belong in the picture is a bacterial complication — an ear infection, sinusitis that has gone on for weeks, or pneumonia — and that is a clinician's call.

What to actually do

Do not ask for them and do not use leftovers. The change that means "see a doctor" is not the runny nose but the second phase: getting better, then worse again with a fever, or symptoms dragging past 10-14 days.

Source: NICE CKS — common cold · checked 2026-09-07

Self-care reference, not medical advice. Children, older adults, pregnancy and anyone with a long-term condition should have a lower bar for calling a clinician. Severe or worsening symptoms, trouble breathing or confusion: get medical help.

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