Cold Medicine in France: How, Where and What to buy

This is a guide to finding and using cold medicine in France.

Over-the-Counter Cold Medicines in France

Medication Type	Common Brands	Symptoms Targeted	Availability Post-2024 Update
Nasal Decongestants (oral)	Actifed, Dolirhume, Humex	Nasal congestion	❌ Prescription required (as of Dec 2024)
Nasal Sprays (non-oral)	Stérimar, Physiomer	Nasal congestion	✅ OTC
Cough Suppressants	Clarix	Dry cough	✅ OTC
Expectorants	Mucomyst, Bronchokod	Chesty coughs	✅ OTC
Pain Relievers/Fever Reducers	Paracetamol, Ibuprofen	Pain, fever	✅ OTC
Throat Lozenges	Strepsils, Drill	Sore throat	✅ OTC
Natural Remedies	Oscillococcinum, herbal teas	General cold symptoms	✅ OTC (commonly recommended)

Over-the-Counter Cold Medicines in France

In France, a variety of over-the-counter (OTC) medications are available to relieve the symptoms of the common cold. However, as of December 11, 2024, some products that were previously sold OTC now require a prescription due to health risks.

Nasal Decongestants

Previously common decongestants such as Actifed, Dolirhume Paracétamol + Pseudoéphédrine, and Humex Cold are now prescription-only, following a ruling by the French health authorities. These medications contained pseudoephedrine, which is associated with rare but serious cardiovascular and neurological risks, including strokes and heart attacks. Alternatives like saline nasal sprays or decongestants without pseudoephedrine remain available over the counter.

Cough Suppressants and Expectorants

Products like Clarix (for dry coughs) and Mucomyst (for chesty coughs) remain available over the counter. These medicines typically contain dextromethorphan or acetylcysteine, and are not affected by the new regulation.

Pain Relievers and Fever Reducers

Paracetamol and ibuprofen are still widely available without a prescription in France for treating cold-related pain and fever.

Throat Lozenges

Soothing lozenges such as Strepsils and Drill, which contain antiseptics or menthol, can still be purchased OTC.

Description and Usage

Nasal decongestants: Oral products with pseudoephedrine now require a prescription. Only non-pseudoephedrine nasal sprays remain OTC.

Cough medicines: Still available without prescription. Use expectorants for chesty coughs, suppressants for dry coughs.

Pain relievers and fever reducers: Paracetamol and ibuprofen are safe and still available OTC in France.

Throat lozenges: Soothing and antiseptic lozenges continue to be sold without restriction.

Regulations Surrounding Cold Medicines in France

Prescription vs. OTC

Since December 11, 2024, oral decongestants containing pseudoephedrine (e.g. Actifed, Dolirhume) have been reclassified as prescription-only by the ANSM due to risk of rare but serious side effects. This significantly alters what foreigners may consider basic cold medicine.

Sale and Dispensing

As always, all medications are sold exclusively in pharmacies, with no sales allowed in supermarkets or convenience stores. Pharmacist guidance is still mandatory for all OTC medicines.

Differences Compared to Other Countries

This change highlights France’s conservative regulatory stance. In countries like the U.S., pseudoephedrine is still sold OTC with ID check. France now requires a full medical prescription.

Implications for Foreigners

Visitors should be aware that medicines like Actifed and Dolirhume now require a prescription. If you are used to purchasing pseudoephedrine-based decongestants without a doctor’s note in your country, you must now consult a physician in France.

Always ask the pharmacist for available alternatives, such as non-pseudoephedrine nasal sprays or natural remedies.

How to Purchase Cold Medicine in France

Navigating the Pharmacy Experience

Purchasing cold medicine in France, especially as a foreigner, requires understanding the local pharmacy system and some preparation, especially if you’re not fluent in French.

Steps for Purchasing OTC Cold Medicine

Finding a Pharmacy

Look for the green cross sign that signifies a pharmacy in France. If you need a pharmacy outside of regular hours, look for the “pharmacie de garde” (duty pharmacy) in your area.

Communicating with the Pharmacist

Upon entering the pharmacy, you’ll need to speak with a pharmacist or an assistant. It’s helpful to prepare a few key phrases in French, or you can use a translation app. Phrases like “J’ai un rhume” (I have a cold) or “J’ai besoin de médicaments pour le rhume” (I need cold medicine) can be useful.

Describing Symptoms

Be ready to describe your symptoms. This helps the pharmacist recommend the most appropriate medication. For example, specify if you have a cough, sore throat, fever, or nasal congestion.

Purchasing Medication

The pharmacist will recommend suitable medications, but be aware that they can no longer sell you oral decongestants containing pseudoephedrine without a prescription. Ask for alternatives if necessary.

Language Tips for Non-French Speakers

• Learn basic health-related vocabulary in French or have it written down.
• Utilize translation apps or tools if you’re not confident in your French language skills.
• Don’t hesitate to ask for clarification or repetition if you don’t understand something.

Building Confidence in the Process

Being informed and prepared will make the process of purchasing cold medicine in France smoother. Pharmacists in France are well-equipped to assist you and are accustomed to dealing with non-French speakers. Their guidance is valuable, not only in choosing the right medication but also in understanding how to use it safely and effectively.

Understanding the French Pharmacy System

The Role of Pharmacies and Pharmacists in France

In France, pharmacies play a crucial role in healthcare. They are more than just places to pick up medication; they serve as primary points of health advice and consultation.

French pharmacists are highly trained professionals who can offer guidance on a wide range of medical issues, including recommending over-the-counter (OTC) medications for common ailments like the cold.

Unlike in some countries, where pharmacies might be part of a large chain or a department in a grocery store, French pharmacies are often standalone establishments, identifiable by a green cross sign. They are integral to the community, offering personalized service that extends beyond the mere dispensing of medications.

How French Pharmacies Differ From Those in Other Countries

One of the most notable differences in the French pharmacy system is the level of expertise and authority given to pharmacists. In France, pharmacists can advise on and dispense a variety of medications without a doctor’s prescription, including some that might require a prescription in other countries.

Moreover, the layout and operation of French pharmacies can be different. Medications, including common OTC drugs, are not typically accessible on open shelves for self-service. Instead, you will need to speak with a pharmacist or a pharmacy assistant to obtain them.

This approach ensures personalized advice and proper use of medications, but it can be a surprise for those used to self-selecting medications in their home countries.

Availability and Accessibility

Pharmacies are readily available across France, even in smaller towns. However, operating hours may vary, and not all pharmacies are open 24/7. In each area, there is always at least one pharmacy on duty at night or during public holidays, known as “pharmacie de garde.” Information about these can usually be found posted on the doors of local pharmacies or obtained from medical hotlines.

Note that some medications previously OTC, like pseudoephedrine decongestants, now require a doctor’s prescription. This affects how quickly and easily you can treat symptoms like nasal congestion.

Cultural Attitudes Towards Treating Colds in France

Understanding the French Perspective on Treating Colds

In France, the approach to treating a common cold may differ from what foreigners are accustomed to in their home countries. Understanding these cultural nuances can be beneficial for integrating into the local lifestyle and for managing expectations when seeking treatment for a cold.

Home Remedies and Preventative Measures

Emphasis on Natural and Homeopathic Remedies: In France, there is a noticeable inclination towards using natural or homeopathic remedies for treating minor ailments like the common cold. Products such as essential oils, herbal teas, and homeopathic pills are quite popular and often recommended by pharmacists alongside conventional medicine.

Preventative Lifestyle Choices: The French often focus on lifestyle and dietary choices to prevent and manage colds. This includes attention to diet, ensuring adequate rest, and dressing appropriately for the weather to avoid catching a cold.

Medical Consultation for Colds

While self-care and OTC medications are commonly used for cold symptoms, the French do not hesitate to consult a doctor if symptoms persist or worsen. This readiness to seek professional medical advice, even for what may seem like minor ailments, is a notable aspect of the healthcare culture in France.

Differences from Other Cultures

Compared to some cultures where there is a heavy reliance on medication for immediate relief, the French tend to have a more holistic and patient approach towards cold treatment. This includes a greater acceptance of the natural course of a cold and using medications more for comfort than for an immediate cure.

The Role of Pharmacists

Pharmacists in France play a key role in guiding both medication and home remedy choices. Their advice often extends beyond the pharmacological, touching upon lifestyle and natural remedies as part of a comprehensive approach to treatment.

Safety and Precautions

Ensuring Safe Use of Cold Medications in France

When it comes to using cold medications in France, safety should always be a priority. This is particularly important for foreigners who may not be familiar with the specific brands and formulations available in the country.

Important Safety Information

Regulatory Updates: Since late 2024, several pseudoephedrine-based medications are no longer sold OTC in France due to risk of serious cardiovascular events. Check with the pharmacist to ensure your medication complies with the new rules.

Reading Labels

Even if you’re not fluent in French, it’s crucial to understand the information on medication labels. This includes the active ingredients, dosage instructions, and any warnings. If you’re unsure, ask the pharmacist to explain.

Dosage Instructions

Adhering to the recommended dosage is vital. Overuse of certain medications, such as nasal decongestants, can lead to complications or reduced effectiveness.

Drug Interactions

Be aware of potential interactions with other medications you might be taking. This is particularly important if you are on prescription medication for other conditions.

Allergies and Contraindications

If you have any known allergies or medical conditions, communicate this to the pharmacist. They can help you avoid medications that may cause adverse reactions.

Precautions When Using Cold Medicines

Alcohol Consumption: Some cold medications can have adverse effects when combined with alcohol. It’s advisable to avoid alcohol when taking these medications.

Driving and Operating Machinery: Be cautious if the medication causes drowsiness, which can impair your ability to drive or operate machinery safely.

Consultation for Persistent Symptoms: If symptoms persist beyond a few days or worsen, it’s important to consult a doctor. Do not rely solely on OTC medications for prolonged periods.

Understanding Medication Labels

For non-French speakers, understanding medication labels can be a challenge. Here are a few tips:

• Use a translation app or tool to decipher the labels.
• Familiarize yourself with common pharmaceutical terms in French.
• When in doubt, seek clarification from the pharmacist.

Additional Resources