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cold and fu

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03/01/14 60 Answers Brochure - Cold & Flu 03/01/14 1 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. symptoms symptoms

Answers begin here for cold and fu.

Sneezing, runny nose, scratchy throat. Everyone knows the frst signs of a cold—one of the most common illnesses. But if your symptoms include fever, chills, dry , fatigue and achy muscles, you may have the fu.

cold and fu This brochure will help you to be well informed and well prepared when the cold and fu season hits. f u Contents symptoms ...... Page 3

cough common cold ...... Page 5 cold and fu ...... Page 8 fu ...... Page 16

nonmedical cough ...... Page 24 nonmedical ...... Page 28 kids’ health ...... Page 30 lip care ...... Page 44

kids’ health How can I tell if I have a cold or the fu? be prepared ...... Page 46 The fu and the common cold often have similar symptoms. However, fu symptoms tend to be more severe and debilitating. Fever, body aches, and dry cough are usually lip care more intense for someone with the fu. People with colds are more likely to have a runny or stuffy nose. Those who get colds rarely need to stay in the hospital, and a cold is less likely to result in complications like .1

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03/01/14 2 Answers Brochure - Cold & Flu 03/01/14 3 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. common cold Differences between cold and fu: 2,3 symptoms symptom cold f u

sneezing usually sometimes

scratchy throat usually sometimes

stuffy/runny nose usually sometimes

headaches sometimes usually

muscle/body aches sometimes usually How can I keep from getting a cold? • Always wash your hands: Children and adults should sore throat sometimes sometimes wash their hands after they visit public places, use the bathroom, diaper a baby or wipe their nose. They cough sometimes usually should also wash before eating or making food. • Disinfect: Clean places that are touched often (such as sink low grade fever usually handles, door knobs and telephones) with a germ-killing or none cleaner and use instant hand sanitizers to kill germs.

chills sometimes usually • Use paper towels in place of cloth towels.2 • Find a smaller day care class for your child, if possible: depends nausea rarely Adults often catch colds from their kids, so a day care on type of fu where there are six or fewer children is preferable. This will greatly reduce the spread of germs.2 fatigue sometimes often • Don’t share eating utensils, cups, tissues or toothbrushes. • Try to avoid close contact with someone who has a cold.4

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03/01/14 4 Answers Brochure - Cold & Flu 03/01/14 5 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. be nformed common cold If I have a cold, what can I do to feel better? • More than 200 viruses can cause a cold.7 Get lots of rest and drink plenty of fuids. Hot fuids, such as tea • People are most likely to spread their cold to with , can soothe a sore throat. Short-term use of over others during the frst two to three days of a the counter (OTC) cold and cough may help ease cold’s onset. Most colds clear up within a week. symptoms in adults and older children. They do not make your • Colds are the most common reason that cold go away faster, but they can help you feel better. Make sure children miss school and adults miss work.8 to read product labels for dosing instructions, possible side effects and warnings.5 For example, if you have high pressure, do not take a with or Do I need listed as an ingredient because they raise blood pressure.6 if I have nasal discharge? Green or yellow nasal discharge is not a sign that you need antibiotics. Colds often begin with a clear nasal discharge that may turn creamy yellow or green after a few days. But colds are caused by viruses, so taking antibiotics will not help. To thin out mucus try: • Drinking plenty of fuids. • Increasing the moisture in the air with a vaporizer or humidif er. • Using saline nasal sprays or drops.9

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03/01/14 6 Answers Brochure - Cold & Flu 03/01/14 7 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. cold and fu

What medications are helpful for fevers, aches and pains?

Fevers, aches and pains often respond well to pain reliever/ cold and fu fever reducer products. These include acetaminophen (Tylenol) or non-steroidal anti-infammatory (NSAIDs) like

(Advil or Motrin) or (Aleve). Follow the directions on product labels carefully. If you have heart disease, kidney disease, stomach problems or other health concerns, check with your healthcare provider before taking an NSAID.10

What is pseudoephedrine and where is it located in the store? Do cough and cold Pseudoephedrine is a decongestant that can help if you medications often contain have a stuffy nose from a cold, the fu, hay fever or other the same ingredients? allergies. Your healthcare provider may also suggest you Yes. Many cough and cold medications use it for other problems, such as sinus congestion and contain the same ingredients, so be careful pressure. Pseudoephedrine may help ease symptoms, when using more than one product—you but it does not make your cold go away faster. don’t want to overdose. Also, don’t take a Ask your healthcare provider or Walgreens pharmacist if it is for symptoms you don’t have. safe for you to take pseudoephedrine. If your state allows the If the box says “Cold and Cough” and you sale of pseudoephedrine, it will be found behind the pharmacy only have a cough, look for something counter and sold by the pharmacist. You may need to show an that treats only cough symptoms. If 11 ID to make the purchase. you have any questions about which cold medication is right for you, ask your healthcare provider or Walgreens pharmacist to help you choose.12

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03/01/14 8 Answers Brochure - Cold & Flu 03/01/14 9 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. • Nasal . Common ingredients are pseudoephedrine and phenylephrine. These help to unclog a stuffy nose. • Cough suppressants. Common ingredient is or DM. This helps to quiet a cough.

• Cough expectorants. Common ingredient is cold and fu . This loosens mucus so you can cough it up.

. Common ingredients are , chlorpheniramine and . These help to stop runny noses and sneezing. • Pain relievers/fever reducers. Common ingredients are acetaminophen and ibuprofen. These help to ease fever, headaches and minor aches and pains. There are many different pain medications, and each one has benefts and risks. Some types of pain respond better to certain medications than others.13,14

What should I look for when I buy a cold medication? Cold medications have ingredients that help treat certain symptoms. Get to know the terms that may appear on the box. Then you can match your symptoms to what is listed. On the next page are some common types of cold medications with the ingredients they usually contain:

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03/01/14 10 Answers Brochure - Cold & Flu 03/01/14 11 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. be nformed

When shopping for over the counter cold and fu medications, know what to look for:15

Symptom What kind of medication What ingredients should be in the

should I look for? medication I choose?

cold and fu All-over aches/pains aspirin, acetaminophen, ibuprofen, naproxen

Stuffy nose/congestion decongestant pseudoephedrine, phenylephrine, , naphazoline

Cough that brings up mucus expectorant guaifenesin

Dry cough antitussive dextromethorphan

Runny nose fexofenadine, , , diphenhydramine, chlorpheniramine, clemastine, loratadine, pheniramine

Fever aspirin, acetaminophen, ibuprofen, naproxen

Headache analgesic aspirin, acetaminophen, ibuprofen, naproxen

Itchy nose/eyes/throat antihistamine diphenhydramine, chlorpheniramine, clemastine, brompheniramine, pheniramine

Sneezing antihistamine diphenhydramine, chlorpheniramine, clemastine, brompheniramine, pheniramine

Sore throat , analgesic benzocaine, benzyl alcohol, aspirin, acetaminophen, ibuprofen, naproxen

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03/01/14 12 Answers Brochure - Cold & Flu 03/01/14 13 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. What is the difference between daytime and nighttime cold and fu cold medications?

Daytime and nighttime cold medications are not the same. Nighttime products contain an antihistamine that can cause you to become drowsy. Daytime products do not contain this type of ingredient.17 However, a daytime product may still make you drowsy if it contains a cough suppressant, Is it safe to take cold or fu products such as dextromethorphan (the with other over the counter or “DM” ingredient in many cough/ prescription medications? cold products). Make sure It depends on what medications you are taking. If you take more you know how a medication than one medication with the same active ingredient to help your will affect you before cold or fu symptoms, you might end up taking more than the you drive or operate suggested dose. That can cause serious health problems, so machines.18 read all labels carefully. If you are taking OTC or prescription medication(s), ask your Walgreens pharmacist or Healthcare Clinic nurse practitioner to suggest a cold or fu product that is safe to take with your other medication(s).16

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03/01/14 14 Answers Brochure - Cold & Flu 03/01/14 15 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. f u

What is the fu? The fu is an illness caused by a virus that can quickly spread to others. Older people, young children and people with certain health issues are at high risk for serious fu-related problems.19

What is the best way to protect against the fu? f u Protect yourself with a fu shot at Walgreens. The Centers for Disease Control and Prevention (CDC) recommends that everyone 6 months of age and older get a seasonal fu shot. It’s never too early to get a fu shot, so you can get one as soon as it is available at Walgreens. Don’t get a fu shot if you are allergic to eggs or have had a previous reaction to a fu shot. Walgreens also offers a fu nasal spray. It is approved for healthy people ages 2 to 49 who are not pregnant. If you are unsure about whether to get a fu shot or fu nasal spray, ask your healthcare provider or Walgreens pharmacist for help.20

How do fu shots work? Flu shots contain an inactive fu virus that helps you make antibodies. These antibodies can prevent you from 20 getting the fu if you are exposed to the real fu virus. Can a fu shot help prevent the common cold? No. A fu shot does not protect against viruses that can cause colds and other breathing-related problems.21

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03/01/14 16 Answers Brochure - Cold & Flu 03/01/14 17 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Are certain groups of people at high risk for catching the fu? Yes. Some people are at a higher risk for catching the fu, and for developing fu-related complications. People in the following groups are strongly encouraged to get a yearly fu shot, according to the CDC: • Pregnant women • Children younger than 5, but especially children younger than 2 years old f u • People 50 years of age and older • People who live in nursing homes and other long-term care facilities • People of any age with certain chronic medical conditions • People who live with or care for those who are at high risk for developing serious complications from the fu 22

be nformed

• Millions of Americans get the fu each year. • Flu symptoms usually appear within two to three days of contact with the virus. • In most healthy people, the fu will run its course within one to two weeks. • The fu can worsen asthma, breathing problems and other chronic health issues.23

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03/01/14 18 Answers Brochure - Cold & Flu 03/01/14 19 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. How do you prevent the fu from spreading to others? • Don’t touch your eyes, nose or mouth. • Carry hand sanitizer with you. • Don’t share food, utensils, cups or bottles.

• Stay in your home for at least 24 hours after any fever is gone. f u • Cough into a tissue and throw it away after use. • Cough into your sleeve if a tissue is not available.23

If I have the fu, do I need to take antibiotics? Your healthcare provider may prescribe antibiotics if your fu has progressed to a bacterial . You can treat fu symptoms without medication if you: • Get plenty of rest. How does the fu spread? • Place a cool, damp washcloth on your forehead, arms Most people catch the fu when they breathe in tiny droplets and legs to reduce the ache that often comes with a fever. from the or sneezes of someone who has the fu. The • Put a humidifer in your room to make breathing easier. fu is also spread when you touch something with the virus on it • Gargle with saltwater (1 teaspoon of salt in 1 cup of warm and then put your hands near your mouth, nose or eyes. The fu water) to soothe a sore throat. spreads easily and often strikes people who live, work or play near each other.23 • Cover up with a warm blanket to calm chills.24

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03/01/14 20 Answers Brochure - Cold & Flu 03/01/14 21 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Will I get dehydrated if I have the fu? People become dehydrated when the body loses too much water. This is common for people when they have the fu. Dehydration can make a sick person feel even worse, and those with diarrhea and frequent vomiting can become very dehydrated even more quickly.25 Mild fuid loss often can be treated at home. Drinking fuids is usually all you need to do to treat mild dehydration. Many people fnd water, electrolyte solutions or sports drinks and broths helpful. Drink plenty of 26 f u liquids at the frst sign of the fu.

When should I speak with my healthcare be nformed provider or Walgreens pharmacist?

Even if you do not feel like eating, you need to If you have any questions about cold or fu products, ask your keep drinking when you are sick with the fu. Walgreens pharmacist. You probably don’t need to see your Here are a few tips to help you stay hydrated: healthcare provider for most cases of cold or the fu. But call • Take small sips often throughout the day. him or her right away if you have: • Avoid alcohol and caffeinated drinks like • A high, prolonged fever (above 102°F) coffee and soda; these can dehydrate you. with fatigue and body aches • Suck on ice chips or popsicles. Eating • Symptoms that last for more than three gelatin is also a good way to get extra fuids. days or get worse instead of better • Use a squeeze bottle or a straw if it • Trouble breathing or shortness of breath hurts your throat to drink from a cup. • Pain or pressure in the chest • If you have heart or kidney problems, ask • Confusion, fainting or feeling like you are about to faint your healthcare provider how much liquid • Severe or nonstop vomiting you should drink when you are sick.26-27 • Severe sinus pain in the face or forehead • Very swollen glands in the neck or jaw 28

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03/01/14 22 Answers Brochure - Cold & Flu 03/01/14 23 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. cough Another option is a topical cough medication like VapoRub. This is rubbed into the chest as well as on the neck and throat. It has medicated vapors to relieve cough symptoms and congestion in both adults and children.30

How do cough medications work? Antitussives and expectorants are combined in cough medications and they are also found together as ingredients in multisymptom cold medications, which treat many symptoms at once. If you take a multisymptom cold medication and your main symptom is a cough, watch out for the drying effect of antihistamines and decongestants. This can actually make a cough worse. In this case, a better option would be a medication that only treats your cough. However, if you have cough

a cold or the fu, antihistamines may work better for a cough How can I treat a cough? than a cough medication.29 For assistance in choosing the There are two types of OTC cough medications: right medication, talk to your Walgreens pharmacist or antitussives and expectorants. healthcare professional. • Antitussives are cough suppressants that help to quiet a cough by suppressing your body’s urge to cough. Dextromethorphan is the “DM” ingredient in many cough/cold products such as Delsym, Robitussin Cough and Vicks Cough. • Expectorants loosen mucus so that you can cough it up. Guaifenesin is an expectorant found in products such as Mucinex and Robitussin Chest Congestion.29 When you have a cough, it’s also important to drink plenty of fuids, since liquids help thin the mucus in your throat and make it easier to cough it up.

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03/01/14 24 Answers Brochure - Cold & Flu 03/01/14 25 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. What is the difference between Do I need to call my cough drops and throat lozenges? healthcare provider Cough drops often contain , benzocaine or about my cough? eucalyptus oil to calm a cough and add favor to the product.31 Below are some of the reasons Dextromethorphan is the “DM” cough suppressant found in you should call your healthcare some cough drops.32 Some cough drops contain sugar, while provider regarding your cough: others are sugar-free, so check the label. Some cough drops • Your cough doesn’t get aren’t much different from hard candy. They coat the throat to better after 10–14 days, help relieve the tickle.31 or it gets worse Throat lozenges provide brief relief of sore throat symptoms. • You are coughing up thick, Most contain products that numb or coat the throat and offer an greenish-yellow phlegm

anti-itch effect.33 Products with numbing agents may be used and you have a fever

cough every three or four hours or as stated on the label. Do not eat • You are coughing up blood or drink while your throat and mouth are numb because food • When you exhale, you constricts and tightens your passageways instead of easing make a wheezing sound them.34 Sore throats that occur with a fever, headache, • Your temperature is nausea or vomiting require medical attention. Other useful above 101° F nonmedical options for sore throat include sucking on 29 a hard candy, gargling with warm saltwater • You feel short of breath and drinking tea with honey and lemon. An over the counter pain reliever, such as acetaminophen or ibuprofen, can also help reduce throat pain.35

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03/01/14 26 Answers Brochure - Cold & Flu 03/01/14 27 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. nonmedical

What are some nonmedical ways to help treat my cold symptoms? Cold symptoms can be quite uncomfortable. While there are many cold medications on the market, here are a few nonmedical treatments you can try: • A humidifer. This increases moisture levels in the air (humidity). Humidifers can help ease cold symptoms, such as dry sinuses, congestion and cracked lips. Some produce a cool mist. Others, called vaporizers, create hot steam that cools before it leaves the machine. Don’t use a vaporizer on small children, as it can cause burns. Read the booklet that

comes with each machine before you try it. Inhaling steam nonmedical from boiled water also soothes cold symptoms.36

• Hot drinks. Try ginger tea, hot apple cider and hot tea with honey and lemon. Spicy foods that contain hot peppers or horseradish may help clear sinuses. • Nasal strips. These help open nasal passages and ease congestion. Place one across the lower part of your nose to pull the nostrils open.37 • Nasal saline irrigation. This is a treatment that uses salt and water to fush out nasal passages. A popular choice, called the Neti pot, helps reduce congestion and facial pain.38

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03/01/14 28 Answers Brochure - Cold & Flu 03/01/14 29 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. kids’ health

How can I take care of my child during cold and fu season? Cold and fu season can be a diffcult time of year when it comes to your kids. Children seem to have more colds than any other type of illness. In fact, children over age 2 can have more than 10 colds per year.39 While kids usually bounce back from colds within a few days, the fu is a more serious illness. Each year, about 20,000 children under the age of 5 are hospitalized because of complications from the fu. 40 Learn the facts about the cold and fu, their symptoms, and when to get your child a fu shot. Walgreens offers fu shots, as well as a fu nasal spray, for healthy children age 2 or older. If you think your child may have the fu, call your child’s doctor right away.

How can I keep my child from catching a cold?

Make sure your child washes his or her hands with mild soap kids’ health and water when returning from public places and before eating. If you have several children in the family, try to disinfect shared toys and surfaces using nontoxic products, such as mild soap and water or baby wipes.41 Bring your own toys, coloring books and crayons to your child’s doctor’s offce to avoid using any toys that have been handled by sick children.42 Stop children from sharing straws, cups, eating utensils and toothbrushes.43

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03/01/14 30 Answers Brochure - Cold & Flu 03/01/14 31 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. How can I treat my child’s cold without medication? New rules prevent giving cold medications to some young children, so it’s good to know a few ways to relieve symptoms without using medication. These tips may be helpful for children under age 4 who cannot use decongestants, or who have trouble blowing their nose: • Use of a cool mist humidifer can help loosen congestion. • Nasal saline sprays or drops may help loosen a stuffy nose. • Warm water compresses with moistened cotton balls, tissue or a soft cloth can be used to dissolve crusty areas around the nostrils. • Apply a light dab of petroleum jelly or moisturizer around the 46 nostrils if they look red from too much nose blowing or wiping. Nonmedical treatments • Make sure your child drinks plenty of Age Treatment liquids to help keep mucus loose. Infants under Use pediatric saline (saltwater) nose drops • Getting plenty of rest can 6 months and a child’s bulb syringe to gently suck help your child recover out some of the mucus every few hours. more quickly.44-46 kids’ health Children Dissolve ½ to 1 teaspoon of honey or over 1 year sugar in some warm liquid to help thin mucus and soothe a nighttime cough.

Children ages Use a cough drop or hard candy to 6 and up help moisten an irritated throat and cut down on coughing.

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03/01/14 32 Answers Brochure - Cold & Flu 03/01/14 33 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Main Ingredient Function

Nasal pseudoephedrine unclogs a decongestants and phenylephrine stuffy nose

Cough dextromethorphan, quiets a cough suppressants or DM

Cough guaifenesin loosens mucus expectorants so your child can cough it up

Antihistamines brompheniramine, stops runny chlorpheniramine, noses and diphenhydramine sneezing and others

Pain relievers/fever reducers ease fever, headaches and minor aches and pains. Some types of pain respond better to certain medications than others.13,14

Which cold medications be nformed kids’ health can I give my child? • Cold medications do not shorten the length • For children ages 0–6 years: Consult your child’s of a cold and are for short-term use only.48 doctor before using any cold medications. • Use caution and follow the guidelines carefully on the • For children ages 7 and up: You may use cold package label, as cold medications can have side effects. medications, but follow label guidelines.47 • Don’t duplicate ingredients, especially if you use multisymptom cold products that have similar ingredients.14

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03/01/14 34 Answers Brochure - Cold & Flu 03/01/14 35 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Guide to kids and fevers

Age of Child When to Call the Doctor

Infant less than 2 months Rectal temperature of 100.5° F or greater

Baby aged 3–6 months Temperature of 101° F or greater

Baby or child over Temperature of 103° F 6 months or greater 49

Electronic ear thermometers measure the temperature inside the ear canal. Although they’re quick and easy to use in older babies and kids, they don’t give as accurate a reading as How do I take digital thermometers for infants my child’s temperature? 3 months or younger, and they cost more. Excess earwax can There are a number of types of thermometers on the market. also affect readings.50 Whichever thermometer you choose, learn how to use it correctly. If you are unsure, ask your child’s doctor to suggest How can I make sure to give the a temperature-taking method for your child. right dose of a children’s pain reliever? Digital thermometers are the most common type because

kids’ health • Acetaminophen and ibuprofen do not have the same they provide the quickest readings. They come in many dosing guidelines. Use the weight dosing chart on the sizes and shapes. Digital thermometers can be used for label as a guide. You can also dose by age, unless these temperature-taking methods: your child is light or heavy for his or her age. • Oral (in the mouth) • Follow the guidelines carefully on the label • Rectal (in the anus) and don’t duplicate ingredients. • Axillary (under the arm) • Use the dosing device that comes with the bottle to be sure you’re giving your child the correct amount.51 36 37

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03/01/14 36 Answers Brochure - Cold & Flu 03/01/14 37 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. What are the signs that my child’s illness is probably not serious? Your child’s illness is probably not serious if he or she: • Still wants to play and eats and drinks well • Looks well when his or her temperature comes down • Is alert and smiles at you and has a normal skin color • Has an easy time breathing • Sleeps without waking up from a cough or nasal congestion55,56 When should I contact my child’s doctor? Contact your child’s doctor if your child: • Develops a fever, sore throat, abnormal cough or other How can I reduce my child’s fever? cold-like symptoms that go on for more than 24 hours, or are not relieved by OTC medications57 Fever is a symptom that can alert you to a serious infection, or a level of dehydration that requires treatment.52 If your child • Complains of ear pain or pulls on the affected ear, stays has a fever, check with your child’s doctor before you give your in a bad mood, isn’t sleeping well or has a fever child medication to lower the fever. These symptoms could signal something more serious, • Fever reducers, such as acetaminophen or ibuprofen, can be like an ear infection.58 bought without a prescription. Don’t mix or switch between these medications. It’s best to stick with one or the other. kids’ health Also, if your child already uses a cold product that contains be nformed more than one medication, don’t duplicate ingredients. • Use the smallest effective amount of medication for the While aspirin does reduce fever, it is not recommended for use in shortest time to reduce the risk of side effects.53 children because it has been linked When in doubt, ask your Walgreens pharmacist to help you learn to Reye’s syndrome, a rare but very about each product, ingredients and new dosing guidelines.54 serious illness that occurs in children and teens after a viral infection.59

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03/01/14 38 Answers Brochure - Cold & Flu 03/01/14 39 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. What types of fu symptoms Side effects from the fu nasal do children usually have? spray may include: Flu symptoms include: • Runny nose • Rapid onset of a fever, with chills • Headaches and muscle aches • Headaches • Wheezing 61 • Low energy • Fever • Dry cough How can children • Achy muscles and pain reduce their chances Sometimes fu can cause stomachache, of getting the fu? nausea and vomiting and, as the days • Teach children to cover their go on, a sore throat/runny or stuffy noses and mouths with a nose. Infants are more prone to fu­ tissue when they cough or related problems, such as dehydration, sneeze and to throw the tissue ear , , away after using it. Children and pneumonia.60 who cough or sneeze should do so into their elbow. What are the possible side effects of a fu • Children should wash their kids’ health shot for children? hands with soap and water for 15–20 seconds after they cough Most children do not have side effects from a or sneeze. They can also use fu shot. However, there are some possible side effects. alcohol-based hand sanitizers These usually don’t last more than a few days and include: in small amounts for in between • Soreness at the site of the shot cleanings. Keep sanitizers out • Mild fever of children’s reach.61 • Minor aches

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03/01/14 40 Answers Brochure - Cold & Flu 03/01/14 41 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. How can I treat my child’s fu? Call your child’s doctor if you think he or she has , never received a shot to prevent it, You can treat fu symptoms as you would a cold. Children or has been exposed to someone with whooping cough. can take a fever reducer, such as acetaminophen or ibuprofen, Antibiotics are usually used for two weeks, and a cool-mist to make them feel more comfortable. They may also take certain vaporizer may be helpful. You can keep your child from cold medications for the fu. 62 getting whooping cough by getting h im or her a DTaP shot If your child has a stomach fu with nausea, vomiting and as young as 2 months of age.64 diarrhea, make sure they keep drinking fuids. If your child is not drinking enough, his or her doctor may recommend an electrolyte solution. Electrolyte solutions replace the minerals and nutrients in your child’s body. Try giving your child a few small sips of an oral electrolyte solution every few minutes, per the recommendations on the bottle label. Electrolyte solutions now also come in freezer pops, though they should not be given to children under 1 year of age.63

What is whooping cough? Whooping cough is an infection of the lungs and breathing passages. It can spread to other children quickly. The frst symptoms are similar to common cold symptoms: sneezing, runny nose, slight fever and a cough that may get worse at night. However, unlike a cold, within a week or two an kids’ health older child might start to have a whooping cough that gets stronger. During the next two weeks the child may become short of breath and can look bluish around the mouth. Tearing, drooling or vomiting may occur. Infants with this problem (also called pertussis) become very tired and can develop related problems such as pneumonia and seizures.64

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03/01/14 42 Answers Brochure - Cold & Flu 03/01/14 43 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. lip care What causes cold sores and fever blisters? Cold sores or fever blisters are Why do my lips become chapped caused by a virus that many people when I have a cold or the fu? have in their bodies. The virus You breathe through your mouth when you are congested, can become active if a person which dries out your lips. Fever also dries out the body.65 gets a cold or fever. It can also There are also some products found in many cough be triggered by sun exposure, and cold treatments that may cause dry lips.66 stress, intestinal illness and women’s menstrual cycles. How often should I use a lip care product? What warning signs Use lip balm daily to add moisture to your lips and keep them healthy.67 Products that contain petroleum jelly, beeswax, show that a cold sore shea butter or sunfower seed oil can help lips feel better.68 or fever blister is coming? Avoid products that contain eucalyptus, menthol or camphor, Itching, tingling and a feeling of heat will often show where as they can cause dryness and irritation.69 a sore or blister will appear within 24 hours. You might also notice a small bump or swelling on or next to the lip.70 What are cold sores and fever blisters? How can I treat my cold sore or fever blister? Cold sores or fever blisters are caused There is no cure for cold sores. However, there are medications by a contagious virus of the mouth. to help relieve some of the pain and ache that comes with Cold sores usually occur outside the sores. These include creams that numb the blisters, the mouth: on the lips, chin antibiotics that control related bacterial infections and lip care and cheeks or in the nostrils. ointments that soften the crusts of the sores.71 Keep your When they do occur inside the lips moist, reduce stress and stay out of the sun, which can mouth, it is usually on the gums trigger a cold sore.72 Ask your healthcare provider about anti­ or the roof of the mouth.70 viral creams that can shorten the course of your cold sore.

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03/01/14 44 Answers Brochure - Cold & Flu 03/01/14 45 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. be prepared

What products should I have on hand for the cold and fu season? Be prepared for cold and fu season with medications and remedies from Walgreens. These can make you feel better at the frst sign of infection: • Nasal decongestant (avoid if you have high blood pressure, glaucoma, diabetes or thyroid disease) • Cough suppressant, cough drops, throat lozenges, mucus expectorant and topical cough medication, like Vicks VapoRub (for use on your skin only) • Adult and pediatric versions of acetaminophen and ibuprofen. These are pain relievers and fever reducers • Saline nasal spray or drops, nasal adhesive strips and neti pot (sinus rinse) • Pediatric cough and cold medication for older children What all-natural or gluten-free products • Pediatric dosing syringe, thermometer, bulb syringe and tissues does Walgreens carry for colds and fu? Walgreens offers several cold and fu products that contain all-natural ingredients and have no synthetic be nformed chemicals or additives. Some are also gluten-free. These products are designed to help relieve the same symptoms Because bathrooms may be too moist, it is best not as other OTC products. However, they are considered to store your medications in a medicine cabinet. Try nutritional supplements, rather than medications. Some to keep all medications in a locked cabinet, in a cool, are homeopathic, which means they don’t contain active dark, dry place out of the reach of children. Make sure not to use products past their expiration dates.73 medicinal ingredients but act in a way that is similar to be prepared some OTC medications. Speak to your healthcare provider before you use these or any other nutritional supplements. 46 47

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03/01/14 46 Answers Brochure - Cold & Flu 03/01/14 47 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. References: 1. http://www.cdc.gov/fu/about/qa/coldfu.htm 44. http://www.niaid.nih.gov/topics/commoncold/Pages/treatment.aspx 2. http://www.nlm.nih.gov/medlineplus/ency/article/000678.htm 45. http://www.mayoclinic.com/print/cold-medicines/CC00083/METHOD=print 3. http://www.cdc.gov/fu/about/disease/symptoms.htm 46. http://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/ 4. http://www.mayoclinic.org/diseases-conditions/common-cold/basics/prevention/con-20019062?DSECTION=al Pages/Coughs-and-Colds--or-Home-Remedies.aspx 5. http://www.cdc.gov/getsmart/antibiotic-use/symptom-relief.html 47. http://www.webmd.com/cold-and-fu/cold-guide/kids-cold-medicines-new-guidelines 6. http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/high-blood-pressure/ 48. http://www.mayoclinic.com/health/cold-remedies/ID00036 faq-20058281 49. http://kidshealth.org/parent/general/body/fever.html#a_Types_of_Thermometers 7. http://nccam.nih.gov/health/fu/ataglance.htm 50. http://www.healthychildren.org/English/health-issues/conditions/fever/pages/ 8. http://health.nytimes.com/health/guides/disease/common-cold/overview.html How-to-Take-a-Childs-Temperature.aspx 9. http://www.nlm.nih.gov/medlineplus/ency/article/003051.htm 51. http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm312776.htm 10. http://otcsafety.org/en/treatments/pain-relievers/ 52. http://www.mayoclinic.com/health/fever/DS00077 11. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682619.html 53. http://children.webmd.com/news/20110228/new-advice-fghting-fever-children 12. http://www.fda.gov/downloads/Drugs/EmergencyPreparedness/BioterrorismandDrugPreparedness/UCM133422.pdf 54. http://www.theallianceforec.org/library.php?c=9&news=181 13. http://www.nlm.nih.gov/medlineplus/coldandcoughmedicines.html 55. http://kidshealth.org/parent/general/body/fever.html#a_When_Fever_Is_a_Sign_of_Something_Serious 14. http://www.webmd.com/cold-and-fu/kids-cold-medicine-safety-information 56. http://www.healthychildren.org/English/tips-tools/Symptom-Checker/Pages/Emergency-Symptoms-Not-to-Miss.aspx 15. http://www.mch.com/page/EN/4889/Care-Guides/ 57. http://www.healthychildren.org/English/health-issues/conditions/fever/Pages/When-to-Call-the-Pediatrician.aspx Over-the-counter-drugs-for-cold,-fu,-allergy,-and-sinus-infection.aspx 58. http://www.cdc.gov/getsmart/antibiotic-use/URI/ear-infection.html 16. http://www.webmd.com/a-to-z-guides/nonprescription-medications-and-products-overview 59. http://www.nlm.nih.gov/medlineplus/reyesyndrome.html 17. http://www.webmd.com/cold-and-fu/cold-guide/decongestants-antihistamines-cold?page=2 60. http://www.healthychildren.org/English/health-issues/vaccine-preventable-diseases/Pages/Flu-(Infuenza).aspx 18. http://www.webmd.com/drugs/drug-54288-Dextromethorphan+Cough+Oral.aspx?drugid=54288&drugname= 61. http://www.nlm.nih.gov/medlineplus/ency/article/007445.htm Dextromethorphan+Cough+Oral 62. http://children.webmd.com/news/20110228/new-advice-fghting-fever-children 19. http://www.nlm.nih.gov/medlineplus/fu.html 63. http://children.webmd.com/tc/vomiting-age-3-and-younger-home-treatment 20. http://www.cdc.gov/fu/protect/keyfacts.htm 64. http://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/Whooping-Cough.aspx 21. http://www.cdc.gov/fu/about/qa/vaccineeffect.htm 65. http://www.livestrong.com/article/262591-chapped-lips-from-a-cold-virus/ 22. http://www.cdc.gov/fu/protect/whoshouldvax.htm 66. http://www.livestrong.com/article/269148-medicines-for-cracked-lips/ 23. http://www.nlm.nih.gov/medlineplus/ency/article/000080.htm 67. http://www.nlm.nih.gov/medlineplus/ency/article/002036.htm 24. http://www.fu.gov/symptoms-treatment/treatment/index.html 68. http://www.webmd.com/beauty/lips-smile/why-your-lips-are-chapped 25. http://www.webmd.com/a-to-z-guides/dehydration-adults 69. http://www.webmd.com/healthy-beauty/features/why-your-lips-are-chapped?page=2 26. http://www.cdc.gov/h1n1fu/homecare/fuidlosstips.htm 70. http://www.mayoclinic.com/print/cold-sore/DS00358/DSECTION=all&METHOD=print 27. http://children.webmd.com/tc/nausea-and-vomiting-age-4-and-older-home-treatment 71. http://www.nlm.nih.gov/medlineplus/coldsores.html 28. http://familydoctor.org/familydoctor/en/diseases-conditions/colds-and-the-fu.printerview.all.html 72. http://www.nlm.nih.gov/medlineplus/ency/article/000606.htm 29. http://familydoctor.org/familydoctor/en/drugs-procedures-devices/over-the-counter/cough-medicine­ 73. http://www.nlm.nih.gov/medlineplus/ency/article/007189.htm understanding-your-otc-options.html 30. http://children.webmd.com/news/20101108/vapor-rub-helps-kids-cold-symptoms-sleep This publication should be used for general educational purposes only and is not intended to be a substitute for 31. http://www.livestrong.com/article/175-smart-shopping-cough-drops/ professional medical advice. Although it is intended to be accurate, neither Walgreen Co., its subsidiaries or affliates, 32. http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682492.html nor any other party assumes liability for loss or damage due to reliance on this material. Advances in medicine may cause this information to become outdated, invalid or subject to debate. This information is not intended to create 33. http://www.livestrong.com/article/267267-what-are-some-of-the-remedies-for-a-sore-throat/ any warranty, and ALL SUCH WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF FITNESS FOR A 34. http://www.medicinenet.com/lidocaine_viscous/article.htm PARTICULAR PURPOSE, ARE HEREBY DISCLAIMED. If you are in need of immediate medical attention or have a medical 35. http://www.nlm.nih.gov/medlineplus/ency/article/000655.htm question, contact your medical professional. 36. http://www.mayoclinic.org/diseases-conditions/common-cold/in-depth/humidifers/art-20048021 37. http://www.nytimes.com/health/guides/disease/common-cold/treatment.html 38. http://www.webmd.com/allergies/sinus-pain-pressure-11/neti-pots 39. http://www.healthychildren.org/English/health-issues/conditions/ear-nose-throat/Pages/Children-and-Colds.aspx 40. http://www.cdc.gov/fu/protect/children.htm 41. http://www.webmd.com/parenting/d2n-stopping-germs-12/stopping-germs?page=1 42. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2532887/ 43. http://www.webmd.com/parenting/d2n-stopping-germs-12/stopping-germs?page=2

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03/01/14 48 Answers Brochure - Cold & Flu 03/01/14 49 Answers Brochure - Cold & Flu Vendor: Print at 100% for Scanning Vendor: Print at 100% for Scanning This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. This page is the confidential and proprietary property of Walgreen Co. and is intended solely for the internal use of Walgreens employees. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. Any unauthorized distribution, dissemination or reproduction of these materials or the information contained therein is strictly prohibited. FIND IT

With more than 100 years of trusted recognition, on Walgreens.com Walgreens brand products carry our founder’s name—a person who was passionate about making wellness simpler, easier and within everyone’s reach. • Walgreens brand products contain the same active ingredients when compared to other brands. • Walgreens Pharmacists recommend Well at Walgreens brands*. • Exceptional value, every time. • All backed by 100% Satisfaction Guarantee.

*Walgreens Pharmacist Survey Study, November 2012

We’ve got 1000’s more products online. Fast, free shipping.* Support local preventive wellness with Walgreens. With each purchase of a Walgreens Brand Health & Wellness Product, 1¢ goes to the Walgreens Way to Well Fund® up to *See website for details. $3 million annually. Visit Walgreens.com/waytowell 51

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Walgreens brand make it easy to fnd relief fast with a complete selection of cold and fu products. It’s VALUE easy to fnd just what you need from cough drops and nasal decongestants to humidifers. You can YOU CAN trust products that carry the Walgreens name. TRUST

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Questions about which cold and fu products are right for you and your family? Walgreens pharmacists can help determine the best products for your cold and fu needs. Consult with one of our knowledgeable pharmacists in store or to chat with a live pharmacist anytime, $ day or night log on to Walgreens.com/PharmacyChat. over 20 in savings available inside © 2014 Walgreen Co. All rights reserved. Trademarks are offers valid thru 10/1/15

WIC 329949 WIC Book Expiration Date: 10/1/15 the property of their respective owners. Used with permission.

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