Common issues

Colds, coughs and sore throats

Colds, coughs, and sore throats are the most common reasons people seek medical care. The vast majority of upper respiratory infections are caused by viruses and clear up within one to two weeks without antibiotics.

Sometimes, however, a bacterial infection is the cause — for example, strep throat or a sinus infection — and treatment can then shorten the illness. Deciding whether antibiotics are appropriate is based on symptoms, duration, and, when relevant, the result of a self-test.

What can be resolved?

  • Cough and bronchitis without severe symptoms
  • Sore throat and streptococcal throat infections
  • Sinus infections

At-home self-test

You collect the test from the nearest pickup point, take it at home, and enter the result in the patient portal. A doctor will assess it together with your answers.

CRP test

CRP test

Measures the inflammatory response in the blood with a single drop from your fingertip. The result helps the doctor assess whether the symptoms are more likely caused by a virus or bacteria — and therefore whether antibiotics are appropriate.

Strep test

Strep test

A throat swab that checks for streptococci, the most common bacteria behind sore throats that sometimes require antibiotics. Results are available within a few minutes at home.

When is the service not suitable?

  • Difficulty breathing, shortness of breath, or chest pain.
  • Difficulty swallowing your own saliva or opening your mouth.
  • High fever with neck stiffness or skin bleeding.
  • Symptoms lasting longer than ten days or worsening after initial improvement.

General advice

Here is general advice on treating common symptoms of respiratory infections.

Fever and body aches

Fever is the body’s natural response to infection and helps the immune system fight it. Fever itself is not dangerous, and there is no need to lower it unless you feel unwell. It is fine to take medicine if the symptoms are uncomfortable.

Paracetamol 500 mg — 1-2 tablets at a time, up to 4 times a day
Ibufen 400 mg — 1 tablet at a time, up to 3 times a day (if Paracetamol is not enough)

Caution: Do not use anti-inflammatory medicines (e.g. Ibufen) if you have:

Heart failure
Kidney failure
Reflux, gastritis, or stomach ulcers
Had gastric sleeve or gastric bypass surgery

Runny nose and nasal congestion

It is important to drink more water than usual to thin mucus and prevent the mucous membranes from drying out.

Saline nasal spray

Use three times a day to cleanse and moisturize. Good to use before a steroid nasal spray.

Decongestant nasal spray (e.g. Otrivin)

One spray in each nostril up to 3 x a day. Do not use for more than three to five days in a row.

Productive cough

Fluids

Drink more water than usual to thin the mucus.

Mucomyst 200 mg

One effervescent tablet dissolved in water, up to three times a day while symptoms last.

Túfen

Túfen expectorant syrup may also be used.

Sore throat

Soreness and pain when swallowing are common symptoms.
Caused by inflammation of the mucous membranes and swollen lymph nodes.
Infection prevention

If you have confirmed streptococcal infection, avoid close contact until 24 hours have passed since the first antibiotic dose.

Other treatment

Warm liquids (tea with honey) and throat lozenges (e.g. Strepsils).

Pain relief

Paracetamol or Ibufen if needed.

Digestion and antibiotics

Antibiotics can disrupt the gut flora. Probiotics (e.g. Optibac) are recommended at least 1 hour before or after taking antibiotics. It is also good to continue for a few days after finishing antibiotic treatment.

Rest and fluids

Get enough rest.
Drink plenty of fluids, even if you have little appetite.
Use fluids with salts to support fluid balance.

When should you seek medical care?

If you have severe symptoms
If you are getting worse despite standard treatment

The advice above is general and does not replace medical advice. Seek medical attention if symptoms worsen or do not go away.

Please note

Fjarlækningar handles simple, clearly defined issues. Some cases require an examination, testing, or emergency care — and are directed to another care pathway. In emergencies, call 112.

Submit a case

You sign in with electronic ID and answer a short questionnaire. A doctor reviews the case and recommends treatment.

Open patient portal