How to Sleep Better When You Have a Cold

5 Min Read | By Gemma Curtis

Last Modified 30 September 2025   First Added 21 February 2019

This article was written and reviewed in line with our editorial policy.

A common cold is something many of us are familiar with, especially during the colder months. While the typical symptoms, including a blocked nose, sore throat and headache, can feel unpleasant enough during the day, they often seem even worse at night. Lying down can make it harder to breathe, trigger a tickly cough and leave you feeling more uncomfortable just when you need rest the most. In this article, we’ll share our top tips to help you drift off more easily with a cold, so you can get the restorative sleep your body needs to recover.

1. Elevate your head

The best sleeping position with a cold and cough is one that keeps you comfortable while slightly elevating your head. Propping your head up can ease postnasal drip, reduce congestion, and make breathing easier. Use a couple of pillows, but be sure your neck stays in a natural position. According to Healthline, two pillows are usually enough for effective relief.

2. Take medication

If you’re dealing with fever, blocked sinuses, or congestion, over-the-counter remedies may help ease symptoms so you can rest more comfortably. Always read the label carefully to ensure the medication matches your symptoms, and be cautious with products containing caffeine (often marked “non-drowsy”), as they can make it harder to fall asleep. For personalised advice, or before starting any new medicine, it’s best to speak with your doctor or pharmacist.

shower head

3. Have a hot shower or bath before bed

Studies show that having a warm bath or shower before bed can help induce sleep. In addition to making you feel relaxed and ready for bed, the steam from the hot water will help open your nasal passages and clear your airways. Take some deep breaths with your face close to the water to loosen any dried mucus and help you breathe more clearly.

Read more about the benefits of a hot bath for sleep.

tea

4. Have a hot drink

Drinking a hot beverage can help open your nasal passages in the same way as a shower. It will also keep you hydrated, helping to replenish lost fluids and support the immune system. Before bed, try some soothing tea like chamomile, mint, or lavender. These don’t contain caffeine and will help you to feel calm before bed.

5. Optimise your sleep environment

When you’re unwell, it can be tempting to blast the heating, wrap up in layers, and cover yourself in blankets. However, you’ll most likely wake up sweating and uncomfortable, struggling to breathe in the middle of the night if you do this. The best temperature for sleep is between 15–20 °C, even when you’re under the weather.

Using a humidifier can also help if you’re struggling with a blocked nose. This will moisturise the air and stop your nose and throat from feeling dry and sore. Ensure to clean it regularly to prevent mould and bacteria from building up.

6. Stick to your routine

It’s natural to feel tired and drowsy when you’ve got a cold, but changing your usual sleep routine too much can actually work against your recovery. Sticking to your regular bedtime and wake-up time helps keep your circadian rhythm on track, which plays an important role in supporting your immune system as it fights off the illness.

Try our Sleep Calculator to discover the ideal bedtime and wake-up time that works best for your body.

If you’re lying in bed and can’t get to sleep after 10 or 20 minutes, get up and do something soothing, like reading a book, practising gentle yoga, or meditation. Once you feel sleepy, you can get back into bed, where you should quickly get a more restful sleep.

7. Soothe a sore throat

To soothe a sore throat before bed, try gargling with salt water. Not only can it ease pain naturally, but it’s also low-cost and prevents any infection from worsening. Here’s how to gargle salt water effectively:

    1. Mix half a teaspoon of salt into a glass of warm water.
    2. Wait until the salt is completely dissolved.
    3. Next, take a mouthful of the mixture and gargle it in the back of your throat for as long as possible.
    4. Spit the salt water out and do not swallow.
    5. Repeat the process as many times as you want.

8. Avoid alcohol

It might be tempting to reach for a nightcap when you’re feeling under the weather, but alcohol can actually make it harder to get a restful night’s sleep. While it may initially make you feel drowsy, it can disrupt your sleep cycles, leaving you tossing and turning throughout the night. Alcohol can also dehydrate you, which isn’t ideal when your immune system is working hard to fight off a cold. To support your body, stick to soothing, non-caffeinated drinks like water and herbal tea instead.

FAQs about sleeping with a cold

Sleeping with a cold can be surprisingly uncomfortable. Common symptoms like a blocked nose, sore throat, and headache often worsen when you lie down. Inflammation in the nasal passages can cause swelling, narrowing the airways, and blood flow shifts when you lie down can further intensify congestion.

On top of that, mucus doesn’t drain as easily when you’re horizontal, so it can pool in your throat, leading to a blocked or tickly feeling that may trigger coughing, making it harder to get the restorative sleep your body needs to recover.

Sleeping with a cold and a blocked nose is generally safe and can help your body recover. It may be uncomfortable and disrupt your sleep, but making a few simple adjustments to your sleep routine can help ease your symptoms.

If your cold worsens after a week, or you notice discharge, high fever, or difficulty breathing, consult your doctor, as these could be signs of something more serious than a common cold.

If you’re hoping to cure a cold overnight, unfortunately, there’s no quick fix. However, getting good-quality sleep can support your body’s recovery and is an important part of overcoming a cold.

According to Neelam Taneja-Uppal, MD, sleep helps your body fight the infection that makes you feel unwell. During sleep, your body repairs and restores itself, giving it the time it needs to recover from illness effectively.

Getting a good night’s sleep when you’re under the weather can feel tricky, but small adjustments like keeping your head elevated and making sure you’re properly hydrated can make a big difference. By following these tips, you’ll give your body the rest it needs to recover more quickly, helping you wake up feeling a little more like yourself, even if the sniffles aren’t completely gone.

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