Review · Polish archives of internal medicine · 2025Abstract only

Vitamin C for colds and pneumonia

What it found

In people, vitamin C did not prevent colds at doses over 1 g/day, but it cut cold severity by 15% and halved colds in people doing heavy physical activity.

It also showed some benefit for pneumonia in certain groups.

What they found

Studies in people

Colds in general population

In controlled trials, vitamin C at a dose greater than 1 g/day did not prevent common colds in the general human population.

Colds in heavy activity

In 5 trials with participants doing heavy physical activity, vitamin C halved the incidence of colds.

Cold severity

In 15 trials with 6244 people, regular supplementation of 1 g or more of vitamin C per day decreased the severity of colds by 15%.

Cold duration

Two therapeutic trials found that 6-8 g/day of vitamin C was twice as effective at reducing the duration of colds as 3-4 g/day.

Pneumonia prevention

In 3 controlled trials, vitamin C prevented pneumonia, but the contexts were atypical: schoolboys in a UK boarding school before World War II, soldiers hospitalized for influenza A, and US Marine recruits.

Pneumonia treatment

Four trials reported a treatment benefit for pneumonia patients, but the findings encourage further research rather than providing firm evidence.

What the authors conclude

“Given the evidence that vitamin C reduces the severity and duration of the common cold, paired with its good safety profile and low cost, it is not unreasonable for patients to test whether therapeutic vitamin C supplementation at a dose of 6-8 g/day is beneficial at the individual level.”
Hemilä H, Chalker E, 2025

Also in their conclusions

  • They say it is unlikely that vitamin C would reduce the risk of pneumonia in the general population.
  • They note that given the evidence that vitamin C reduces the severity and duration of the common cold, paired with its good safety profile and low cost, it is not unreasonable for patients to test whether therapeutic vitamin C supplementation at a dose of 6-8 g/day is beneficial at the individual level.

How it was done

The authors wanted to review how well vitamin C works for preventing and treating respiratory infections like the common cold and pneumonia.

They looked at controlled trials in people, including 15 trials with 6244 people taking 1 g or more of vitamin C daily, and other trials in animals and specific groups like soldiers and schoolboys.

What it can’t tell you

  • We summarised it from the abstract only.
  • The pneumonia prevention trials were in atypical groups like schoolboys and soldiers, so the results may not apply to the general population.
  • The therapeutic trials for colds had inconsistent results, so it is not clear when vitamin C after symptoms start will help.
  • The findings for pneumonia treatment encourage further research rather than providing firm evidence of efficacy.

The paper

Title
Vitamin C for the common cold and pneumonia
Type
ReviewThe authors read earlier studies and describe what they found. It isn’t a new study.
Evidence
Studies in people
Summarised from
Abstract only
Cite
Hemilä H, Chalker E (2025). Vitamin C for the common cold and pneumonia. Polish archives of internal medicine. doi:10.20452/pamw.16926PubMed 39803741DOI

Summary written 26 Sep 2026. Check it against the paper before it changes what you eat. How we summarise papers · Report an error