A member asked:

Cyclic horrible bark cough q 3 wks. on ppi, asthma inhalers, and singulair (montelukast). nothing works except prednisone but i can't take that life long. desperate?

A doctor has provided 1 answer
Dr. Sue Ferranti answered

Specializes in Internal Medicine

When treating a chronic cough, you must treat every possible contributor to the cough or it won't resolve. Post-nasal drip or any sinus condition can result in bronchospasm and, thus, the cough. Perhaps you need to add a nasal steroid spray to your regimen in addition to a steroid inhaler and your other meds. You may need a very slow steroid taper to get to the lowest possible effective dose.

Answered Apr 21, 2021



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