Doctor insights on:
Dry Cough And Ace Inhibitors
If it is not uncommon for ACE inhibitors to produce an annoying cough, why not prescribe arbs from the get go? Are they generally less effective?
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more
Yes: Cough due to CHF is due to excessive fluid buildup in lungs due to inefficient heart function. Cough due to ace inhibitors is a benign (though irritating) side effect seen in a minority of patients. Ace inhibitors are first line drugs for "systolic" CHF ( due to weakened heart muscle). Presence of cough does not exclude use, but most physicians would switch to alternative "arb" medication. ...Read moreSee 1 more doctor answer
Cough upon Altace trial 10 yrs ago. Possible I might not have same reaction now, esp w/diff brand of Ace Inhibitor? ACE studies look better than ARB.
Altace cough: it is worth trying again as you will know quickly whether you are sensitive to it, and if you are, you can stop it. Best to check with your cardiologist. ...Read more
I hear that the chances of a strong annoying cough due to an ACE inhibitor for hbp (no diabetes) is experienced by many patients. How true is this?
I was switched from a beta blocker to an ACE inhibitor for hbp due to bad side effects. How long will it take for the cough with lisinopril?
How to combat ankle edema caused as a side effect by s-amlodipine.The hypertensive pt.Was previously put on ACE inhibitor but developed cough?
Short of breath, lump in throat, difficulty swallowing, cough daily for 6 mos. And getting worse. One dr. Says reflux the other says ACE inhibitor (angioedema). Which is most likely given the symptoms?
Depends on cause: Treating a dry cough depends on the cause, all the while remembering that cough is a symptom not a disease. Dry cough can occur due to allergies, exposure to dust, fumes and chemicals, asthma, bronchospasm, viral URI and medications such as ace inhibitors. Avoid the irritant, treat the asthma and bronchospasm, switch the offending medicine and use antihistamines for allergy control. ...Read moreSee 1 more doctor answer
Tips: Hydrate well. Consider using a warm air vaporizer. Mix several teaspoons of honey into herbal tea with a squeeze of lemon juice. Or make tea with 2 tsp of marshmallow root bark per 1cup of hot water (steep in a covered pot for at least 5 minutes). Drink several times a day or as needed to relieve coughing. See a physician if your cough is not resolving, difficulty breathing or temp > 104. ...Read more
Dry cough: The best way to treat or recover from a cough is to find the underlying cause or reason for the cough so it can be treated. Also, "voice rest" which means no raising voice, singing, cheering, yelling etc, so the area of the larynx can heal. If a cough persists, it is important to be assessed by an allergist, ENT doctor or pulmonologist to identify the trigger and offer specific treatment. ...Read more
Need diagnosis first: Possible causes of a chronic cough include bronchospasm of any etiology, post-nasal drip, gerd or a combination of 2 or more of these diagnoses. Treatment depends on the etiology which often requires testing for precise diagnosis. See your doctor so proper diagnosis of your cough can be determined and treatment can be rendered. Quit smoking if you are smoking. Your doctor can help w/this, too. ...Read moreSee 1 more doctor answer
Good for dry cough: Treatment of the cause of the cough is your best option. Head elevation can be very useful to alleviate disruptive night time cough. If you have asthma, COPD or allergies, make sure they are well controlled. Cough medications are at best a temporary, last resort. ...Read moreSee 1 more doctor answer
Cough with weakness: There are many causes of dry cough, and at least 12 that could cause both weakness and dry cough together. As it is the season of RSV and influenza, as well as pertussis etc get checked for a treatable infection first. As you are 32 years old the other potential causes are less likely, but serious. Let your doctor know how long you've been feeling poorly, and any other associated symptoms. ...Read more
Depends on the cause: There are many potential causes for a cough but the more common ones include post-nasal drips, post-viral infection etc. The list goes on. Need to see a doctor to find out. Unless you know the cause, using a cough suppressant on a long term basis is not recommended. ...Read more
Doctor can examine: A person who has over two weeks of cough should see a doctor. The doctor can evaluate to see if there is allergies, asthma, sinusitis, bronchitis, pertussis, pneumonia, or perhaps another problem in the throat or chest. Problems can be more serious if the person is a smoker or has other health problems. Smoking is a major risk factor for several lung diseases, including cancer. ...Read more
Bronchospasm.....: The possible etioligies of a chronic cough include bronchospasm from any etiology, gerd, post-nasal drip or a combination of factors. Bronchospasm can be due to allergy, chronic bronchitis, a form of COPD usually due to smoking or an acute infection of the airways (usually results in an acute cough). See your doctor so your cough can be diagnosed since treatment depends on the precise diagnosis. ...Read more
Cough: In general, a symptom of coughing can first be addressed by over the counter measures. Cough specific syrups or tablets are readily available. Decongestant medicines can help if the cough is related to sinus drainage. Giving the cough ample time to clear is advisable but if you develop fevers, shortness of breath, chest pains, or bloody sputum, it may be time to see your doctor. ...Read more
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