Drug-induced cough

Very low urgency
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Persistent dry cough arising as a side effect of a drug, usually ACE inhibitors or beta-blockers.

It typically appears during the first 6 weeks of treatment, and usually presents as coughing attacks both day and night.

The diagnosis is clinical, ruling out other causes and confirming the use of the medication.

It disappears when the medication is withdrawn or replaced, subject to medical supervision.

Bibliographic references
  • Irwin RS, Baumann MH, Bolser DC, Boulet LP, Braman SS, Brightling CE, et al; American College of Chest Physicians (ACCP). Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest 2006;129:1S-23S.
  • Chung KF, Pavord ID. Prevalence, pathogenesis, and causes of chronic cough. Lancet 2008;371:1364-74.
  • Irwin RS, Madison JM. The diagnosis and treatment of cough. N Engl J Med 2000;343:1715-21.
  • Morice AH, Kastelik JA. Cough. 1: Chronic cough in adults. Thorax 2003;58:901-7.
  • López-Sendón J, Swedberg K, McMurray J, Tamargo J, Maggioni AP, Dargie H, et al. Expert consensus document on angiotensin converting enzyme inhibitors in cardiovascular disease. The Task Force on ACE-inhibitors of the European Society of Cardiology. Eur Heart J 2004;25:1454-70.
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Symptoms

    Cough


    Dry cough


    Coughing at night


    Vomiting caused by coughing

Symptoms to watch out for

A feeling of shortness of breath
Difficulty breathing
Cough with blood or pus
Fever (temperature higher than 100.4 ºF)
History of a severe lung disease such as Chronic Obstructive Pulmonary Disease (COPD)

Self-care

Stop taking any medications you recently started.
Inhale water vapor to keep the throat moist 2 times a day.
Maintain a fluid intake of 6 - 8 cups per day.