Treatment

Determining the cause of chronic cough is crucial to effective treatment. In many cases, more than one underlying condition may be causing your chronic cough.

If you're taking an ACE inhibitor medication, your doctor may switch you to another medicine that doesn't have a cough as a side effect.

Medications used to treat chronic cough may include:

  • Antihistamines, glucocorticoids and decongestants. These drugs are standard treatment for allergies and postnasal drip.
  • Inhaled asthma drugs. The most effective treatments for asthma-related cough are glucocorticoids and bronchodilators, which reduce inflammation and open up your airways.
  • Antibiotics. If a bacterial infection is causing your chronic cough, your doctor may prescribe antibiotics.
  • Acid blockers. When lifestyle changes don't take care of acid reflux, you may be treated with medications that block acid production. Some people need surgery to resolve the problem.
  • Cough suppressants. If the reason for your cough can't be determined and it's causing serious problems for you, such as keeping you from sleeping, your doctor may prescribe a cough suppressant. However, there's no evidence that over-the-counter cough medicines are effective.

You should never give children under 4 years of age over-the-counter cough and cold products without checking with your child's doctor. These medicines may harm young children.

April 27, 2016
References
  1. Cough. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/cough/. Accessed March 2, 2016.
  2. Bope ET, et al. The respiratory system. In: Conn's Current Therapy 2016. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed March 2, 2016.
  3. Benich JJ, et al. Evaluation of the patient with chronic cough. American Academy of Family Physicians. www.aafp.org/afp. Accessed March 2, 2016.
  4. Silvestri RC, et al. Evaluation of subacute and chronic cough in adults. http://www.uptodate.com/home. Accessed March 2, 2016.
  5. Weinberger SE, et al. Treatment of subacute and chronic cough in adults. http://www.uptodate.com/home. Accessed March 9, 2016.
  6. Chang AB, et al. Cough in the pediatric population. Otolaryngology Clinics of North America. 2010;43:181.
  7. Morice AH, et al. Recommendations for the management of cough in adults. Thorax. 2006;61(supp):1.
  8. AskMayoExpert. Chronic cough. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  9. An important FDA reminder for parents: Do not give infants cough and cold products designed for older children. U.S. Food and Drug Administration. http://www.fda.gov/Drugs/ResourcesForYou/SpecialFeatures/ucm263948.htm. Accessed March 8, 2016.
  10. Islam S. Flexible bronchoscopy: Indications and contraindications. http://www.uptodate.com/home. Accessed Jan. 20, 2016.
  11. Gibson P, et al. Treatment of unexplained chronic cough. Chest. 2016;149:27.
  12. Olson EJ (expert opinion). Mayo Clinic, Rochester, Minn. March 14, 2016.
  13. Irwin RS, et al. Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest. 2006;129:1S.
  14. Schmitt BD. Pediatric Telephone Protocols. 15th ed. Elk Grove Village, Ill.: American Academy of Pediatrics; 2016:106.
  15. What is COPD? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/copd/. Accessed April 4, 2016.