Suggest treatment for consistent dry heaving cough
Patient: I have a consistent dry, sometimes heaving, cough. This has been going on for a year or more. I am diabetic and have high blood pressure, high cholesterol, asthma, and gastroparesis. My med list is overwhelming...up to 12 tablets a day plus insulin. Could the losartan I take for pressure be the cause of my crazy cough spasms? Am I having an allergic reaction to it or the combination with my other meds. 65 units of Novalog insulin before am/pm meals 10mg Zetia daily 3.125mg Carvedilol twice daily 5mg (2) Glyburide twice daily 20mg Omeprazole daily 25mg Hydrochlorothiazide daily 5mg Metoclopramide 4 times daily (be efore meals and at bedtime) 20 mg Pravastatin daily 50mg Losartan daily 160/4.5 Symbiotic 2 puffs twice daily 90mcg Abuterol 2 puffs four times daily 59mcg Fluticasone Propionate 2 sprays each nostril daily 2500mcg Methycobalamin (B12) daily 1000 IU Vitamin D daily 500mg Inositol daily 3000mcg Biotiln daily 50mg Tramadol as needed for pain every 8-12 hours Doctor: Welcome. Ace inhibitors r known to cause dry cough. losartan is an arb receptor blocker but it too can cause dry cough less so than ace is. u need to do 2 things 1st) ask ur doc to change ur bp med to observe any improvement, perinodopril is a good option. 2ndly) go to a pulmonologist n get ur pulmonary function tests, cxr pa view done to rule out any co morbidity n do proper referal. thanx hope that helps.