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Since you lose your voice, consider the possiblity this is a bronchialBronchial Bronchial adenomaspasmCoronary artery spasm Croup Eyelid twitch Facial tics Hand or foot spasms Urge incontinence Vascular spasm. I can only tell you Singulair solved the problem for me. Every time I get "bronchitis" I lose my voice -- finally my family practice doc, former ER doc, told me he was going to treat the spasm and the rest would follow. So far, so good -- I didn't need an antibiotic this time, either. And, even with Albuterol on-board I used to wheeze so loudly at night I would wake myself up thinking my husband had on a harmonica-playing country musician! Or, that my 5 year old was up, playing her harmonica! Nope, just me. Good luck!