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Respiratory Disorders  (Expert Forum)
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TUSSIONEX
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This forum is for questions and support regarding lung and respiratory issues such as: Allergies, Asthma, Bronchitis, Colds - Flu, Chronic Cough, COPD, Cystic Fibrosis, Emphysema, Fibrosis, Lung Abscess, Nasal Polyps, Pleurisy, Pneumonia, Sarcoidosis, Sinusitis, Tuberculosis.

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by roy105, Jan 30, 2005 12:00AM

I have a cough at night that has been keeping me awake for about 6 months. I have had chest x-ray, pulmonary tests, sinus x-ray.
I have gone to Allergy Dr. and I am under the care of an internist.

The only thing that works, and works great is TUSSIONEX!!!!!!!!

However, because of all the bad things associated with tussionex, the Dr. wants me to get off of it. So do I.

So, like last night, I took Singular, and other med. for post nasal drip and whatever, and I still cough.

I am tired.

What is the solution? Nothing has worked but TUSSIONEX.

ROY105

by National Jewish, Feb 14, 2005 12:00AM
The solution is to first determine what is causing the cough.  Then treatment needs to focus on getting rid of the cause or at least getting it under control.

In a person who has a normal chest x-ray and who doesn’t smoke the most common causes of cough are postnasal drip, chronic sinus problem, heartburn, and asthma.  A chronic cough can also be a side effect of a group of medicines used to treat high blood pressure called angiotensin converting enzyme (ACE) inhibitors.  You may want to see a specialist, such as a pulmonologist.  It can take a while of using Singulair® (montelukast sodium) and other medicines for postnasal drip for them to help as much as possible.

A nasal wash helps remove mucus and germs from your nose and sinuses.  This can temporarily decrease the postnasal drip and lessen your cough.  Please read our Nasal Wash MedFact at http://www.nationaljewish.org/medfacts/nasal.html for more information about this technique.  Share this information with your doctor to see if you would benefit from this daily treatment.  Doing a nasal wash before using any nasal spray can make that nasal spray work better.

Tussionex is not a good long-term solution for this problem.  You might ask your doctor for a short course of prednisone to see if the cough responds to steroids.  If prednisone controls the cough, it should be replaced with an inhaled steroid for the nose or the lungs.  There is less risk of side effect with an inhaled steroid than with prednisone.  It will help to identify if this is a problem of your lower or upper airways.  Even though your tests did not do this, the inhaled steroids may.
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