My husband was diagnosed with a condition called neurogenic cough. It has been described as a chronic cough where the nerve that provides sensation to the voicebox and is responsible for triggering the cough reflex has been injured, usually by a virus. When this happens, the nerve's level of sensitivity before it triggers the cough reflex becomes markedly reduced; in other words, it becomes hyper-sensitive. The chronic cough develops as a result of the nerve damage--the nerve damage becomes the reason for more coughing. After 30+ years of developing a chronic cough which would last for about 4-5 months following every upper respiratory infection and being prescribed antibiotics, allergy medication, inhalers, steroids, to no avail, within 3 days of being prescribed GABAPENTIN and TRAMADOL, his cough was immediately arrested.
My 5 year old son had an upper respiratory infection, followed by a throat clearing tickle and a dry persistent cough. Now, 3 months later, he is still coughing. His cough symptoms are nearly identical to his father's. We have seen pediatric ENTS who do not know how to treat a cough with gabapentin and tramadol and have never prescribed it to their pedicatric patients. We have consulted several non-pediatric ENTs who are familiar with the meds for adults, but don't know how to prescribe or dose it for children. So, we are at a loss to find a doctor who is familiar with these meds and has used them to to treat symptoms in children.
What I would like to know is if we can direct a doctor to the right literature on this and he/she is willing to help, can gabapentin and tramadol be used to treat children for this condition of neurogenic cough and how would we find accurate dosing help? Would the typical dosage amounts of these meds used to treat children for seizures be applicable for this condition? If these medications cannot be used in children for neurogenic cough, what other alternative meds would be helpful?